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Contemporary Management of Pediatric Open Skull Fractures: a Multicenter Pediatric Trauma Center Study by Cory McFall; Alexandra D. Beier; Kelsey Hayward; Emily C. Alberto; Randall S. Burd; Bethany J. Farr; David P. Mooney; Kristin Gee; Jeffrey S. Upperman; Mauricio A. Escobar; Nicole G. Coufal; Helen A. Harvey; Gerald Gollin is a Medicine article available to read on EtoBox.

What is Contemporary Management of Pediatric Open Skull Fractures: a Multicenter Pediatric Trauma Center Study about?

## OBJECTIVE The authors sought to evaluate the contemporary management of pediatric open skull fractures and assess the impact of variations in antibiotic and operative management on the incidence of infectious complications. ## METHODS The records of children who presented from 2009 to 2017 to 6 pediatric trauma centers with an open calvarial skull fracture were reviewed. Data collected included mechanism and anatomical site of injury; presence and depth of fracture depression; antibiotic choice, route, and duration; operative management; and infectious complications. ## RESULTS Of the fractures among the 138 patients included in the study, 48.6% were frontal and 80.4% were depressed; 58.7% of patients underwent fragment elevation. The average duration of intravenous antibiotics was 4.6 (range 0–21) days. Only 53 patients (38.4%) received a single intravenous antibiotic for fewer than 4 days. and 56 (40.6%) received oral antibiotics for an average of 7.3 (range 1–20) days. Wounds were managed exclusively in the emergency department in 28.3% of patients. Two children had infectious complications, including a late-presenting hardware infection and a superficial wound infection. The

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Author

Cory McFall; Alexandra D. Beier; Kelsey Hayward; Emily C. Alberto; Randall S. Burd; Bethany J. Farr; David P. Mooney; Kristin Gee; Jeffrey S. Upperman; Mauricio A. Escobar; Nicole G. Coufal; Helen A. Harvey; Gerald Gollin

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Published

2021

Language

EN

Field

Medicine (Health Sciences)