Tonsillectomy question re:IV abx

[1tiredmama]

Hoping someone sees this in time. Ds is scheduled for surgery at 1pm today. Should he have IV abx during the procedure? He is already taking Augmentin. Thanks!

[Kiera]

I don't think this is on time but yes, I asked my ds's ENT to give iv antibiotica just to cover all bases. Hope it went well!

[1tiredmama]

Thanks, Kiera! No, you are not too late. Surgery is on Wednesday at 1:00 (technically "today" since it is after midnight here.) Out of curiosity, why do our kids need the extra abx?

[Kiera]

It's just best to give a dose intraop because 1) there are alot of bacteria in the mouth even in normal people, so even with dental cleanings Dr K recommends extra antibiotics pre and post for pandas kids 2) there may be infection in the tonsils and adenoids themselves (my ds's had pseudomonas) and 3) you're cutting the T & A off thereby providing access for the infection to get into the bloodstream. For many, T & A causes a pandas flare up. My ds was in a constant flare when we did the T & A so I didn't notice any increase in symptoms after it.

[ptcgirl]

My dd had the Iv abx during her t and a. Did fantastically for 9 months. Would recommend Iv abx.

[1tiredmama]

I requested it and got it. No questions asked. Our ENT is fantastic! He also had the forethought to write ds a prescription for liquid Augmentin so that he does not have to swallow his daily horse pill. As the mom of a teen patient, that never would have occurred to me.

 

Thanks for the advice, everyone!