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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 4 Adverse reactions and side effects to antimicrobials

From: Preoperative antibiotic prophylaxis and the incidence of surgical site infections in elective clean soft tissue surgery of the hand and upper limb: a systematic review and meta-analysis

Main author and year

Total number of eligible participants

Case group (ATB)

Control group (PL/)

Adverse reactions and side effects to antimicrobials

Total number

Events (AR/SE)

Total number

Events (AR/SE)

Wachtel N (2023) [22]

178

69

Abdominal pain (n = 3)

Meteorism (n = 5)

Diarrhea (n = 3)

Nausea (n = 4)

Eczema (n = 2)

109

Abdominal pain (n = 1)

Meteorism (n = 2)

Diarrhea (n = 0)

Nausea (n = 4)

Eczema (n = 1)

To identify cases of adverse reactions and side effects to antimicrobials, patients were asked about the occurrence of signs or symptoms of intestinal disorders (meteorism, abdominal pain, nausea or vomiting, and diarrhea) and hypersensitivity reactions (eczema, pruritus, and anaphylactic shock) in the first 14 days after arthroscopy, which were classified by the patients as mild or severe. Patients who received preoperative antibiotics had significantly more adverse reactions and side effects related to the administration of these drugs than patients who did not receive antibiotic prophylaxis (16.2% versus 5.5%; p = 0.029, chi-squared test). Also, one out of ten patients who use antimicrobials has adverse reactions and side effects to these drugs