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* 1. Name (optional)

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* 2. Grade

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* 3. Institution

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* 4. Do you use guidelines from any of the following sources? (Tick all that apply.)

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* 5. Country

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* 6. In the following scenarios what is your current practise for the use of antibiotics? The patient is otherwise fit and well with no comorbidities.

 
Cellulitis
Osteomyelitis
Open fracture other than a tuft fracture
Prosthetic Surgery
Open tuft fracture
Insertion of internal metalwork e.g. Fixation of a closed fracture
Prolonged complex surgery (> 2 hours duration)
Animal bites
Removal of metalwork
Abcess
Planned soft tissue surgery < 2 hours duration
Flexor sheath infection
Insertion of external fixator or K wires that are left external
Septic arthritis
Wounds with delay to surgery >4 days
Wound with lymphangitis
Infected metalwork
High Pressure liquid injection
Insertion of K wires that are buried
Human Bites
Simple clean wound < 6cm
Highly contaminated wound
Incision and drainage of uncomplicated whitlow
Simple dirty wound with no expected delay to washout
Traumatic amputation

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* 7. For the scenarios that you have indicated you would NOT use antibiotics in a fit and well person, would the following comorbidities/medications change your decision so that you would give antibiotics?

 
Diabetes
Gout
Rheumatoid arthritis (no medication)
Biologic medications
Steroids
Immunosuppressants
Severe crushing element to the injury

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* 8. If you would be willing to be part of a Clinical Reference Group on this subject as we work towards an evidence based consensus document please provide your email address.

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