Antibiotic Prophylaxis in Plastic Surgery
Khouj, O., Yousuf, F., Alnahedh, H., Alhodaly, H., Albaradi, K., Alshaifani, A., Alotaibi, F., Alshammery, S., Daiwali, I., Ali, M., Mallohi, N., Alnabhani, J. (2018). Antibiotic Prophylaxis in Plastic Surgery. EKB Journal Management System, 70(5), 777-785. doi: 10.12816/0043982
Osama Talaat Khouj; Faisal Saud Yousuf; Haitham Abdullah Alnahedh; Hind Mohammed Alhodaly; Khaled Hamad Mohammed Albaradi; Afnan Abdulaziz Alshaifani; Fadaa Magthel H Alotaibi; Sahar Matter Alshammery; Ibrahim Ghaleb Daiwali; Mohammed Ahmed Musatfa Ali; Norah Ahmed Ibrahim Al Mallohi; Jabir Mohammed A Alnabhani. "Antibiotic Prophylaxis in Plastic Surgery". EKB Journal Management System, 70, 5, 2018, 777-785. doi: 10.12816/0043982
Khouj, O., Yousuf, F., Alnahedh, H., Alhodaly, H., Albaradi, K., Alshaifani, A., Alotaibi, F., Alshammery, S., Daiwali, I., Ali, M., Mallohi, N., Alnabhani, J. (2018). 'Antibiotic Prophylaxis in Plastic Surgery', EKB Journal Management System, 70(5), pp. 777-785. doi: 10.12816/0043982
Khouj, O., Yousuf, F., Alnahedh, H., Alhodaly, H., Albaradi, K., Alshaifani, A., Alotaibi, F., Alshammery, S., Daiwali, I., Ali, M., Mallohi, N., Alnabhani, J. Antibiotic Prophylaxis in Plastic Surgery. EKB Journal Management System, 2018; 70(5): 777-785. doi: 10.12816/0043982

Antibiotic Prophylaxis in Plastic Surgery

The Egyptian Journal of Hospital Medicine
Article 12, Volume 70, Issue 5, January 2018, Page 777-785  XML PDF (267.29 K)
Document Type: Original Article
DOI: 10.12816/0043982
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Authors
Osama Talaat Khouj1; Faisal Saud Yousuf2; Haitham Abdullah Alnahedh3; Hind Mohammed Alhodaly4; Khaled Hamad Mohammed Albaradi4; Afnan Abdulaziz Alshaifani5; Fadaa Magthel H Alotaibi6; Sahar Matter Alshammery7; Ibrahim Ghaleb Daiwali8; Mohammed Ahmed Musatfa Ali8; Norah Ahmed Ibrahim Al Mallohi5; Jabir Mohammed A Alnabhani4
1King Abdul Aziz University Hospital
2University of Jeddah
3Al Iman General Hospital
4King Abdulaziz University
5Unaizah College of Medicine, Qassim University
6King Khalid University
7Princess Noura University
8Battarji college of medicine
Abstract
Background: prophylactic antibiotics are effective in preventing surgical-wound infections. However, the clarity about the compelling need for antibiotic administration and the risk associated with their use is missing. The use of antimicrobial prophylaxis against surgical site infection (SSI) is common in plastic surgery, while results from prospective randomized controlled trials are scarce.
Aim of the Study: was to evaluate the need for antibiotic prophylaxis in the field of plastic surgery.
Methods: Electronic search of available Literatures in the scientific database of recent randomized controlled trials evaluating the indications for and use of antibiotics to reduce and treat SSIs for patients undergoing plastic surgery from 1960 to 2017– (Medline, Embase, the Cochrane Library as well as NHS centre websites were searched for English Publications from both reprint requests and by searching the database. Data extracted included antibiotic dosage, duration and incidence of surgical site infection.
Conclusion: surgical procedures must be distinguished based on the risk of infection and the need for antibiotic prophylaxis should be determined accordingly, i.e. on a case by case basis.No prophylaxis is required for superficial skin’s and clean surgeries such as mucosal excisions, nevertheless, Antibiotic prophylaxis is recommended microsurgical operations, prosthetic surgery, incisional hernias, clean non-prosthetic osteoarticular surgery, oral cavity and genitourinary system procedures.
Still, antibiotic use should be prescribed with caution to avoid profound side effects such as developing resistant bacterial strains, severe allergies and other accompanied comorbidities.
Keywords
Antibiotic prophylaxis; Surgical site infection (SSI); Infections in plastic surgery; SSI prevention
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