Antibiotic prophylaxis in dermatologic surgery: Advisory statement 2008

Wright, Tina I.; Baddour, Larry M.; Berbari, Elie F.; Roenigk, Randall K.; Phillips, P. Kim; Jacobs, M. Amanda; Otley, Clark C.

doi:10.1016/j.jaad.2008.04.031

Cited by 204 publications

(200 citation statements)

References 28 publications

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“…59 Available evidence suggests that routine postsurgical use of a topical antibiotic is not recommended overall after office-based dermatologic procedures, especially those that are not at high risk of infection; this includes clean and cleancontaminated wounds, after procedures in patients that are immunocompetent and not at high risk of infection, after surgeries performed in regions above the knee, and after surgeries not involving the groin, ears, or mucosal region of the nose or mouth. 14, 52,60,61 In selected cases where the risk of post-operative infection is deemed to be high and avoidance of infection is a major priority due to patient-related risk factors, it is believed to be a better choice to utilize oral antibiotic prophylaxis as topical therapy alone is not as likely to provide adequate prevention of infection in such cases.…”

Section: (5) Use Of a Topical Antibiotic Agent Is Not Suggested For Rmentioning

confidence: 99%

Antibiotic Resistance Considerations of Importance to Clinical Dermatologists

Rosso

2017

J of Skin

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Antibiotic resistance is a major health concern worldwide as the list of bacterial pathogens that are insensitive to available antibiotics continues to grow in both hospitals and outpatient communities. The slow development of newer antibiotics adds to the formidable challenge that clinicians face with treatment of infections caused by antibiotic-resistant bacteria. This article discusses important caveats related to antibiotic use in dermatology. These include understanding that both topical and oral antibiotics contribute to the emergence and spread of resistant bacteria, that antibiotic monotherapy is to be avoided for treatment of acne vulgaris, that effective treatment of rosacea does not require the use of an antibiotic, that antibiotic therapy in the management of atopic dermatitis is best limited to treatment of an active clinical infection, and that routine post-operative use of a topical antibiotic is not suggested after most office-based dermatologic procedures. By following principles of antibiotic stewardship, dermatologists are major players in the battle against antibiotic resistance.

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Section: (5) Use Of a Topical Antibiotic Agent Is Not Suggested For Rmentioning

confidence: 99%

Antibiotic Resistance Considerations of Importance to Clinical Dermatologists

Rosso

2017

J of Skin

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“…En general, procedimientos más largos conllevan un mayor riesgo de infección 3 . Regiones corporales como extremidad inferior, especialmente periungueal, región inguinal y perianal, constituyen sitios de mayor colonización por microorganismos, lo que también favorecerían una mayor tasa de SSI 5 . Respecto al tipo de procedimiento, se ha visto que existe un mayor riesgo de infección en cirugías de neoplasias, colgajos, injertos y en general en cirugías más largas.…”

Section: C) Características De La Cirugíaunclassified

Actualización en técnica aséptica y uso de antibióticos profilácticos en procedimientos quirúrgicos ambulatorios que comprometan piel y mucosas: An update

2016

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“…If vancomycin or clindamycin is being used and gram-negative organisms are suspected then aztreonam or gentamicin or the addition of a single dose fluoroquinolone is suggested. There isn't any high-level evidence for oral antimicrobial prophylaxis or different applications in methicillin-resistant Staphylococcus aureus (MRSA) infection (2,3,11,27).…”

Section: Antibiotic Choicementioning

confidence: 99%

“…The risk of wound infection is below 5% in surgical procedures including breast reduction and reconstruction surgery, in a patient without additional risk factors for infection (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). In addition to patient specific conditions that are known to increase the risk of infection in all kinds of surgical wounds in general, the use of implants in breast surgery (13) and preoperative radiotherapy application (14,15) further increase the risk of wound infection.…”

Section: Introductionmentioning

confidence: 99%

Guideline for Antimicrobial Prophylaxis in Breast Surgery

Baghaki¹,

Soybir²,

Soran³

2014

J Breasth Health

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Antimicrobial prophylaxis has an important role in reducing surgical wound infection rates. Besides prophylaxis; basic infection control mechanisms implemented in the clinic (17), the surgeon's experience and technique, duration of operation, hospital and operating room conditions, instrumentation, preoperative preparation including body-washing, skin antisepsis and shaving, peri-operative management of temperature and blood glucose regulation, and the patient's existing co-morbidities all play an important role (16,18). Patient-related risk factors for surgical wound infections are advanced age, negative nutritional status, obesity, diabetes mellitus, cigarette smoking, presence of infection, immunodeficiency or immunosuppressive use, steroid use, recent surgery, long preoperative hospitalization and colonization with microorganisms. MicroorganismsIn breast and plastic surgery procedures, usually S. aureus is responsible for the wound infection (2,6,7,10,11,15,19,20). In axillary region procedures, obese patients prone to maceration, procedures at sweating areas P. aeruginosa, Serratia marcescens, Enterobacteriaceae including E. coli and gram-negatives like Klebsiella can be isolated (20, 21). . Pages 582-667 of this book contain the section:"Therapeutic Guidelines on Antimicrobial Prophylaxis in Surgery". This section includes current clinical developments, evidence and recommendations on the application of standard and effective antimicrobial prophylaxis in adult and pediatric patients, and has significant differences compared to the previous 1999 edition. On pages 632-633, antimicrobial prophylaxis in breast and plastic surgery practice is addressed in detail. This article contains a summary of the recommendations made in ASHP 2012/2013 Report regarding the antimicrobial prophylaxis in breast and plastic surgery applications.

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Antibiotic prophylaxis in dermatologic surgery: Advisory statement 2008

Cited by 204 publications

References 28 publications

Antibiotic Resistance Considerations of Importance to Clinical Dermatologists

Antibiotic Resistance Considerations of Importance to Clinical Dermatologists

Actualización en técnica aséptica y uso de antibióticos profilácticos en procedimientos quirúrgicos ambulatorios que comprometan piel y mucosas: An update

Guideline for Antimicrobial Prophylaxis in Breast Surgery

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