Is Levofloxacin Necessary to Prevent Postoperative Infections of Auricular Second-Intention Wounds?

Section: Resultsmentioning

confidence: 99%

Perioperative Antibiotic Use of Dermatologic Surgeons in 2012

Bae‐Harboe

Liang

2013

“…The fourth‐generation quinolones include moxifloxacin and possess a wider spectrum, which includes Gram‐negative rods, Gram‐positive cocci, anaerobes, and atypical bacteria. Although these kill Streptococcus and MSSA, they have minimal antipseudomonal activity …”

Section: Pathogens By Body Sitementioning

confidence: 99%

Prophylactic and Empiric Use of Antibiotics in Dermatologic Surgery: A Review of the Literature and Practical Considerations

Rossi

2012

Background Although the risk of postoperative infection and bacteremia from dermatologic procedures remains low, many dermatologic surgeons continue to prescribe antibiotics, pre‐ and postoperatively. This practice can lead to unwanted morbidity and mortality and significantly increases associated healthcare costs and, even more ominously, increases bacterial resistance in the community. Objective To provide a comprehensive overview of antibiotic usage in dermatologic surgery and use evidence‐based medicine to provide recommendations for antibiotic usage tailored to microbial pathogens. Materials and Methods A literature review was conducted to provide the most current overview of the guidelines for antibiotic use against surgical site infections, infective endocarditis, and hematogenous joint infection. In addition, recommendations for antibiotic use with implantable materials, such as fillers, and for special populations, such as organ transplant recipients, are provided. Results and Conclusion We focused on the most common bacterial pathogens related to surgical sites and effective antibiotics for each. In doing so, we seek to limit the unwarranted use of antibiotics in dermatologic surgery.

“…Although Futoryan and Grande found only a 2.29% infection rate after Mohs procedures and excisions in general, the infection rate was much higher after Mohs surgery on the ear 19 . Nevertheless, in a recent study published by Mailler‐Savage and colleagues, there was no statistical significance between patients who receive a quinolone after Mohs surgery on the ear and those who received simple local wound care 20 . Historically, an antibiotic to cover gram‐negative organisms has been prescribed to patients before surgery on the ear because the ear was thought to be colonized with numerous organisms, including pseudomonas species 21 .…”

Section: Prophylaxis For Wound Infectionsmentioning

confidence: 97%

“…19 Nevertheless, in a recent study published by Mailler-Savage and colleagues, there was no statistical significance between patients who receive a quinolone after Mohs surgery on the ear and those who received simple local wound care. 20 Historically, an antibiotic to cover gram-negative organisms has been prescribed to patients before surgery on the ear because the ear was thought to be colonized with numerous organisms, including pseudomonas species. 21 Although pseudomonas may be cultured from the ear, recent studies have found that more than 95% of cultures from the external auditory canal and cerumen were gram-positive organisms with staphylococcus being the most commonly cultured species.…”

Section: Prophylaxis For Wound Infectionsmentioning

confidence: 99%

I PREVENT Bacterial Resistance. An Update on the Use of Antibiotics in Dermatologic Surgery

Moorhead

Torres

2009

The mnemonic we propose, "I PREVENT," represents: Immunosuppressed patients; patients with a Prosthetic valve; some patients with a joint Replacement; a history of infective Endocarditis; a Valvulopathy in cardiac transplant recipients; Endocrine disorders such as uncontrolled diabetes mellitus; Neonatal disorders including unrepaired cyanotic heart disorders (CHDs), repaired CHD with prosthetic material, or repaired CHD with residual defects; and the Tetrad of antibiotics: amoxicillin, cephalexin, clindamycin, and ciprofloxacin.