Profilaxis antibiótica en cirugía otorrinolaringológica

Antibiotic prophylaxis in otolaryngologic surgery

“…According to OBESO S et al in 2010 12 , the administration of antibiotics in pediatric patients significantly reduced the early return to normal diet (level of evidence A), did not reduce pain or the risk for bleeding (level A) and did not provide major benefits over the postoperative application of topical antibiotics (level A), while topical antibiotics were more effective than systemic antibiotics at reducing pain (level B).…”

“…Staphylococcal toxic shock syndrome is extremely rare, with an estimated incidence of 0.0002%, but there is evidence that it can be prevented by the prophylactic use of antibiotics. There are no studies showing the incidence of bacteremia when nasal packing antibiotics are used 12 .…”

“…Scientific evidence shows that systemic administration of antibiotics does not reduce morbidity or infection after septoplasty (level A), antibiotics do not protect against S. aureus colonization and do contribute to decreased levels of normal flora 18 , antibiotics do not seem to confer beneficial flora changes 18 , and topical antibiotics decrease colonization of nasal septoplasty sites (level A) 12 .…”

“…According to O beso et al in 2010 12 , systemic administration of antibiotics does not reduce the incidence of infection after clean (level A) or clean-contaminated (level B) surgery and provides no benefit over topical antibiotic treatment in clean-contaminated surgery (level B); perioperative systemic administration of antibiotics did reduce infection in cases of clean-contaminated surgery with positive preoperative cultures (level B).…”

“…There is no evidence that perioperative systemic administration of antibiotics decreases the incidence of infection 12 .…”