Prophylactic antibiotics in plastic surgery: Trends of use over 25 years of an evolving specialty

Lyle, W G; Outlaw, Kitti; Krizek, Thomas J.; Koss, Neal; Payne, Wyatt G.; Robson, Martin C.

doi:10.1067/maj.2003.39

Cited by 46 publications

(18 citation statements)

References 24 publications

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“…Despite several studies citing no difference in infection rates with the use of postoperative prophylactic antibiotics, a 200% increase in the use of perioperative antibiotics in rhinoplasty has occurred from 1985 to 2000. 23,[26][27][28][29] This trend for postoperative antibiotic prophylaxis likely originates from the fear of toxic shock syndrome, the use of intranasal splints, the clean-contaminated nature of the surgical wound, the increased incidence of methicillin-resistant Staphylococcus aureus colonization, and the use of multiple grafts in revision procedures. 14,25 Corticosteroids The use of perioperative corticosteroids has long been debated, with conflicting data on the efficacy of routine systemic corticosteroid administration in rhinoplasty.…”

Section: Antibioticsmentioning

confidence: 99%

Practice Patterns in the Perioperative Treatment of Patients Undergoing Septorhinoplasty

Shadfar

Deal

Jarchow

et al. 2014

JAMA Facial Plast Surg

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Section: Antibioticsmentioning

confidence: 99%

Practice Patterns in the Perioperative Treatment of Patients Undergoing Septorhinoplasty

Shadfar

Deal

Jarchow

et al. 2014

JAMA Facial Plast Surg

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“…6 Changing the position and shape of the eyebrows in relation to the orbits is performed frequently, mostly though incisions in the temporal region, the scalp, or though the upper eyelid (Level IV, V Evidence). [7][8][9][10][11] Rohrich and Beran review endoscopic brow fixation techniques.…”

Section: Evidence On Surgical Treatment Planmentioning

confidence: 99%

An Evidence-Based Approach to Blepharoplasty

Friedland

Lalonde

Rohrich

2010

Plastic and Reconstructive Surgery

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The Maintenance of Certification module series is designed to help the clinician structure his or her study in specific areas appropriate to his or her clinical practice. This article is prepared to accompany practice-based assessment of preoperative assessment, anesthesia, surgical treatment plan, perioperative management, and outcomes. In this format, the clinician is invited to compare his or her methods of patient assessment and treatment, outcomes, and complications, with authoritative, information-based references.This information base is then used for self-assessment and benchmarking in parts II and IV of the Maintenance of Certification process of the American Board of Plastic Surgery. This article is not intended to be an exhaustive treatise on the subject. Rather, it is designed to serve as a reference point for further in-depth study by review of the reference articles presented. (Plast. Reconstr. Surg. 126: 2222 CLINICAL SCENARIOA 56-year-old woman requests improvement in the appearance of her upper and lower eyelids. She had LASIK surgery 3 months earlier. She has ptosis of her left upper eyelid. What is the best evidence to guide you in the management of her condition? There is very little high level evidence in the blepharoplasty literature at this time. The age of evidence is just upon us, and objective measurement in aesthetic surgery is in its infancy. This article is a starting point where most of the evidence is level IV (case series) and level V (case reports or expert opinion). There is almost no level III evidence (retrospective comparative case series) and virtually no level II evidence (prospective comparative studies). It will be very difficult to create level I studies that are prospective randomized blinded controlled studies. Nevertheless, we have to start somewhere. One hundred years from now, there will be serious useful evidence-based studies in cosmetic plastic surgery, like looking from the top of a sky scraper. This is the first step at examining where we are in the basement of evidence based medicine in aesthetic blepharoplasty. METHODS FOR IDENTIFYING EVIDENCEA literature search of PubMed, Cumulative Index to Nursing and Allied Health Literature, and the Cochrane Library was performed to obtain the best available evidence on blepharoplasty, with emphasis on preoperative assessment, treatment, and outcomes. The following search terms were combined as appropriate, and PubMed MeSH terms were used when available: blepharoplasty, eyelid surgery, diagnosis, preoperative assessment, risk factors, smoking, diabetes mellitus, pulmonary embolism, venous thrombosis, dry eye syndromes, anticoagulants, DVT prophylaxis, antibiotic prophylaxis, anesthetics, premedication, surgical treatment plan, treatment, surgery, outcome, complications, postoperative complications, pain management, and analgesia. The initial search was limited to human studies that were published from 1999 to 2009 and indexed as metaanalyses, randomized controlled trials, clinical trials, or comparative studies. Very fe...

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“…The appropriate use of prophylactic antibiotics in plastic surgery has been discussed by others in this journal and elsewhere. [2][3][4][5] With this interesting article evaluating prophylactic antimicrobial use in outpatient plastic surgical procedures, Anigian and colleagues 6 contribute to this ongoing conversation.…”

Section: Researchmentioning

confidence: 99%

Commentary on: Effectiveness of Prophylactic Antibiotics in Outpatient Plastic Surgery

Hunter

2014

Aesthetic Surgery Journal

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Prophylactic antibiotics in plastic surgery: Trends of use over 25 years of an evolving specialty

Cited by 46 publications

References 24 publications

Practice Patterns in the Perioperative Treatment of Patients Undergoing Septorhinoplasty

Practice Patterns in the Perioperative Treatment of Patients Undergoing Septorhinoplasty

An Evidence-Based Approach to Blepharoplasty

Commentary on: Effectiveness of Prophylactic Antibiotics in Outpatient Plastic Surgery

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