Prophylactic vs Postoperative Antibiotic Use in Complex Septorhinoplasty Surgery

Andrews, Peter; East, Cara; Jayaraj, Samuel; Badia, Lydia; Panagamuwa, Channa; Harding, Lynn

doi:10.1001/archfaci.8.2.84

Cited by 62 publications

(72 citation statements)

References 10 publications

(13 reference statements)

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“…Andrews et al, in a randomized study of 164 patients undergoing complex septorhinoplasty, reported that infection rates between the prophylactic (7%) and postoperative (11%) use of antibiotics groups were not significantly different. 16) However, they recommended the use of prophylactic antibiotics for patients undergoing complex septorhinoplasty. 16) One patient (case 8) complained of facial pain and headache when followed 9 days after the SMR.…”

Section: Discussionmentioning

confidence: 99%

“…16) However, they recommended the use of prophylactic antibiotics for patients undergoing complex septorhinoplasty. 16) One patient (case 8) complained of facial pain and headache when followed 9 days after the SMR. The patient discontinued antiplatelet drugs for 5 days before surgery and took it again after surgery for prevention of cardiovascular accidents.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative Septal Abscesses According to the Techniques of the Septoplasty

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Postoperative Septal Abscesses According to the Techniques of the Septoplasty

et al. 2017

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“…7 While the risk of postoperative infection after rhinoplasty is generally low, perioperative antibiotics may minimize the risk of postoperative infection after rhinoplasty, though questions persist surrounding duration. 17,18 …”

Section: External Nasal Valvementioning

confidence: 99%

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary

Ishii

Tollefson

Basura

et al. 2017

Otolaryngol.--head neck surg.

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Objective. Rhinoplasty, a surgical procedure that alters the shape or appearance of the nose while preserving or enhancing the nasal airway, ranks among the most commonly performed cosmetic procedures in the United States, with >200,000 procedures reported in 2014. While it is difficult to calculate the exact economic burden incurred by rhinoplasty patients following surgery with or without complications, the average rhinoplasty procedure typically exceeds $4000. The costs incurred due to complications, infections, or revision surgery may include the cost of long-term antibiotics, hospitalization, or lost revenue from hours/days of missed work.The resultant psychological impact of rhinoplasty can also be significant. Furthermore, the health care burden from psychological pressures of nasal deformities/aesthetic shortcomings, surgical infections, surgical pain, side effects from antibiotics, and nasal packing materials must also be considered for these patients. Prior to this guideline, limited literature existed on standard care considerations for pre-and postsurgical management and for standard surgical practice to ensure optimal outcomes for patients undergoing rhinoplasty. The impetus for this guideline is to utilize current evidence-based medicine practices and data to build unanimity regarding the peri-and postoperative strategies to maximize patient safety and to optimize surgical results for patients.Purpose. The primary purpose of this guideline executive summary is to provide evidence-based recommendations for clinicians who either perform rhinoplasty or are involved in the care of a rhinoplasty candidate, as well as to optimize patient care, promote effective diagnosis and therapy, and reduce harmful or unnecessary variations in care. The target audience is any clinician or individual, in any setting, involved in the management of these patients. The target patient population is all patients aged ≥15 years. The guideline is intended to focus on knowledge gaps, practice variations, and clinical concerns associated with this surgical procedure; it is not intended to be a comprehensive reference for improving nasal form and function after rhinoplasty. Recommendations in this guideline concerning education and counseling to the patient are intended to include the caregiver if the patient is <18 years of age.Action Statements. The Guideline Development Group made the following recommendations: (1) Clinicians should ask all patients seeking rhinoplasty about their motivations for surgery and their expectations for outcomes, should provide feedback on whether those expectations are a realistic goal of surgery, and should document this discussion in the medical record.(2) Clinicians should assess rhinoplasty candidates for comorbid conditions that could modify or contraindicate surgery, including obstructive sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical vasoconstrictive intranasal drugs. (3) The surgeon, or the surgeon's designee, should evaluate the rhinoplasty c...

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“…In order to prevent the development of side effects and resistance, antimicrobial prophylaxis should be discontinued as soon as possible even if drains, catheters or implants have been used in breast and plastic surgery operations (4,5,11,16,19,28). In breast surgery, any significant differences were not found between single dose antimicrobial prophylaxis regimens and extended protocols in terms of wound infection (5,11,19).…”

Section: Duration Of Prophylaxismentioning

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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Prophylactic vs Postoperative Antibiotic Use in Complex Septorhinoplasty Surgery

Cited by 62 publications

References 10 publications

Postoperative Septal Abscesses According to the Techniques of the Septoplasty

Postoperative Septal Abscesses According to the Techniques of the Septoplasty

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary

Guideline for Antimicrobial Prophylaxis in Breast Surgery

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