Short-Term Versus Long-Term Antibiotic Prophylaxis in Cochlear Implant Surgery

Abstract

Long-term antibiotic prophylaxis did not have any advantage over single perioperative dose. Predisposing medical conditions and extensive surgical incisions were associated with a greater severity of infections and higher risk of wound complications.

Early postoperative fever in paediatric patients undergoing cochlear implant surgery

“…The literature on this issue is quite limited and there is no convincing evidence for or against using antibiotics, prophylactically. Basavaraj et al . studied 292 adult and paediatric patients who underwent CI.…”

A systematic review on prevention and management of wound infections from cochlear implantation

“…This choice of antibiotic was echoed by Almosnino's 2018 series with clindamycin/ vancomycin combination used in patients with penicillin allergy . Other studies have reported using cefuroxime and co‐amoxiclav . The authors felt these antibiotics would cover the common microorganisms that would migrate from skin or middle ear mucosa and cause an infection.…”

“…These operations are generally classified as clean‐contaminated due to the risk of pathogenic translocation through the eustachian tube . Postoperative infections have traditionally been divided into the nature (minor vs major) or timings (early vs delayed) of infection.…”

Management of cochlear implant device extrusion: case series and literature review

“…Patients should receive peri-operative antibiotics as a prophylactic measure, and long-term antibiotics should be considered where there are underlying medical co-morbidities. 25 Biofilm is formed in association with chronic CI infection; its presence may warrant CI removal, and carries a higher risk of secondary skin flap necrosis following scalp rotation flap creation.…”