The Current Use of Prophylactic Antibiotics in Plastic and Reconstructive Surgery

Infection after augmentation mammoplasty is not common, with the reported incidence between 1% and 7%. The use of prophylactic antibiotics, however, is widespread in plastic surgery: It was documented in a 1975 survey in which 43% of responding plastic surgeons used prophylactic antibiotics. Fifteen years since this survey, surgeons have witnessed an explosion in antibiotic variety and have participated in their increased use. For many procedures, the use of antibacterials has evolved by convention and personal preference, based often on only anecdotal information. This report is our study of the routine use of antibiotics to prevent wound infection after augmentation mammoplasty.

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“…(3) The agent is administered at a time, in a dosage, and by a rate most likely for it to be effective [5].…”

Section: Discussionmentioning

confidence: 99%

Wound infection in breast augmentation: The role of prophylactic perioperative antibiotics

LeRoy

Given

1991

Aesth. Plast. Surg.

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“…33 Compared with similar studies performed by Krizek et al in 1975 34 and again in 1985, 35 antibiotic use has increased in aesthetic surgery contrary to published guidelines. A 2002 survey of the American Society of Plastic and Reconstructive Surgeons members supports this phenomenon.…”

Section: Prophylactic Antibioticsmentioning

confidence: 93%

Infection in Face-Lift Surgery

Dauwe

Pulikkottil

Scheuer

et al. 2015

Plastic and Reconstructive Surgery

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“…We recommend antibiotics not be used perioperatively in noncomplex cases. As Krizek et al 29 mentioned, an exceedingly large sample size is needed to show any benefit from the use of prophylactic antibiotics in these procedures, since the SSI rate is so low. In complex cases (ASA scores ≥ 3 and/or those whose surgery lasted > 3 hours), we recommend perioperative antibiotics within 1 hour of incision as the studies included in our analyses most commonly used this time frame and as recommended by the surgical prophylaxis guidelines.…”

Section: Role Of Perioperative Antibioticsmentioning

confidence: 99%

The More the Merrier? Should Antibiotics be Used for Rhinoplasty and Septorhinoplasty?—A Review

Kullar

Frisenda

Nassif

2018

Plastic and Reconstructive Surgery - Global Open

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Background:With antimicrobial resistance a global threat, optimizing antibiotic usage across the surgical continuum is vital. The American Academy of Otolaryngology—Head and Neck Surgery Foundation recently published the first guidelines addressing management in rhinoplasty. The authors reviewed pertinent literature on the role of systemic antibiotics in rhinoplasty and septorhinoplasty.Methods:The authors performed a MEDLINE search through PubMed using the key terms rhinoplasty, septorhinoplasty, infection, antimicrobials, and antibiotics.Results:Ten studies met criteria. Studies evaluating antibiotics perioperatively showed similar infection and/or bacteremia rates (0–13.3%) in those receiving or not receiving antibiotics. No patients experienced significant local/systemic infections regardless of antibiotic use. In the 3 studies evaluating antibiotics postoperatively, antibiotics decreased the infection rate from 27% to 8% in complex revision cases. In a study evaluating postoperative antibiotics in noncomplex cases, there were no significant differences in infection rates between those receiving only a preoperative dose and those receiving preoperative in addition to 7 days of postoperative antibiotics, with the latter experiencing higher rates of antibiotic-related adverse events and costs.Conclusions:Peri- and postoperative antibiotics in noncomplex rhinoplasty and septorhinoplasty are not beneficial in decreasing infection risk. Antibiotics, with a first-generation cephalosporin such as cefazolin (non–β-lactam, such as clindamycin, if β-lactam allergy), should be considered in patients with comorbidities/undergoing complex surgery. If perioperative antibiotics are used, antibiotics should be administered within 1 hour of incision and discontinued within 24 hours of the operation. Further research is warranted to evaluate the optimal duration of postoperative antibiotics in complex cases.

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The Current Use of Prophylactic Antibiotics in Plastic and Reconstructive Surgery

Cited by 55 publications

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Wound infection in breast augmentation: The role of prophylactic perioperative antibiotics

Wound infection in breast augmentation: The role of prophylactic perioperative antibiotics

Infection in Face-Lift Surgery

The More the Merrier? Should Antibiotics be Used for Rhinoplasty and Septorhinoplasty?—A Review

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