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Related Experiment Videos

Prophylactic antibiotics in aesthetic and reconstructive surgery.

I J Peled1, G Dvir, J Berger

  • 1Department of Plastic and Reconstructive Surgery, Rambam Medical Center, Technion Institute of Technology, Haifa, Israel.

Aesthetic Plastic Surgery
|August 24, 2000
PubMed
Summary

Most Israeli plastic surgeons use prophylactic antibiotics in surgeries despite low infection rates. Personal experience, not scientific data, drives this common practice, with cephalosporins being the preferred choice.

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Area of Science:

  • Plastic Surgery
  • Infectious Disease Prevention
  • Antibiotic Stewardship

Background:

  • Antibacterial prophylaxis is a frequent antibiotic use in hospitals, significantly impacting surgical practices over the last two decades.
  • Understanding current patterns and rationale for antibiotic use in plastic surgery is crucial for optimizing antimicrobial stewardship.

Purpose of the Study:

  • To investigate the current patterns and reasons for antibacterial agent prophylaxis among practicing plastic surgeons in Israel.
  • To identify factors influencing the decision to prescribe prophylactic antibiotics in aesthetic and reconstructive surgeries.

Main Methods:

  • A survey was conducted among 78 certified plastic surgeons in Israel.
  • Questionnaires were mailed, with 66 (84.6%) returned and analyzed to determine antibiotic usage patterns and influencing factors.

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Main Results:

  • Prophylactic antibiotics are widely used in aesthetic and reconstructive surgeries, except for eyelid and nose procedures.
  • Cephalosporins are the preferred antibiotic class, typically administered before or at the start of surgery.
  • Conditions like diabetes mellitus, steroid treatment, and chronic lung disease influence antibiotic prophylaxis decisions, while personal experience is the primary driver for prescribing.

Conclusions:

  • Despite low surgical site infection rates, a high percentage of Israeli plastic surgeons administer prophylactic antibiotics.
  • The decision to use prophylactic antibiotics is largely based on personal experience rather than robust scientific data.
  • Further research is needed to establish evidence-based guidelines for antibiotic prophylaxis in plastic surgery.