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[Antibiotic prophylaxis in dermatologic and soft tissue surgery].

T Schulze1, M Napp, S Maier

  • 1Klinik und Poliklinik für Allgemeine Chirurgie, Visceral-, Thorax- und Gefäßchirurgie, Universitätsmedizin Greifswald, Ferdinand-Sauerbruch-Str., 17475, Greifswald, Deutschland, schulzet@uni-greifswald.de.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
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Dermatologic surgery in Germany lacks specific antibiotic guidelines, leading to overuse. Decisions on prophylactic antibiotics should balance patient and procedure risks amid rising antimicrobial resistance.

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Area of Science:

  • Dermatology
  • Surgery
  • Infectious Disease

Context:

  • Over 500,000 dermatologic surgeries occur annually in German hospitals.
  • Few specific guidelines exist for perioperative antibiotic use in dermatologic surgery.
  • General antibiotic guidelines do not adequately address dermatologic procedures.

Purpose:

  • To critically review the evidence for perioperative antibiotic use in dermatologic surgery.
  • To address the suboptimal familiarity and overuse of antibiotics in this field.
  • To advocate for risk-based antibiotic prophylaxis decisions.

Summary:

  • Current practices show considerable overuse of perioperative antibiotics in dermatologic surgery.
  • Familiarity with existing recommendations is suboptimal among practitioners.
  • Antimicrobial resistance and antibiotic risks necessitate careful prophylaxis decisions.

Impact:

  • Highlights the need for evidence-based guidelines tailored to dermatologic surgery.
  • Aims to reduce unnecessary antibiotic use, combating antimicrobial resistance.
  • Promotes individualized risk assessment for perioperative antibiotic prophylaxis.