[Proposal of guidelines for antibiotic prophylaxis in plastic, reconstructive, and aesthetic surgery]

Area of Science:

• Plastic Surgery
• Infectious Diseases
• Anesthesiology

Background:

• Current antibiotic prophylaxis guidelines in plastic surgery are inadequate due to a lack of high-level studies.
• Establishing national consensus recommendations is crucial for improving patient care.

Purpose of the Study:

• To develop standardized, evidence-based antibiotic prophylaxis recommendations for plastic surgery procedures.
• To address the existing gaps in current clinical practice guidelines.

Main Methods:

• A multidisciplinary working group, including plastic surgeons, infectious disease specialists, and anesthesiologists, was formed.
• A multi-center analysis of current practices was conducted and compared with interdisciplinary recommendations and scientific literature.
• Recommendations were validated through consensus among experts from the French Society of Aesthetic Reconstructive Plastic Surgery and the French Society of Anaesthesia and Intensive Care Medicine.

Main Results:

• Cefazoline is recommended for antibiotic prophylaxis in general surgery involving flaps or implants, breast surgery, lipofilling, and rhinoplasty.
• Clindamycine plus gentamicine is recommended for patients with allergies to cefazoline.
• No antibiotic prophylaxis is recommended for other plastic surgery procedures.

Conclusions:

• Common recommendations for antibiotic prophylaxis in plastic surgery have been established, marking a significant step towards updating existing guidelines.
• These recommendations require further evaluation in clinical settings to confirm their efficacy and safety.