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Surgical Antimicrobial Prophylaxis in Pediatric Patients Undergoing Plastic Surgery: A RAND/UCLA Appropriateness
Susanna Esposito1, Rossella Sgarzani2, Sonia Bianchini1
1Pediatric Clinic, University Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Antibiotics (Basel, Switzerland)
|April 23, 2022
Summary
Antimicrobial prophylaxis is recommended for select pediatric plastic surgery cases to reduce surgical site infections (SSIs). This consensus provides guidance to improve antibiotic use and limit antimicrobial resistance in children undergoing plastic surgery.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Infectious Disease
Background:
- Surgical site infections (SSIs) are a known complication of surgery.
- Existing antibiotic prophylaxis guidelines inadequately address pediatric plastic surgery.
- Children are often excluded from general surgical antibiotic prophylaxis recommendations.
Purpose of the Study:
- To provide evidence-based recommendations for antimicrobial prophylaxis in pediatric plastic surgery.
- To address specific scenarios in pediatric plastic surgery, including various wound types and procedures.
- To establish consensus guidelines for clinicians managing pediatric patients.
Main Methods:
- Consensus document development.
- Review of existing literature and guidelines.
- Consideration of diverse clinical scenarios in pediatric plastic surgery.
Main Results:
- Antimicrobial perioperative prophylaxis is recommended in selected pediatric plastic surgery cases.
- Guidelines cover scenarios from clean elective procedures to complex wound management and tissue expander insertion.
- The consensus aims to standardize practice and reduce SSIs.
Conclusions:
- Implementing shared protocols for antimicrobial prophylaxis can improve surgical practice in pediatric plastic surgery.
- Standardized prophylaxis may reduce SSIs, optimize resource utilization, and mitigate antimicrobial resistance.
- Further pediatric-specific studies are needed to refine recommendations.
