抗生素预防在以假肢为基础的乳腺手术中减少囊收缩的有效性:系统性审查和元分析
Pengcheng Liu1,2, Yuting Song2, Zhixing Chen1
1Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Updates in surgery
|February 23, 2024
概括
在乳腺增大手术中,抗生素预防并不能显著降低囊收缩或感染风险. 在尽量减少手术部位感染时,建议仔细考虑抗生素的使用.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 基于证据的医学 基于证据的医学
背景情况:
- 抗生素预防通常用于防止基于假肢的乳腺手术中的囊收缩.
- 支持其有效性的高质量证据有限.
研究的目的:
- 评估抗生素预防在预防囊收缩和手术部位感染 (SSI) 在基于假肢的乳房手术中的有效性.
主要方法:
- 在主要数据库 (PubMed,Embase,Web of Science,Cochrane Library,Medline) 进行了全面的文献搜索,截至2023年1月.
- 14项研究被纳入了比较不同抗生素预防策略的元分析.
主要成果:
- 与非抗生素预防相比,外科手术期间的抗生素预防并没有降低囊收缩或SSI的风险.
- 扩展预防和局部抗生素灌也没有显著的好处,防止囊收缩或感染.
结论:
- 目前的证据表明,无论是系统的还是局部的抗生素预防,都不会在以假肢为基础的乳房手术中预防囊收缩时提供显著的好处.
- 应谨慎考虑使用抗生素来减少囊收缩,特别是当SSI率已经很低时.
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