在Sialendoscopy中的外科手术期抗生素:回顾性队列研究
Kelsey E Lacourrege1, Febronia Morcos Mansour1, Victoria Fonseca2
1Department of Otolaryngology, SUNY Upstate Medical University, Syracuse, NY, USA.
The Laryngoscope
|October 1, 2025
概括
这项研究发现,在下下腺石检查后,经外科手术期间的抗生素和感染之间没有联系. 在这些程序中,不建议常规使用抗生素.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术感染预防 手术感染预防
背景情况:
- 在内镜术中,外科手术期间使用抗生素并未得到标准化.
- 外科医生的偏好往往决定了抗生素的使用.
- 这种变化需要研究它们对感染率的实际影响.
研究的目的:
- 调查术前使用抗生素与术后感染率之间的关联.
- 为了评估孤立的术后,任何术后和孤立的手术内抗生素使用的影响.
- 为了确定是否需要常规的抗生素预防干预性阴茎内镜.
主要方法:
- 多机构的回顾性队列研究.
- 包括399名接受下下腺尾镜切除石头的患者 (2015-2023年).
- 收集了有关患者人口统计,并发症,疾病因素,术后因素和抗生素使用的数据;主要结局是术后感染.
主要成果:
- 总体感染率为5.01%.
- 在接受术后抗生素,术内抗生素,任何术后抗生素或没有抗生素的组之间,没有发现感染率的统计学上显著差异.
- 手术后使用抗生素与年龄较大,先前的脑内镜,支架安置和类固醇使用有关.
结论:
- 在这个队列中,外科期间使用抗生素与术后感染率没有关联.
- 常规抗生素预防不适用于干预性下下腺尾镜.
- 患有复杂疾病的特定患者亚组可能需要考虑个性化抗生素.
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