An Investigation of Bacteremia During Rhinoplasty

Slavin, Sumner A.; Rees, Thomas D.; Guy, Cary L.; Goldwyn, Robert M.

doi:10.1097/00006534-198302000-00008

Cited by 44 publications

(51 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although surgical field (nasal fossa) is contaminated, bacteremia is not a relevant issue during nasal surgeries 5,7,12 , and if it occurs normally it is not likely to result in major clinical complications 11 . In one study carried out in 50 patients that have undergone septoplasty, although 46% of the patients had nasal mucosa colonized with staphylococcus aureus, none of the blood swabs collected during surgical procedures showed bacterial growth 5 .…”

Section: Discussionmentioning

confidence: 99%

“…patients with cardiac valvulopathies or immunedepressed, in whom bacteremia may result in severe complications such as endocarditis, arthritis and osteomyelitis 7,11 .…”

Section: Discussionmentioning

confidence: 99%

“…The use of antibiotics in otorhinolaryngological surgeries is a common practice among most ENT doctors, however there are few studies proving the efficacy and need for this practice, which is considered as unnecessary by some authors [3][4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of allergic reactions and antibiotics may vary from 0.7 to 10%, and fatal anaphylaxis occurs in 1 out of twenty-five thousand patients 7 .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Uso de antibióticos em septoplastias: é necessário?

Caniello

Passerotti

Goto

et al. 2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

The use of antibiotics is a common practice among otorhinolaryngogists for surgical procedures. The majority of the American Rhinology Society members uses postoperative antibiotics routinely in septoplasties, which is considered unnecessary by many authors. Aim: To study the real necessity of the antibiotic usage in septoplasties, as well as the main post-operative complications described in the literature. Study design: clinical prospective with transversal cohort. Material and Method: We studied prospectively 35 patients who were undergone to septoplasty with or without turbinectomy, in the Clinical Hospital of the University of São Paulo. The patients were splited in three groups: Group A: without antibiotics; Group B: antibiotics (cefazolin) only during the anesthesical induction; Group C: antibiotics both in the anesthesical induction and post-operatively for seven days. A questionnaire was applied in the immediate postoperatory, in the 7th post-operative day and in the 30th post-operative day asking for bleeding, fever, pain, nauseas, vomits and followed by physical and endoscopic evaluation looking for hematoma, septal abscess and purulent secretion which as quantified. Result: We do not observed significative difference among the groups concerning to pain, fever, nauseas, vomits, bleeding and purulent secretion. None of the patients had hematoma or septal abscess. The groups also do not differ in respect to the quantity of purulent secretion. Conclusion: The nasal surgeries are clean contamined and do not need antibioticprophilaxy because of the low infection risk.

show abstract

Section: Discussionmentioning

confidence: 99%

“…patients with cardiac valvulopathies or immunedepressed, in whom bacteremia may result in severe complications such as endocarditis, arthritis and osteomyelitis 7,11 .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The incidence of allergic reactions and antibiotics may vary from 0.7 to 10%, and fatal anaphylaxis occurs in 1 out of twenty-five thousand patients 7 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Uso de antibióticos em septoplastias: é necessário?

Caniello

Passerotti

Goto

et al. 2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

show abstract

“…The addition of a septoplasty to a rhinoplastic procedure does not significantly affect the occurrence of complications or the results [6]. Bacteremia is very uncommon in patients undergoing rhinoplasty [10] but it is found in 3%-12% of the patients undergoing submucous resection of the nasal septum with packing [3]. Local infection in the postoperative period may produce an abscess or cellulitis or it may form a granuloma within the incision lines [7].…”

Section: Discussionmentioning

confidence: 99%

Necrotizing periorbital cellulitis following septorhinoplasty

Moscona

Ullmann

Peled

1991

Aesth. Plast. Surg.

View full text Add to dashboard Cite

The complication of infection after a septorhinoplasty is extremely rare. An unusual occurrence of necrotizing periorbital cellulitis after a routine septorhinoplasty in a 30-year-old pediatrician is presented. It consisted of marked swelling and superficial necrosis of the left eyelids and high fever that started one day after surgery. beta Hemolytic streptococcus was identified as the causative pathogen. The patient responded well to systemic antibiotics and conservative local treatment. After three years of followup the cosmetic appearance is reasonable.

show abstract

Perioperative Antibiotic Usage by Facial Plastic Surgeons

Grunebaum

Reiter

2006

Archives of Facial Plastic Surgery

View full text Add to dashboard Cite

Objectives:To determine current practice for use of perioperative antibiotics among facial plastic surgeons, to determine the extent of use of literature support for preferences of facial plastic surgeons, and to compare patterns of use with nationally supported evidencebased guidelines.Methods: A link to a Web site containing a questionnaire on perioperative antibiotic use was e-mailed to more than 1000 facial plastic surgeons in the United States. Responses were archived in a dedicated database and analyzed to determine patterns of use and methods of documenting that use. Current literature was used to develop evidence-based recommendations for perioperative an-tibiotic use, emphasizing current nationally supported guidelines.Results: Preferences varied significantly for medication used, dosage and regimen, time of first dose relative to incision time, setting in which medication was administered, and procedures for which perioperative antibiotic was deemed necessary.Conclusions: Surgical site infection in facial plastic surgery can be reduced by better conformance to currently available evidence-based guidelines. We offer specific recommendations that are supported by the current literature.

show abstract

An Investigation of Bacteremia During Rhinoplasty

Cited by 44 publications

References 0 publications

Uso de antibióticos em septoplastias: é necessário?

Uso de antibióticos em septoplastias: é necessário?

Necrotizing periorbital cellulitis following septorhinoplasty

Perioperative Antibiotic Usage by Facial Plastic Surgeons

Contact Info

Product

Resources

About