Antibiotic prophylaxis: current recommendations in plastic surgery

Kalaria, Shana; Boonipat, Thanapoom; Smith, Jeffrey M.; Cole, Eric L.

doi:10.1007/s00238-018-1492-2

Cited by 5 publications

(3 citation statements)

References 42 publications

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“…Our study indicated that prophylactic antibiotics were helpful in reducing SSIs, but there was no consensus on the duration of antibiotic use. This is in keeping with a review by Kalaria and colleagues 61 . It is generally accepted in plastic surgery that prophylactic antibiotics are indicated in certain traumatic injuries and occasionally tissue reduction surgeries (eg, breast reduction).…”

Section: Discussionsupporting

confidence: 83%

“…This is in keeping with a review by Kalaria and colleagues. 61 It is generally accepted in plastic surgery that prophylactic antibiotics are indicated in certain traumatic injuries and occasionally tissue reduction surgeries (eg, breast reduction). The lack of consensus on the duration of antibiotics may, as suggested by Olsen and colleagues, 62 be attributable to differences in patient factors such as hypertension and smoking history, and use of alloplastic materials.…”

Section: Fusidic Acid Ointment Presence and Details Of Skin Flap Necr...mentioning

confidence: 99%

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Systematic Review of Patient Safety and Quality Improvement Initiatives in Breast Reconstruction

Paffile¹,

McGuire

Bezuhly

2022

Ann Plast Surg

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Background: Improving patient care and safety requires high-quality evidence. The objective of this study was to systematically review the existing evidence for patient safety (PS) and quality improvement initiatives in breast reconstruction. Methods: A systematic review of the published plastic surgery literature was undertaken using a computerized search and following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Publication descriptors, methodological details, and results were extracted. Articles were assessed for methodological quality and clinical heterogeneity. Descriptive statistics were completed, and a meta-analysis was considered. Results: Forty-six studies were included. Most studies were retrospective (52.2%) and from the third level of evidence (60.9%). Overall, the scientific quality was moderate, with randomized controlled trials generally being higher quality. Studies investigating approaches to reduce seroma (28.3% of included articles) suggested a potential benefit of quilting sutures. Studies focusing on infection (26.1%) demonstrated potential benefits to prophylactic antibiotics and drain use under 21 days. Enhanced recovery after surgery protocols (10.9%) overall did not compromise PS and was beneficial in reducing opioid use and length of stay. Interventions to increase flap survival (10.9%) demonstrated a potential benefit of nitroglycerin on mastectomy skin flaps. Conclusions: Overall, studies were of moderate quality and investigated several worthwhile interventions. More validated, standardized outcome measures are required, and studies focusing on interventions to reduce thromboembolic events and bleeding risk could further improve PS.

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Section: Discussionsupporting

confidence: 83%

Section: Fusidic Acid Ointment Presence and Details Of Skin Flap Necr...mentioning

confidence: 99%

Systematic Review of Patient Safety and Quality Improvement Initiatives in Breast Reconstruction

Paffile¹,

McGuire

Bezuhly

2022

Ann Plast Surg

View full text Add to dashboard Cite

show abstract

“…Empirical antibiotic treatment after obtaining appropriate cultures from the clinically suspected source of infection and later deescalation of treatment depending on the culture and sensitivity pattern is compulsory in the treatment of infections. A systematic review which analysed evidence between 1996 to 2016 revealed no benefit in prophylactic antibiotics for prevention of burn wound infection prevention other than burn wound excision and burn reconstruction procedures [29]. Preventive strategies include hand hygiene, prevention of faecal and urinary soiling [26].…”

Section: Nutritional Support In Severe Burnsmentioning

confidence: 99%