Are Prophylactic Antibiotics Required in Thyroidectomies?

Abstract

loud music volume and lack of awareness about potential hearing damage. We wanted to evaluate current trends in music listening behaviors, perception of personal risk, and hearing loss education in 2 musically inclined demographics. Method: An anonymous online 89-question survey instrument was made available to a convenience sample of visitors on both VH1.com and CMT.com Web sites. Respondents were queried about attitudes and behaviors related to hearing protection and noise exposure. A P < .05 value was used for independent t and z tests. Results: Total respondents: 1601. The minority of respondents felt hearing loss created a personal problem (19%), yet 43% had experienced hearing related issues. Respondents under 21 displayed potentially more harmful listening behaviors and symptoms of hearing loss, particularly with MP3 player use (P < .05). Popular media was the most informative source about hearing loss; 56% learned about hearing loss on television, 36% on the Internet, and 29% in a magazine. Most respondents reported willingness to adopt ear protective behaviors if educated by a clinician (71%) or informed that even limited exposure to excessively loud music can cause permanent damage (69%). Conclusion: Respondents 21 years old or younger reported significantly less education about potential hearing damage and were more likely to engage in riskier listening behavior. Healthcare providers retain significant ability to influence individual listening health and the media.

Evidence‐Based Use of Perioperative Antibiotics in Otolaryngology

“…Many head and neck procedures, including thyroidectomy, parathyroidectomy, salivary gland excisions, and neck dissections, are considered clean surgeries. Considering the low infection rates without the use of antibiotics in case series, prophylaxis may not be necessary for thyroidectomy (0.001%-2.6%; total n = 14,114) [118][119][120][121][122][123][124][125] and parotidectomy (0.01%-10.4%; total n = 334). [126][127][128] A case series using cefazolin 129 (n = 438), a retrospective cohort using cefuroxime 130 (n = 807), and an RCT using sulbactam/ampicillin 131 (n = 500) showed no difference in postoperative infection rates with and without single intraoperative antibiotic use in clean head and neck surgery (1.1% vs 0.57%, 0.4% vs 1.4%, and 0.01% vs 0.02%, respectively).…”

Systematic review of international guidelines for perioperative antibiotic prophylaxis in Head & Neck Surgery. A YO‐IFOS Head & Neck Study Group Position Paper

“…Clean H&N surgery incudes thyroidectomy, parathyroidectomy, salivary gland excisions, congenital neck masses (branchial cleft, thyroglossal duct, and dermoid cysts), nerve sheath tumors, and neck dissections. Considering the low infection rates without the use of antibiotics reported in different case series, prophylaxis may not be necessary for thyroidectomy [120][121][122][123][124][125][126][127] and parotidectomy. [128][129][130] An RCT of 500 patients showed no difference in SSI rates with or without a single dose of intraoperative sulbactam/ampicillin in clean H&N surgery (0.01% vs 0.02%).…”

Antibiotic Prophylaxis in Clean Head and Neck Surgery: An Observational Retrospective Single-Centre Study

“…There are some publications in the indexed literature regarding low infection rates without the use of antibiotics in different case series; these data suggest prophylaxis might be not necessary for thyroidectomy [11][12][13][14][15][16][17][18] and parotidectomy. 19,20 A randomized controlled trial including 500 patients showed no difference in SSI rates with or without a single dose of intraoperative ampicillin/sulbactam in clean head and neck surgery (thyroidectomy; 0.01% vs 0.02%).…”