Reduction or Discontinuation of Antibiotic Prophylaxis in Vascular Access Surgery, Tendon Sheath Incision and PD Catheter Placement

Nagai, Kojiro; Tsuchida, Kenji; Sasada, Maki; Yokota, Narushi; Nishitani, Masaaki; Kanayama, Hiro‐omi; Murata, Jun

doi:10.5301/jva.5000423

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…One article by Nagai et al (7) was found eligible for this systematic review. This retrospective cohort study evaluated the role of prophylactic antibiotics to the incidence of surgical site infection (SSI) in n=651 patients post autogenous AVF, AVG and PD catheter placement.…”

Section: Discussionmentioning

confidence: 99%

“…The study by Nagai et al (7) could be subject to a degree of performance bias, as no information regarding the type of autogenous AVF, preparatory skin solution, duration of surgery and length of hospital stay was provided to the readers. However, given all patients were from a single institution, a logical assumption can be formulated that exposure of all individuals undergoing autogenous AVF in both groups of prophylactic and non-prophylactic group (n=136 vs n=475) were similar and/ or spread in terms of aforementioned factors.…”

Section: Discussionmentioning

confidence: 99%

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Prophylactic Antibiotics in Arteriovenous Fistulae: A systematic Review

Kordzadeh

Hoff

Askari³

et al. 2022

Preprint

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Background: The aim of this study is to establish and evaluate whether the use of prophylactic antibiotics in the creation of any autogenous arteriovenous fistula in hemodialysis patients is indicated, evidence-based and/or recommended. Methods: A systematic review and meta-aggregation of the literature from 1966 to August 2016 in the English language in Medline, Scopus, Embase and Cochrane Library was conducted. Results: The search produced a total of n=94 articles. Following the application of the recruitment criteria in accordance to PRISMA one (n=1) article was found eligible with a population of n=611 patients undergoing autogenous fistula formation. A total of n=136 patients received prophylactic antibiotics with no incidence of surgical site infection (SSI). The reported incidence of SSI in the group of patients (n=475) that did not receive prophylactic antibiotics was 0.2% (n=1). The quality of the article was assessed by the Oxford Critical Appraisal Skills Programme (CASP) and their recommendation for practice was evaluated through National Institute for Health and Care Excellence (NICE). Conclusion: The first systematic review of the literature demonstrates that the current use of prophylactic antibiotics in the creation of any autogenous AVF is not evidence-based and further research in this area is highly advocated.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%