Antibiotic Prophylaxis in Cutaneous Surgery

JACK L. LESHER

Research output: Contribution to journalArticle

Abstract

BACKGROUND Postoperative wound infections, endocarditis, and late contamination of prosthetic implants are potential complications of cutaneous surgery. OBJECTIVE To review current American Heart Association guidelines and their application to cutaneous surgery, and to determine how practicing physicians approach this problem. METHOD. Surveys were sent to dermatologists to determine what kind of preoperative screening was being done and how antibiotics were being used. RESULTS The most common indications for prophylaxis were manipulation of infected tissue in patients undergoing any procedure, and any procedure in a patient with a prosthetic heart valve. Some respondents used antibiotic prophylaxis for all procedures, while others never used antibiotics in any surgical procedure. Cephalosporins and erythromycin were the most commonly used antibiotics and they were usually given orally, one dose before and one dose after surgery. CONCLUSION Scientific literature supports the use of antibiotic prophylaxis for endocarditis in two situations: 1) surgical procedures on infected tissue in patients with a high risk cardiac lesion; and 2) any surgical procedure in a patient with a prosthetic heart valve. Our survey suggests that the majority of dermatologists obtain pertinent medical history and use appropriate antibiotic prophylaxis in these two situations. But the survey also suggests that antibiotic prophylaxis is used in a variety of situations where indications for use are not as clear, and sometimes prophylaxis is not used when it should be.

Original languageEnglish (US)
Pages (from-to)550-554
Number of pages5
JournalDermatologic Surgery
Volume21
Issue number6
DOIs
StatePublished - 1995
Externally publishedYes

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Dermatologic Surgical Procedures
Antibiotic Prophylaxis
Heart Valves
Anti-Bacterial Agents
Endocarditis
Literature
Surgical Wound Infection
Erythromycin
Cephalosporins
Guidelines
Physicians
Surveys and Questionnaires

ASJC Scopus subject areas

  • Surgery
  • Dermatology

Cite this

Antibiotic Prophylaxis in Cutaneous Surgery. / LESHER, JACK L.

In: Dermatologic Surgery, Vol. 21, No. 6, 1995, p. 550-554.

Research output: Contribution to journalArticle

LESHER, JACK L. / Antibiotic Prophylaxis in Cutaneous Surgery. In: Dermatologic Surgery. 1995 ; Vol. 21, No. 6. pp. 550-554.
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