Postoperative use of antibiotics in septoplasty cases: Is it really necessary?

Conclusion: According to the comparison of the two groups, we conclude that there is no need to use postoperative antibiotics to prevent surgical site infections.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: This study aims to investigate the efficacy of postoperative antibiotic use in the prevention of the surgical site infection.

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Key Findings & Data:Patients and Methods: Eighty patients who underwent septoplasty in our clinic between July 2012 and September 2012 were followed.

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Conclusion & Impact:Conclusion: According to the comparison of the two groups, we conclude that there is no need to use postoperative antibiotics to prevent surgical site infections.

🔬Design:Research Article

📍Scope:2012 Verileri

⚙️Variables:Nazal septum/cerrahi · profilaksi · cerrahi alan enfeksiyonu

Abstract

Objectives: This study aims to investigate the efficacy of postoperative antibiotic use in the prevention of the surgical site infection. Patients and Methods: Eighty patients who underwent septoplasty in our clinic between July 2012 and September 2012 were followed. Forty of them received preoperative antibiotic prophylaxis and postoperative oral antibiotics group 1 . The other 40 received only preoperative antibiotic prophylaxis group 2 . The patients were assessed at the time of removing packings and postoperative first and second week in terms of infection criteria; endoscopic examination was performed and complete blood counting, and C-reactive protein CRP levels were studied. Fifteen patients in each group who completed their follow-up were included in the study. Results: Two patients receiving postoperative antibiotics in addition to the prophylaxis developed infection during follow-up. No infection was seen in the prophylaxis group. Conclusion: According to the comparison of the two groups, we conclude that there is no need to use postoperative antibiotics to prevent surgical site infections.

Özet

Amaç: Bu çalışmada ameliyat sonrası antibiyotik kullanımının cerrahi alan enfeksiyonunu önlemedeki etkinliği araştırıldı.Hastalar ve Yöntemler: Temmuz 2012 - Eylül 2012 tarihleri arasında kliniğimizde septoplasti ameliyatı yapılmış olan 80 hasta takibe alındı. Bunların 40’ına ameliyat öncesi antibiyotik profilaksisine ek olarak ameliyat sonrası oral antibiyotik verilmekte idi grup 1 . Diğer 40’ına ise sadece ameliyat öncesi antibiyotik profilaksisi verildi grup 2 . Hastalar tampon alımında, ameliyat sonrası birinci ve ikinci haftalarda enfeksiyon kriterleri açısından sorgulandı, endoskopik olarak muayene edildi, tam kan sayımı, C-reaktif protein CRP değerlerine bakıldı. Her bir gruptan takipleri tamamlanabilen 15 hasta çalışmaya dahil edildi.Bulgular: Takip sırasında profilaksiye ek olarak antibiyotik verilen grupta yer alan iki hastada enfeksiyon gelişti. Profilaksi grubunda enfeksiyon görülmedi.Sonuç: İki grubun karşılaştırmasında cerrahi alan enfeksiyonunu önlemede ameliyat sonrası antibiyotik kullanımının gereksiz olduğu sonucuna varıldı

Keywords

Nazal septum/cerrahi profilaksi cerrahi alan enfeksiyonu Nasal septum/surgery prophylaxis surgical site infection

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Cite This Article

MERMER, H., GÜVEN, M., YILMAZ, M. S., KARABAY, O., KAYMAZ, R., YENİAY, M. (2014). Postoperative use of antibiotics in septoplasty cases: Is it really necessary?. The Turkish Journal of Ear Nose and Throat, Cilt: 24 Sayı: 1, 17–20. https://ajindex.com/articles/898278

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