Effectiveness of prophylactic antibiotics in outpatient plastic surgery

Kendall T. Anigian, Travis Miller, Ryan S. Constantine, Jordan Farkas, Roberto Cortez, Rachel Hein, Jerzy R. Lysikowski, Kathryn E. Davis, Gary Reed, Jeffrey M. Kenkel

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: The effectiveness of prophylactic antibiotics has not been established for patients who undergo plastic surgery as outpatients, and consensus guidelines for antibiotic administration in clean-contaminated plastic surgery are not available. Objectives: In a retrospective study of outpatients, the authors examined preoperative timing of prophylactic antibiotics, whether postoperative antibiotics were administered, and whether any correlations existed between these practices and surgical complications. Methods: The medical records of 468 plastic surgery outpatients were reviewed. Collected data included preoperative antibiotic timing, postoperative antibiotic use, comorbidities, and complications. Rates of complications were calculated and compared with other data. Results: All 468 patients received antibiotics preoperatively, but only 93 (19.9%) received them =1 hour before the initial incision. Antibiotics were administered 15 to 44 minutes before surgery in 217 patients (46.4%). There was no significant difference in complication rates between the 315 patients who received postoperative prophylactic antibiotics (16.2%) and the 153 who did not (20.9%). Comorbidities had no bearing on postoperative complications. Conclusions: Postoperative antibiotic prophylaxis may be unnecessary for outpatient plastic surgery patients.

Original languageEnglish (US)
Pages (from-to)1252-1258
Number of pages7
JournalAesthetic Surgery Journal
Volume34
Issue number8
DOIs
StatePublished - Nov 8 2014

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Plastic Surgery
Ambulatory Surgical Procedures
Anti-Bacterial Agents
Outpatients
Comorbidity
Antibiotic Prophylaxis
Medical Records
Retrospective Studies
Guidelines

Keywords

  • antibiotics
  • comorbidities
  • complications
  • outpatient surgery
  • prophylaxis

ASJC Scopus subject areas

  • Surgery

Cite this

Anigian, K. T., Miller, T., Constantine, R. S., Farkas, J., Cortez, R., Hein, R., ... Kenkel, J. M. (2014). Effectiveness of prophylactic antibiotics in outpatient plastic surgery. Aesthetic Surgery Journal, 34(8), 1252-1258. https://doi.org/10.1177/1090820X14545984

Effectiveness of prophylactic antibiotics in outpatient plastic surgery. / Anigian, Kendall T.; Miller, Travis; Constantine, Ryan S.; Farkas, Jordan; Cortez, Roberto; Hein, Rachel; Lysikowski, Jerzy R.; Davis, Kathryn E.; Reed, Gary; Kenkel, Jeffrey M.

In: Aesthetic Surgery Journal, Vol. 34, No. 8, 08.11.2014, p. 1252-1258.

Research output: Contribution to journalArticle

Anigian, KT, Miller, T, Constantine, RS, Farkas, J, Cortez, R, Hein, R, Lysikowski, JR, Davis, KE, Reed, G & Kenkel, JM 2014, 'Effectiveness of prophylactic antibiotics in outpatient plastic surgery', Aesthetic Surgery Journal, vol. 34, no. 8, pp. 1252-1258. https://doi.org/10.1177/1090820X14545984
Anigian KT, Miller T, Constantine RS, Farkas J, Cortez R, Hein R et al. Effectiveness of prophylactic antibiotics in outpatient plastic surgery. Aesthetic Surgery Journal. 2014 Nov 8;34(8):1252-1258. https://doi.org/10.1177/1090820X14545984
Anigian, Kendall T. ; Miller, Travis ; Constantine, Ryan S. ; Farkas, Jordan ; Cortez, Roberto ; Hein, Rachel ; Lysikowski, Jerzy R. ; Davis, Kathryn E. ; Reed, Gary ; Kenkel, Jeffrey M. / Effectiveness of prophylactic antibiotics in outpatient plastic surgery. In: Aesthetic Surgery Journal. 2014 ; Vol. 34, No. 8. pp. 1252-1258.
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