Antibiotic Prophylaxis in Reduction Mammaplasty: A National Survey
Background Although there is limited evidence for regulating the use of prophylactic antibiotics in reduction mammaplasty, many plastic surgeons prescribe them, even in the postoperative period. This study aimed to conduct a national survey to investigate the antibiotic prophylaxis protocols followe...
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| Veröffentlicht in: | Aesthetic plastic surgery 2022-10, Vol.46 (5), p.2124-2130 |
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| creator | Kuhnen, Ricardo Beckhauser Sabino Neto, Miguel Souza, Lucas Vassalli Ferreira, Lydia Masako Veiga, Daniela Francescato |
| description | Background
Although there is limited evidence for regulating the use of prophylactic antibiotics in reduction mammaplasty, many plastic surgeons prescribe them, even in the postoperative period. This study aimed to conduct a national survey to investigate the antibiotic prophylaxis protocols followed by Brazilian plastic surgeons in reduction mammaplasty.
Methods
An anonymous survey comprising 19 questions was sent to all 4864 active members of the Brazilian Society of Plastic Surgery (SBCP). The surgeons electronically received the invitation to participate in the survey and the link to fill out the electronic form.
Results
In total, 859 surgeons (17.7%) responded. Most respondents (77.8%) were men and aged 35–55 years (61.5%); 58.6% of them had 10–29 years of specialty training. Only a minor proportion of the respondents (0.5%) reported not prescribing antibiotics at any time (95% confidence interval [CI]: 0.0–0.9), 9.9% (95% CI: 7.9–11.9) prescribed them only preoperatively, and 14.6% (95% CI: 12.2–16.9) prescribed continued antibiotic use for 24 h. The majority of the respondents (75.1%; 95% CI: 72.1–77.9) prescribed antibiotics for additional days after discharge. There were significant associations between antibiotic prescription and the surgeons’ age group (
p
= 0.015), time since graduation (
p
|
| doi_str_mv | 10.1007/s00266-022-02903-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2662538505</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2727850685</sourcerecordid><originalsourceid>FETCH-LOGICAL-c305t-10793195fe139710be0739447ac9bbb899ebdaa306ae9d4a90c02138c1f9c4673</originalsourceid><addsrcrecordid>eNp9kMlOwzAQhi0EoqXwAhxQJC5cAuMlccytVGxSWcQicbMcx4FU2bATSt8el7JIHDhYI9nf_OP5ENrFcIgB-JEDIHEcAiH-CKDhfA0NMaMkjAjD62gINGYhwfHTAG05NwPAhHO2iQY0imhCWDREJ-O6K9Ki6Qod3NqmfVmU6r1wQVEHdybrdVc0dXClqkq1pXLd4jgYB9dqeavK4L63b2axjTZyVTqz81VH6PHs9GFyEU5vzi8n42moKURdiIELikWUG0wFx5Aa4FQwxpUWaZomQpg0U4pCrIzImBKggWCaaJwLzWJOR-hgldva5rU3rpNV4bQpS1WbpnfSuyB-rQgij-7_QWdNb_2XPcUJ90ycLCmyorRtnLMml60tKmUXEoNcGpYrw9Iblp-G5dw37X1F92llsp-Wb6UeoCvA-af62djf2f_EfgBY4IVh</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2727850685</pqid></control><display><type>article</type><title>Antibiotic Prophylaxis in Reduction Mammaplasty: A National Survey</title><source>SpringerLink Journals - AutoHoldings</source><creator>Kuhnen, Ricardo Beckhauser ; Sabino Neto, Miguel ; Souza, Lucas Vassalli ; Ferreira, Lydia Masako ; Veiga, Daniela Francescato</creator><creatorcontrib>Kuhnen, Ricardo Beckhauser ; Sabino Neto, Miguel ; Souza, Lucas Vassalli ; Ferreira, Lydia Masako ; Veiga, Daniela Francescato</creatorcontrib><description>Background
Although there is limited evidence for regulating the use of prophylactic antibiotics in reduction mammaplasty, many plastic surgeons prescribe them, even in the postoperative period. This study aimed to conduct a national survey to investigate the antibiotic prophylaxis protocols followed by Brazilian plastic surgeons in reduction mammaplasty.
Methods
An anonymous survey comprising 19 questions was sent to all 4864 active members of the Brazilian Society of Plastic Surgery (SBCP). The surgeons electronically received the invitation to participate in the survey and the link to fill out the electronic form.
Results
In total, 859 surgeons (17.7%) responded. Most respondents (77.8%) were men and aged 35–55 years (61.5%); 58.6% of them had 10–29 years of specialty training. Only a minor proportion of the respondents (0.5%) reported not prescribing antibiotics at any time (95% confidence interval [CI]: 0.0–0.9), 9.9% (95% CI: 7.9–11.9) prescribed them only preoperatively, and 14.6% (95% CI: 12.2–16.9) prescribed continued antibiotic use for 24 h. The majority of the respondents (75.1%; 95% CI: 72.1–77.9) prescribed antibiotics for additional days after discharge. There were significant associations between antibiotic prescription and the surgeons’ age group (
p
= 0.015), time since graduation (
p
< 0.001), experience in the specialty practice (
p
= 0.003), SBCP membership (
p
< 0.001), and surgical site infection rates (
p
= 0.011).
Conclusion
Most responding plastic surgeons affirmed that they prescribed prophylactic antibiotics for more than 24 h in reduction mammaplasty cases.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><identifier>ISSN: 0364-216X</identifier><identifier>EISSN: 1432-5241</identifier><identifier>DOI: 10.1007/s00266-022-02903-w</identifier><identifier>PMID: 35538245</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Age groups ; Antibiotics ; Breasts ; Clinical medicine ; Disease prevention ; Medicine ; Medicine & Public Health ; Original Article ; Otorhinolaryngology ; Plastic Surgery ; Surgeons ; Surgical site infections</subject><ispartof>Aesthetic plastic surgery, 2022-10, Vol.46 (5), p.2124-2130</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2022</rights><rights>2022. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c305t-10793195fe139710be0739447ac9bbb899ebdaa306ae9d4a90c02138c1f9c4673</citedby><cites>FETCH-LOGICAL-c305t-10793195fe139710be0739447ac9bbb899ebdaa306ae9d4a90c02138c1f9c4673</cites><orcidid>0000-0002-8713-2940</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00266-022-02903-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00266-022-02903-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35538245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kuhnen, Ricardo Beckhauser</creatorcontrib><creatorcontrib>Sabino Neto, Miguel</creatorcontrib><creatorcontrib>Souza, Lucas Vassalli</creatorcontrib><creatorcontrib>Ferreira, Lydia Masako</creatorcontrib><creatorcontrib>Veiga, Daniela Francescato</creatorcontrib><title>Antibiotic Prophylaxis in Reduction Mammaplasty: A National Survey</title><title>Aesthetic plastic surgery</title><addtitle>Aesth Plast Surg</addtitle><addtitle>Aesthetic Plast Surg</addtitle><description>Background
Although there is limited evidence for regulating the use of prophylactic antibiotics in reduction mammaplasty, many plastic surgeons prescribe them, even in the postoperative period. This study aimed to conduct a national survey to investigate the antibiotic prophylaxis protocols followed by Brazilian plastic surgeons in reduction mammaplasty.
Methods
An anonymous survey comprising 19 questions was sent to all 4864 active members of the Brazilian Society of Plastic Surgery (SBCP). The surgeons electronically received the invitation to participate in the survey and the link to fill out the electronic form.
Results
In total, 859 surgeons (17.7%) responded. Most respondents (77.8%) were men and aged 35–55 years (61.5%); 58.6% of them had 10–29 years of specialty training. Only a minor proportion of the respondents (0.5%) reported not prescribing antibiotics at any time (95% confidence interval [CI]: 0.0–0.9), 9.9% (95% CI: 7.9–11.9) prescribed them only preoperatively, and 14.6% (95% CI: 12.2–16.9) prescribed continued antibiotic use for 24 h. The majority of the respondents (75.1%; 95% CI: 72.1–77.9) prescribed antibiotics for additional days after discharge. There were significant associations between antibiotic prescription and the surgeons’ age group (
p
= 0.015), time since graduation (
p
< 0.001), experience in the specialty practice (
p
= 0.003), SBCP membership (
p
< 0.001), and surgical site infection rates (
p
= 0.011).
Conclusion
Most responding plastic surgeons affirmed that they prescribed prophylactic antibiotics for more than 24 h in reduction mammaplasty cases.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><subject>Age groups</subject><subject>Antibiotics</subject><subject>Breasts</subject><subject>Clinical medicine</subject><subject>Disease prevention</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Plastic Surgery</subject><subject>Surgeons</subject><subject>Surgical site infections</subject><issn>0364-216X</issn><issn>1432-5241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMlOwzAQhi0EoqXwAhxQJC5cAuMlccytVGxSWcQicbMcx4FU2bATSt8el7JIHDhYI9nf_OP5ENrFcIgB-JEDIHEcAiH-CKDhfA0NMaMkjAjD62gINGYhwfHTAG05NwPAhHO2iQY0imhCWDREJ-O6K9Ki6Qod3NqmfVmU6r1wQVEHdybrdVc0dXClqkq1pXLd4jgYB9dqeavK4L63b2axjTZyVTqz81VH6PHs9GFyEU5vzi8n42moKURdiIELikWUG0wFx5Aa4FQwxpUWaZomQpg0U4pCrIzImBKggWCaaJwLzWJOR-hgldva5rU3rpNV4bQpS1WbpnfSuyB-rQgij-7_QWdNb_2XPcUJ90ycLCmyorRtnLMml60tKmUXEoNcGpYrw9Iblp-G5dw37X1F92llsp-Wb6UeoCvA-af62djf2f_EfgBY4IVh</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Kuhnen, Ricardo Beckhauser</creator><creator>Sabino Neto, Miguel</creator><creator>Souza, Lucas Vassalli</creator><creator>Ferreira, Lydia Masako</creator><creator>Veiga, Daniela Francescato</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8713-2940</orcidid></search><sort><creationdate>20221001</creationdate><title>Antibiotic Prophylaxis in Reduction Mammaplasty: A National Survey</title><author>Kuhnen, Ricardo Beckhauser ; Sabino Neto, Miguel ; Souza, Lucas Vassalli ; Ferreira, Lydia Masako ; Veiga, Daniela Francescato</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-10793195fe139710be0739447ac9bbb899ebdaa306ae9d4a90c02138c1f9c4673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age groups</topic><topic>Antibiotics</topic><topic>Breasts</topic><topic>Clinical medicine</topic><topic>Disease prevention</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Plastic Surgery</topic><topic>Surgeons</topic><topic>Surgical site infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kuhnen, Ricardo Beckhauser</creatorcontrib><creatorcontrib>Sabino Neto, Miguel</creatorcontrib><creatorcontrib>Souza, Lucas Vassalli</creatorcontrib><creatorcontrib>Ferreira, Lydia Masako</creatorcontrib><creatorcontrib>Veiga, Daniela Francescato</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuhnen, Ricardo Beckhauser</au><au>Sabino Neto, Miguel</au><au>Souza, Lucas Vassalli</au><au>Ferreira, Lydia Masako</au><au>Veiga, Daniela Francescato</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antibiotic Prophylaxis in Reduction Mammaplasty: A National Survey</atitle><jtitle>Aesthetic plastic surgery</jtitle><stitle>Aesth Plast Surg</stitle><addtitle>Aesthetic Plast Surg</addtitle><date>2022-10-01</date><risdate>2022</risdate><volume>46</volume><issue>5</issue><spage>2124</spage><epage>2130</epage><pages>2124-2130</pages><issn>0364-216X</issn><eissn>1432-5241</eissn><abstract>Background
Although there is limited evidence for regulating the use of prophylactic antibiotics in reduction mammaplasty, many plastic surgeons prescribe them, even in the postoperative period. This study aimed to conduct a national survey to investigate the antibiotic prophylaxis protocols followed by Brazilian plastic surgeons in reduction mammaplasty.
Methods
An anonymous survey comprising 19 questions was sent to all 4864 active members of the Brazilian Society of Plastic Surgery (SBCP). The surgeons electronically received the invitation to participate in the survey and the link to fill out the electronic form.
Results
In total, 859 surgeons (17.7%) responded. Most respondents (77.8%) were men and aged 35–55 years (61.5%); 58.6% of them had 10–29 years of specialty training. Only a minor proportion of the respondents (0.5%) reported not prescribing antibiotics at any time (95% confidence interval [CI]: 0.0–0.9), 9.9% (95% CI: 7.9–11.9) prescribed them only preoperatively, and 14.6% (95% CI: 12.2–16.9) prescribed continued antibiotic use for 24 h. The majority of the respondents (75.1%; 95% CI: 72.1–77.9) prescribed antibiotics for additional days after discharge. There were significant associations between antibiotic prescription and the surgeons’ age group (
p
= 0.015), time since graduation (
p
< 0.001), experience in the specialty practice (
p
= 0.003), SBCP membership (
p
< 0.001), and surgical site infection rates (
p
= 0.011).
Conclusion
Most responding plastic surgeons affirmed that they prescribed prophylactic antibiotics for more than 24 h in reduction mammaplasty cases.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35538245</pmid><doi>10.1007/s00266-022-02903-w</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8713-2940</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0364-216X |
| ispartof | Aesthetic plastic surgery, 2022-10, Vol.46 (5), p.2124-2130 |
| issn | 0364-216X 1432-5241 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2662538505 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Age groups Antibiotics Breasts Clinical medicine Disease prevention Medicine Medicine & Public Health Original Article Otorhinolaryngology Plastic Surgery Surgeons Surgical site infections |
| title | Antibiotic Prophylaxis in Reduction Mammaplasty: A National Survey |
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