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Surgical Site Infections in Breast Surgery: The Use of Preoperative Antibiotics for Elective, Nonreconstructive Procedures
المؤلفون المشاركون
Wernberg, Jessica
Crawford, Christopher B.
Clay, James A.
Seydel, Anna S.
المصدر
International Journal of Breast Cancer
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-10-05
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
Antibiotic prophylaxis for surgical site infections (SSIs) for breast surgery is widespread, but the benefit in clean surgical cases is not well defined.
Methods.
A retrospective analysis of 855 patients undergoing elective, nonreconstructive breast operations was performed, with 401 patients receiving no antibiotics and 454 patients receiving a single dose of preoperative antibiotic.
Results.
Administration of a preoperative antibiotic did not decrease the SSI rate.
In this community-based study, antibiotic use practices varied considerably by surgeon.
In univariate analyses, SSI rates appeared to increase with prophylactic antibiotic use (12% SSI with antibiotics versus 4% without, p<0.0001), likely because the use of underdosed antibiotics was associated with higher rates of SSI (13.2% SSI with cefazolin 1 gram, p<0.0001, and 15.4% SSI with clindamycin 300 mg or less, p=0.0269).
Methicillin-resistant Staphylococcus aureus was the most common isolate from SSI cultures, 31.8% (7 of 22).
In multivariable analyses, increased risk of SSI was associated with BMI > 25 kg/m2 (OR: 1.08, 95% CI: 1.04–1.11, p<0.0001).
Conclusion.
The administration of a single dose of preoperative antibiotic did not decrease the rate of SSI in this large series of patients undergoing clean breast operations.
BMI >25 kg/m2 and the use of an inadequate dose of antibiotics for prophylaxis may increase risk of SSI.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Crawford, Christopher B.& Clay, James A.& Seydel, Anna S.& Wernberg, Jessica. 2016. Surgical Site Infections in Breast Surgery: The Use of Preoperative Antibiotics for Elective, Nonreconstructive Procedures. International Journal of Breast Cancer،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1105391
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Crawford, Christopher B.…[et al.]. Surgical Site Infections in Breast Surgery: The Use of Preoperative Antibiotics for Elective, Nonreconstructive Procedures. International Journal of Breast Cancer No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1105391
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Crawford, Christopher B.& Clay, James A.& Seydel, Anna S.& Wernberg, Jessica. Surgical Site Infections in Breast Surgery: The Use of Preoperative Antibiotics for Elective, Nonreconstructive Procedures. International Journal of Breast Cancer. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1105391
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1105391
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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