$Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures$
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Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures

Jijo Jizhou Wang,1 Jennifer M Koterwas,2 Edward H Bedrossian Jr,2 William J Foster2,3 1Lewis Katz School of Medicine, 2Department of Ophthalmology, Lewis Katz School of Medicine, 3Department of Bioengineering, College of Engineering, Temple University, Philadelphia, PA, USA Purpose: The purpose of...

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Autores principales:	Wang JJ, Koterwas JM, Bedrossian EH Jr, Foster WJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Orbital Blowout Fracture Orbital Fracture Antibiotic Use Practice Patterns Survey Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b496952286c2471abb7fbc53c8ca9fa3
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spelling	oai:doaj.org-article:b496952286c2471abb7fbc53c8ca9fa32021-12-02T12:28:07ZPractice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures1177-5483https://doaj.org/article/b496952286c2471abb7fbc53c8ca9fa32016-10-01T00:00:00Zhttps://www.dovepress.com/practice-patterns-in-the-use-of-prophylactic-antibiotics-following-non-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jijo Jizhou Wang,1 Jennifer M Koterwas,2 Edward H Bedrossian Jr,2 William J Foster2,3 1Lewis Katz School of Medicine, 2Department of Ophthalmology, Lewis Katz School of Medicine, 3Department of Bioengineering, College of Engineering, Temple University, Philadelphia, PA, USA Purpose: The purpose of this study was to analyze the practice management patterns of the current members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and to determine the use of oral prophylactic antibiotics in an attempt to prevent orbital cellulitis following nonoperative orbital fractures.Patients and methods: A cross-sectional web-based survey was emailed to all the members of ASOPRS regarding their current management of nonsurgical orbital fractures and their experience with orbital cellulitis following nonoperative orbital fractures.Results: The majority of practicing oculoplastic surgeon members of ASOPRS do not routinely prescribe prophylactic antibiotics for patients with nonoperative orbital fractures or patients with orbital fractures whom the physicians are observing and who might potentially need surgical intervention. Among the reported cases of orbital cellulitis following a nonoperative orbital fracture in this survey, more than a quarter of the patients had received prophylactic antibiotics. Furthermore, among physicians who have managed orbital cellulitis following nonoperative fracture, 75% (33 out of 44 physicians) report that <1% of patients develop orbital cellulitis.Conclusion: Despite frequent recommendation for the use of prophylactic antibiotics after orbital fractures in commonly cited ophthalmic references, the majority of oculoplastic surgeons do not use prophylactic antibiotics for orbital fractures, including both nonoperative orbital fractures and orbital fractures that may potentially need surgery. Keywords: orbital blowout fracture, orbital fracture, antibiotic use, practice patterns, surveyWang JJKoterwas JMBedrossian EH JrFoster WJDove Medical PressarticleOrbital Blowout FractureOrbital FractureAntibiotic UsePractice PatternsSurveyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 2129-2133 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orbital Blowout Fracture Orbital Fracture Antibiotic Use Practice Patterns Survey Ophthalmology RE1-994
spellingShingle	Orbital Blowout Fracture Orbital Fracture Antibiotic Use Practice Patterns Survey Ophthalmology RE1-994 Wang JJ Koterwas JM Bedrossian EH Jr Foster WJ Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures
description	Jijo Jizhou Wang,1 Jennifer M Koterwas,2 Edward H Bedrossian Jr,2 William J Foster2,3 1Lewis Katz School of Medicine, 2Department of Ophthalmology, Lewis Katz School of Medicine, 3Department of Bioengineering, College of Engineering, Temple University, Philadelphia, PA, USA Purpose: The purpose of this study was to analyze the practice management patterns of the current members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and to determine the use of oral prophylactic antibiotics in an attempt to prevent orbital cellulitis following nonoperative orbital fractures.Patients and methods: A cross-sectional web-based survey was emailed to all the members of ASOPRS regarding their current management of nonsurgical orbital fractures and their experience with orbital cellulitis following nonoperative orbital fractures.Results: The majority of practicing oculoplastic surgeon members of ASOPRS do not routinely prescribe prophylactic antibiotics for patients with nonoperative orbital fractures or patients with orbital fractures whom the physicians are observing and who might potentially need surgical intervention. Among the reported cases of orbital cellulitis following a nonoperative orbital fracture in this survey, more than a quarter of the patients had received prophylactic antibiotics. Furthermore, among physicians who have managed orbital cellulitis following nonoperative fracture, 75% (33 out of 44 physicians) report that <1% of patients develop orbital cellulitis.Conclusion: Despite frequent recommendation for the use of prophylactic antibiotics after orbital fractures in commonly cited ophthalmic references, the majority of oculoplastic surgeons do not use prophylactic antibiotics for orbital fractures, including both nonoperative orbital fractures and orbital fractures that may potentially need surgery. Keywords: orbital blowout fracture, orbital fracture, antibiotic use, practice patterns, survey
format	article
author	Wang JJ Koterwas JM Bedrossian EH Jr Foster WJ
author_facet	Wang JJ Koterwas JM Bedrossian EH Jr Foster WJ
author_sort	Wang JJ
title	Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures
title_short	Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures
title_full	Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures
title_fullStr	Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures
title_full_unstemmed	Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures
title_sort	practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/b496952286c2471abb7fbc53c8ca9fa3
work_keys_str_mv	AT wangjj practicepatternsintheuseofprophylacticantibioticsfollowingnonoperativeorbitalfractures AT koterwasjm practicepatternsintheuseofprophylacticantibioticsfollowingnonoperativeorbitalfractures AT bedrossianehjr practicepatternsintheuseofprophylacticantibioticsfollowingnonoperativeorbitalfractures AT fosterwj practicepatternsintheuseofprophylacticantibioticsfollowingnonoperativeorbitalfractures
_version_	1718394474796679168

Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures

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