Topical antibiotics to prevent surgical site infection after minor excisions in general practice

Background: Surgical site infection (SSI) after minor surgery in primary care can compromise cosmetic outcomes, delay wound healing and increase costs. In addition to efficacy, adverse effects must be considered when considering antibiotic prophylaxis. There is no prior published literature regardi...

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Autores principales:	Clare Heal, Phoebe Lepper, Jennifer Banks
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2017
Materias:	surgical site infection skin cancer topical antibiotics Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/e4666e06f8784c4aafb664996d1066c1
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spelling	oai:doaj.org-article:e4666e06f8784c4aafb664996d1066c12021-11-17T08:30:42ZTopical antibiotics to prevent surgical site infection after minor excisions in general practice10.5826/dpc.0703a032160-9381https://doaj.org/article/e4666e06f8784c4aafb664996d1066c12017-07-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/247https://doaj.org/toc/2160-9381 Background: Surgical site infection (SSI) after minor surgery in primary care can compromise cosmetic outcomes, delay wound healing and increase costs. In addition to efficacy, adverse effects must be considered when considering antibiotic prophylaxis. There is no prior published literature regarding the proportion of general practitioners (GPs) who use topical antibiotics as SSI prophylaxis following minor surgery. Objectives: To identify the proportion of GPs in a regional center in Queensland, Australia who apply topical antibiotics to wounds prevent SSIs after minor surgery. Method: A database of 90 GPs was established, and they were invited to complete a questionnaire. Results: The response rate was 62% (56/90). Topical antibiotics prophylaxis was reported as being used always or sometimes in routine practice by 18% (10/56) of participants after both skin lesion excision and repair of lacerations. In the context of high-risk situations, on the other hand, use was higher. They were more likely to be used in high-risk situations, most frequently in diabetic patients (41.0% [23/56]) and immunocompromised patients (46.5% [26/56]). Conclusions: Evidence-based prescribing of antibiotics is vital. Topical antibiotic prophylaxis is often prescribed excessively after clean dermatological surgery, however, in our sample of GPs, only 18% used topical antibiotics always or sometimes in their practice. Clare HealPhoebe LepperJennifer BanksMattioli1885articlesurgical site infectionskin cancertopical antibioticsDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 7, Iss 3 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	surgical site infection skin cancer topical antibiotics Dermatology RL1-803
spellingShingle	surgical site infection skin cancer topical antibiotics Dermatology RL1-803 Clare Heal Phoebe Lepper Jennifer Banks Topical antibiotics to prevent surgical site infection after minor excisions in general practice
description	Background: Surgical site infection (SSI) after minor surgery in primary care can compromise cosmetic outcomes, delay wound healing and increase costs. In addition to efficacy, adverse effects must be considered when considering antibiotic prophylaxis. There is no prior published literature regarding the proportion of general practitioners (GPs) who use topical antibiotics as SSI prophylaxis following minor surgery. Objectives: To identify the proportion of GPs in a regional center in Queensland, Australia who apply topical antibiotics to wounds prevent SSIs after minor surgery. Method: A database of 90 GPs was established, and they were invited to complete a questionnaire. Results: The response rate was 62% (56/90). Topical antibiotics prophylaxis was reported as being used always or sometimes in routine practice by 18% (10/56) of participants after both skin lesion excision and repair of lacerations. In the context of high-risk situations, on the other hand, use was higher. They were more likely to be used in high-risk situations, most frequently in diabetic patients (41.0% [23/56]) and immunocompromised patients (46.5% [26/56]). Conclusions: Evidence-based prescribing of antibiotics is vital. Topical antibiotic prophylaxis is often prescribed excessively after clean dermatological surgery, however, in our sample of GPs, only 18% used topical antibiotics always or sometimes in their practice.
format	article
author	Clare Heal Phoebe Lepper Jennifer Banks
author_facet	Clare Heal Phoebe Lepper Jennifer Banks
author_sort	Clare Heal
title	Topical antibiotics to prevent surgical site infection after minor excisions in general practice
title_short	Topical antibiotics to prevent surgical site infection after minor excisions in general practice
title_full	Topical antibiotics to prevent surgical site infection after minor excisions in general practice
title_fullStr	Topical antibiotics to prevent surgical site infection after minor excisions in general practice
title_full_unstemmed	Topical antibiotics to prevent surgical site infection after minor excisions in general practice
title_sort	topical antibiotics to prevent surgical site infection after minor excisions in general practice
publisher	Mattioli1885
publishDate	2017
url	https://doaj.org/article/e4666e06f8784c4aafb664996d1066c1
work_keys_str_mv	AT clareheal topicalantibioticstopreventsurgicalsiteinfectionafterminorexcisionsingeneralpractice AT phoebelepper topicalantibioticstopreventsurgicalsiteinfectionafterminorexcisionsingeneralpractice AT jenniferbanks topicalantibioticstopreventsurgicalsiteinfectionafterminorexcisionsingeneralpractice
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Topical antibiotics to prevent surgical site infection after minor excisions in general practice

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