Systematic review of international guidelines for perioperative antibiotic prophylaxis in Head & Neck Surgery. A YO‐IFOS Head & Neck Study Group Position Paper. Issue 9 (8th July 2019)

• Record Type: Journal Article
• Authors: Chiesa‐Estomba, Carlos Miguel; Lechien, Jérome R.; Fakhry, Nicolas; Melkane, Antoine; Calvo‐Henriquez, Christian; de Siati, Daniele; Gonzalez‐Garcia, Jose Angel; Fagan, Johannes Jacobus; Ayad, Tareck
• Is Part Of: Head & neck. Volume 41:Issue 9(2019)
• Page Start: 3434
• Page End: 3456
• Publication Date: 2019-07-08
• Subjects: antibiotic -- head -- neck -- prophylaxis -- surgery; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.25856
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Surgical site infection (SSI) is defined as an infection that occurs after a surgical incision or organ manipulation during surgery. The frequency reported for clean head and neck surgical procedures without antimicrobial prophylaxis is <1%. In contrast, infection rates in patients undergoing complicated cancer surgery are high, ranging from 24% to 87% of patients without antimicrobial prophylaxis. Methods: Guidelines and recommendations about the use of antibiotics in head and neck surgery from 2004 to 2019 were reviewed. Results: Four guidelines from Oceania, 5 from South America, 5 from North America, 2 from the United Kingdom, 11 from Europe, 1 from Africa, 1 from the Middle East, and 3 from Asia were included. A total of 118 papers were included for analysis and recommendation. Conclusion: Antibiotic prophylaxis can decrease the incidence of SSI. However, the risks associated with antibiotic exposure and the risk of antibiotic resistance need to be taken into consideration.