Survey of dermatologists demonstrates widely varying approaches to perioperative antibiotic use: time for a randomized trial?
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Abstract
post-operative wound infection rate following dermatological surgery ranges between 0.5%-8%.(1-3) Factors reported to increase the risk of surgical site infection (SSI) include procedure type (e.g. wedge excision, full thickness skin grafts); anatomic location (e.g. lower limb, groin); tumour ulceration; and patient-associated factors, such as immunodeficiency, diabetes and smoking.(4-6) A survey of UK Dermatologists demonstrated significant variation in the use of peri-operative oral antibiotics dependent upon various factors; presence of ulceration; diabetes; lower limb surgery; immunosuppression and flap / graft repairs.(7-8) These findings likely reflect a paucity of data in the literature. This article is protected by copyright. All rights reserved.
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