The absence of prophylactic antibiotics administration and the surgical site infections rate in Mohs micrographic surgery
Background: The use of prophylactic antibiotics in dermatologic surgery, particularly in Mohs micrographic surgery (MMS), remains a gray area. Despite the low rate of surgical site infection (SSI), SSI can result in some significant morbidities. Thus, numerous dermatologists keep administering pro...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Universitas Indonesia
2020-06-01
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| Series: | JDVI (Journal of General Procedural Dermatology & Venereology Indonesia) |
| Subjects: | |
| Online Access: | http://www.jgenprodvi.ui.ac.id/index.php/jdvi/article/view/147/pdf |
| Summary: | Background: The use of prophylactic antibiotics in dermatologic surgery, particularly in Mohs micrographic
surgery (MMS), remains a gray area. Despite the low rate of surgical site infection (SSI), SSI can result in
some significant morbidities. Thus, numerous dermatologists keep administering prophylactic antibiotics in
MMS.
Method: A search was conducted to identify clinically significant topics followed by literature review through
the main available medical literature database. The three selected studies that met the inclusion and
exclusion criteria were then critically assessed for their validity, importance, and applicability using the
guidance from Centre for Evidence-Based Medicine for Critical Appraisal of Prognostic Studies.
Results: Three articles showed a low SSI rate with a narrow confidence interval (CI): 0.91% (95% CI:
0.38%–1.45%), 0.7% (95% CI: 0.21%–1.19%), and 0.72% (95%CI: 0.5%–0.9%).
Conclusion: Based on the available studies, we conclude that the absence of prophylactic antibiotics is not
related to the SSI incidence. |
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| ISSN: | 2460-7991 2460-7991 |