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...
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doaj-26cf46e2186e46d38798139c00501f862020-11-25T03:47:51ZengUniversitas IndonesiaJDVI (Journal of General Procedural Dermatology & Venereology Indonesia)2460-79912460-79912020-06-0142717610.19100/jdvi.v4i2.147The absence of prophylactic antibiotics administration and the surgical site infections rate in Mohs micrographic surgeryRiva Ambardina Pradita0Larisa Paramitha Wibawa1Department of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, IndonesiaBackground: 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.http://www.jgenprodvi.ui.ac.id/index.php/jdvi/article/view/147/pdfmohs micrographic surgeryantibioticinfection |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Riva Ambardina Pradita Larisa Paramitha Wibawa |
spellingShingle |
Riva Ambardina Pradita Larisa Paramitha Wibawa The absence of prophylactic antibiotics administration and the surgical site infections rate in Mohs micrographic surgery JDVI (Journal of General Procedural Dermatology & Venereology Indonesia) mohs micrographic surgery antibiotic infection |
author_facet |
Riva Ambardina Pradita Larisa Paramitha Wibawa |
author_sort |
Riva Ambardina Pradita |
title |
The absence of prophylactic antibiotics administration and the surgical site infections rate in Mohs micrographic surgery |
title_short |
The absence of prophylactic antibiotics administration and the surgical site infections rate in Mohs micrographic surgery |
title_full |
The absence of prophylactic antibiotics administration and the surgical site infections rate in Mohs micrographic surgery |
title_fullStr |
The absence of prophylactic antibiotics administration and the surgical site infections rate in Mohs micrographic surgery |
title_full_unstemmed |
The absence of prophylactic antibiotics administration and the surgical site infections rate in Mohs micrographic surgery |
title_sort |
absence of prophylactic antibiotics administration and the surgical site infections rate in mohs micrographic surgery |
publisher |
Universitas Indonesia |
series |
JDVI (Journal of General Procedural Dermatology & Venereology Indonesia) |
issn |
2460-7991 2460-7991 |
publishDate |
2020-06-01 |
description |
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. |
topic |
mohs micrographic surgery antibiotic infection |
url |
http://www.jgenprodvi.ui.ac.id/index.php/jdvi/article/view/147/pdf |
work_keys_str_mv |
AT rivaambardinapradita theabsenceofprophylacticantibioticsadministrationandthesurgicalsiteinfectionsrateinmohsmicrographicsurgery AT larisaparamithawibawa theabsenceofprophylacticantibioticsadministrationandthesurgicalsiteinfectionsrateinmohsmicrographicsurgery AT rivaambardinapradita absenceofprophylacticantibioticsadministrationandthesurgicalsiteinfectionsrateinmohsmicrographicsurgery AT larisaparamithawibawa absenceofprophylacticantibioticsadministrationandthesurgicalsiteinfectionsrateinmohsmicrographicsurgery |
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