Soft Tissue

Assessing the Impact of Antibiotic Prophylaxis in Outpatient Elective Hand Surgery: A Single-Center, Retrospective Review of 8,850 Cases

Bykowski MR, Sivak WN, Cray J, et al (Dept of Plastic and Reconstructive Surgery, Pittsburgh, PA; Hand and Upper Extremity Ctr, Wexford, PA; Johns Hopkins Univ School of Medicine, Baltimore, MD) J Hand Surg 36A:1741-1747, 2011^§

Abstract

Purpose

Prophylactic antibiotics have been shown to prevent surgical site infection (SSI) after some gastrointestinal, orthopedic, and plastic surgical procedures, but their efficacy in clean, elective hand surgery is unclear. Our aims were to assess the efficacy of preoperative antibiotics in preventing SSI after clean, elective hand surgery, and to identify potential risk factors for SSI.

Methods

We queried the database from an outpatient surgical center by Current Procedural Terminology code to identify patients who underwent elective hand surgery. For each medical record, we collected patient demographics and characteristics along with preoperative, intraoperative, and postoperative management details. The primary outcome of this study was SSI, and secondary outcomes were wound dehiscence and suture granuloma.

Results

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