[Perioperative Use of Antibiotics as Infection Prophylaxis in Elective Wrist Arthroscopy: A Nationwide Survey]. / Einsatz von Antibiotikum zur perioperativen Infektprophylaxe in der elektiven Handgelenksarthroskopie: Eine deutschlandweite Befragung.
Handchir Mikrochir Plast Chir
; 56(3): 250-256, 2024 Jun.
Article
en De
| MEDLINE
| ID: mdl-38657620
ABSTRACT
BACKGROUND:
Wrist arthroscopy is a standard procedure in hand surgery for the diagnosis and treatment of wrist conditions. While perioperative antibiotic prophylaxis (PAP) is not generally recommended for elective hand surgery, there is no official standard for elective wrist arthroscopy. This study aimed to determine the actual clinical use of PAP in elective wrist arthroscopy in Germany and relate it to the structural conditions of clinics performing this procedure. MATERIAL ANDMETHODS:
We conducted a systematic search of all facilities in Germany offering wrist arthroscopy. Among these, we performed an online survey using the SoSci Survey online tool via email.RESULTS:
PAP is more frequently administered in cases involving simultaneous bone procedures. Cephalosporins are the most commonly used antibiotics in cases of PAP administration. Hospitals administer PAP more frequently than outpatient settings, with most surveyed institutions following facility-specific internal standards for antibiotic administration. The number of arthroscopies performed in the surveyed centres does not influence antibiotic administration.CONCLUSIONS:
The use of PAP in wrist arthroscopies in Germany is inconsistent. The increased use in arthroscopies with bone involvement corresponds to AWMF guidelines, but a general recommendation for wrist arthroscopies, including soft tissue arthroscopies, is necessary to provide physicians with medical and legal certainty.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Artroscopía
/
Infección de la Herida Quirúrgica
/
Articulación de la Muñeca
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Profilaxis Antibiótica
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
De
Revista:
Handchir Mikrochir Plast Chir
Año:
2024
Tipo del documento:
Article
País de afiliación:
Alemania