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Prophylactic antibiotics in maxillofacial fractures: a requisite?
- Source :
-
The Journal of craniofacial surgery [J Craniofac Surg] 2010 Jul; Vol. 21 (4), pp. 1009-11. - Publication Year :
- 2010
-
Abstract
- The role of prophylactic antibiotics to prevent surgical wound infection (SWI) in the management of maxillofacial fractures is controversial. We carried out a retrospective study in 67 patients with 114 maxillofacial fractures, of which 9 patients each were in group 1 (no antibiotic) and group 3 (cefotaxime) and 49 in group 2 (penicillin). We had an overall SWI rate of 16.66%, of which 3 of group 1 (33.33%), 12 of group 2 (24.48%), and 2 of group 3 (22.22%) constituted the SWIs. Statistical analysis showed no significant difference between the infection rates. A strong positive correlation was found between infection rate and the delay in treatment, and a similar correlation was found in the use of catgut and SWI. Our study suggests that prophylactic antibiotic therapy may not alter the incidence of surgical wound infection.
- Subjects :
- Adolescent
Adult
Aged
Female
Humans
Male
Middle Aged
Retrospective Studies
Antibiotic Prophylaxis
Facial Bones injuries
Facial Bones surgery
Fracture Fixation, Internal methods
Fractures, Bone surgery
Maxillofacial Injuries surgery
Skull Fractures surgery
Surgical Wound Infection prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1536-3732
- Volume :
- 21
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Journal of craniofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 20613562
- Full Text :
- https://doi.org/10.1097/SCS.0b013e3181e47d43