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Throat Swabs Taken on the Operating Table Prior to Cleft Palate Repair and Their Relevance to Outcome: A Prospective Study
- Source :
- The Cleft Palate-Craniofacial Journal. 46:275-279
- Publication Year :
- 2009
- Publisher :
- SAGE Publications, 2009.
-
Abstract
- Objective: The main objective of this study was to determine whether bacteria cultured from oral swabs taken at the time of surgery predicted postoperative fistula formation. Design: The study was a prospective longitudinal audit. Setting: The setting was a designated U.K. N.H.S. cleft center. Patients: Subjects consisted of the patients of a single cleft surgeon who were undergoing surgery for cleft palate repair or cleft fistula repair. Interventions: Oral microbiological swabs were taken from patients while they were on the operating table just before surgery. Main outcome measures: The results from microbiological culture of the swabs were recorded, as was the presence or absence of a fistula at 6 months postoperatively. Additional collected information was related to the severity of the cleft, whether the operating microscope was used during surgery, and whether the patient had developed a postoperative upper respiratory tract infection. Results: Positive swab cultures were not significantly associated with fistula formation. Use of the operating microscope was not associated with an increase or decrease in the number of fistulas. A fistula developed in all patients who experienced a postoperative upper respiratory tract infection. Conclusions: The practice of performing routine preoperative mouth swabs should be abandoned because the presence of bacteria in the mouth does not increase the risk of fistula formation.
- Subjects :
- Male
Microsurgery
Staphylococcus aureus
medicine.medical_specialty
Microbiological culture
Fistula
Dentistry
Amoxicillin-Potassium Clavulanate Combination
Preoperative care
Cohort Studies
Dental Audit
Postoperative Complications
Nose Diseases
Preoperative Care
medicine
Humans
Longitudinal Studies
Prospective Studies
Antibiotic prophylaxis
Child
Prospective cohort study
Respiratory Tract Infections
Bacteria
business.industry
Infant
Streptococcus
Antibiotic Prophylaxis
medicine.disease
Operating table
Anti-Bacterial Agents
Surgery
Cleft Palate
Treatment Outcome
Upper respiratory tract infection
Otorhinolaryngology
Child, Preschool
Pharynx
Female
Respiratory Tract Fistula
Oral Surgery
Operating microscope
business
Oral Fistula
Follow-Up Studies
Subjects
Details
- ISSN :
- 15451569 and 10556656
- Volume :
- 46
- Database :
- OpenAIRE
- Journal :
- The Cleft Palate-Craniofacial Journal
- Accession number :
- edsair.doi.dedup.....105d8447cedba74478d2f2e6617d7500