Perioperative Antibiotic Prophylaxis May Not Be Required Routinely in Thyroid Surgery

이관범; 김수영; 김석모; 장호진; 김법우; 이용상; 장항석; 박정수; 임치영

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자료유형: 학술저널

저자정보: 이관범 김수영 김석모 장호진 김법우 이용상 장항석 박정수 임치영

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제17권 제4호

발행연도: 2017.1

수록면: 160 - 167 (8page)

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연구주제

📖

연구배경

🔬

연구방법

🏆

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Purpose: Although perioperative antibiotic prophylaxis is used to prevent surgical site infection (SSI), thyroid surgery is classified as a clean surgical procedure and routine use of perioperative antibiotic prophylaxis is not recommend. The purpose of this study is to evaluate the therapeutic benefits of using perioperative antibiotic prophylaxis in thyroid surgery. Methods: We evaluated medical records of 1,895 patients who underwent thyroid surgery between January 2013 and December 2013. We divided 2 groups with or without perioperative antibiotic prophylaxis. Clinical factors including sex, age, body mass index (BMI), and comorbidity and surgical factors for SSI were analyzed. Results: The male to female ratio was 1:3.3, the average age was 43 (14–82) years old. The numbers of groups without and with antibiotic prophylaxis were 593 and 1,303. Thirty-seven cases (2.0%) of postoperative complications were observed including chyle leakage, SSI, and nerve injury. The SSI was occurred in 10 patients (0.5%). Clinical factors with SSI were analyzed and there was no statistical significance between 2 groups. Conclusion: In thyroid surgery, perioperative antibiotic prophylaxis may not be required routinely once the surgical procedure underwent with aseptic condition and the patients care was performed appropriately.

#Thyroidectomy #Anti-bacterial agents #Surgical wound infection

참고문헌 (25)

참고문헌 신청

Association of Operating Room Nurses / 2002 / Recommended practices for skin preparation of patients / AORN J 75 : 184 ~ 187

Bergenfelz A / 2008 / Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients / Langenbecks Arch Surg 393 : 66

Browning AC / 2005 / Effect of diabetes mellitus and hyperglycemia on the proliferation of human Tenon's capsule fibroblasts: implications for wound healing after glaucoma d

Bures C / 2014 / A prospective study on surgical-site infections in thyroid operation / Surgery 155 : 675 ~ 681

Dionigi G / 2008 / Surveillance of surgical site infections after thyroidectomy in a one-day surgery setting / Int J Surg 6 (Suppl 1) : S13 ~ S15

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