Download PDF
Int Arch Otorhinolaryngol 2013; 17(01): 085-091
DOI: 10.7162/S1809-97772013000100015
Review Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Antibiotic prophylaxis in otolaryngologic surgery

Ana Carolina Xavier Ottoline
1   Doctor (Resident).
,
Shiro Tomita
2   Professor (Staff).
,
Marise da Penha Costa Marques
3   Master Degree (Physician Assistant).
,
Felippe Felix
3   Master Degree (Physician Assistant).
,
Priscila Novaes Ferraiolo
4   Doctor.
,
Roberta Silveira Santos Laurindo
4   Doctor.
› Author Affiliations
Further Information

Publication History

24 May 2012

24 September 2012

Publication Date:
06 January 2014 (online)

   Permissions and Reprints

Summary

Aim: Antibiotic prophylaxis aims to prevent infection of surgical sites before contamination or infection occurs. Prolonged antibiotic prophylaxis does not enhance the prevention of surgical infection and is associated with higher rates of antibiotic-resistant microorganisms. This review of the literature concerning antibiotic prophylaxis, with an emphasis on otolaryngologic surgery, aims to develop a guide for the use of antibiotic prophylaxis in otolaryngologic surgery in order to reduce the numbers of complications stemming from the indiscriminate use of antibiotics.

Keywords

Antibiotic Prophylaxis - Otorhinolaryngologic Surgical Procedures - Infection
 

  • References

  • 1 Fennessy BG, Harney M, O'Sullivan MJ, Timon G. Antimicrobial prophylaxis in otorhinolaryngology/head and neck surgery. Clin Otolaryngol 2007; 32: 204-7
    CrossrefGoogle Scholar
  • 2 Fairbanks DN . In: Bayley BJ, Calhoun KH et al. Head and Neck Otolaryngology. Third edition. Philadelphia, Lippincott: Williams& Wilkins; 2001. . p.47–54
    Google Scholar
  • 3 Tandon JT, Jonson JT. Wound infection in head and neck surgery: prophylaxis, etiology and management. J Otolaryngol 1990; 19: 197-200
    Google Scholar
  • 4 American Society of Health-System Pharmacists. ASHP therapeutic guidelines on antimicrobial prophylaxis in surgery. Am J Health Syst Pharm 1999; 56: 1839-88
    CrossrefPubMedGoogle Scholar
  • 5 Strong MT. Wound infection in otolaryngologic surgery and the inexpediency of antibiotic prophylaxis. Laryngoscope 1963; 73 (2) 165-84
    Google Scholar
  • 6 Caniello M, Passerotti GH, Goto EY, Voegels RL, Butugan O. Antibiotics in septoplasty: is it necessary?. Rev Bras Otorrinolaringol 2005; 71 (6) 734-8
    CrossrefGoogle Scholar
  • 7 Weber RS, Callender DL. Antibiotic prophylaxis in cleancontaminated head and neck oncologic surgery. Ann Otol Rhinol Laryngol Suppl 1992; 155: 16-20
    Google Scholar
  • 8 Bartlett G, Gorbach SL. Anaerobic infections of the head and neck. Otolaryngol Clin North Am 1976; 9: 655-78
    Google Scholar
  • 9 Mann ER, Blair EA, Levy AJ, Chang A. Effect of topical antibiotic therapy on recovery after tonsillectomy in adults. Otolaryngology- Head and Neck Surgery 1999; 121 (3) 277-82
    Google Scholar
  • 10 Grandis J , et al. The efficacy of perioperative antibiotic therapy on recovery following tonsillectomy in adults: Randomized doubleblind placebo controlled trial. Otolaryngology - Head and Neck Surgery 1992; 106 (2) 137-42
    Google Scholar
  • 11 Piltcher OB, Scarton FB. Antibiotics in tonsillectomies: therapeutic or prophylactic? Necessary or outrageous?. Rev Bras Otorrinolaringol 2005; 71 (5) 686-90
    CrossrefGoogle Scholar
  • 12 Obeso S , et al. Antibiotic prophylaxis in otolaryngologic surgery. Acta Otorrinolaringol Esp 2010; 61 (1) 54-68
    CrossrefGoogle Scholar
  • 13 Dhiwakar M, Clement WA, Supriya McKerrow W. Antibiotics to reduce post-tonsillectomy morbity. Cochrane Database Syst Rev 2010; Jul 7;( (7) CD005607
    Google Scholar
  • 14 Antimicrobial prophylaxis for surgery. Treat Guidel Med Lett 2009; 7: 47
    Google Scholar
  • 15 Gluck U, Gebbers JO. The nose as bacterial reservoir: important differences between the vestibule and cavity. Laryngoscope 2000; 110: 426-8
    CrossrefGoogle Scholar
  • 16 Kaygusuz I, Kizirgil A, Karlidag T, Yalcin S, Keles E, Yakupogullri Y , et al. Bacteriemia in septoplasty and septorhinoplasty surgery. Rhinology 2003; 41: 76-9
    Google Scholar
  • 17 Jayawardena S, Eisdorfer J, Indulkar S, Zarkaria M. Infective endocarditis of native valve after anterior nasal packing. Am J Ther 2006; 13: 460-2
    CrossrefGoogle Scholar
  • 18 Karaman E, Alimoglu Y, Aygun G, Kilic E, Yagiz C. Effect of septoplasty and per-operative antibiotic prophylaxis on nasal flora. B-ENT 2012; 8 (1) 13-9
    Google Scholar
  • 19 Ricci G, D'Ascanio L. Antibiotics in septoplasty: evidence or habit?. Am J Rhinol Allergy 2012; May-Jun; 26 (3) 194-6
    Google Scholar
  • 20 Andrews PJ, East CA, Jayaraj SM, Badia L, Panagamuwa C, Harding L. Prophylactic vs postoperative antibiotic use in complex septorhinoplasty surgery. Arch Facial Plast Surg 2006; 8: 84-7
    CrossrefGoogle Scholar
  • 21 Rodrigo JP, Alvárez JC, Gómez JR, Suárez C, Fernández JA, Martinez JA. Comparison of three prophylactic antibiotic regimens in clean-contaminated head and neck surgery. Head Neck 1997; 19: 188-93
    CrossrefGoogle Scholar
  • 22 Dedivitis RA, Guimarães AV. Antibiotic prophylaxis in head and neck cancer surgery. Acta Medica Misericordiæ 2000; 3 (1) 28-31
    Google Scholar
  • 23 Gluck U, Gebbers JO. The nose as bacterial reservoir: important differences between the vestibule and cavity. Laryngoscope 2000; 110: 426-8
    CrossrefGoogle Scholar
  • 24 Shikani AH. Use of antibiotics for expansion of the Merocel parking following endoscopic sinus surgery. Ear Nose Throat J 1996; 75: 524-6
    Google Scholar
  • 25 Hassan H, Ramadan MD. Corticosteroid therapy during endoscopic sinus surgery in children. Arch Otolaryngol Head Neck Surg 2001; 127 (2) 188-192
    CrossrefGoogle Scholar
  • 26 Neto SC, Mello JFJ, Martins RHG, Costa SS. Tratado de Otorrinolaringologia e Cirurgia Cérvico Facial, 2ed. São Paulo: Roca; 2011
    Google Scholar
  • 27 Santos LRM. Complications in surgery of the nasal cavity and paranasal sinuses. Rev Bras Cir Cab Pesc 2003; 31 (2) 23-25
    Google Scholar
  • 28 Verschuur HP, De Wever WWH, Van Benthem PPG. Antibiotic prophylaxis in clean and clean-contaminated ear surgery. Cochrane Database Syst Rev 2004; CD003996
    Google Scholar
  • 29 Palva T, Palva A, Salmivalli A. Radical mastoidectomy with cavity obliteration. Arch Otolaryngol 1968; 88: 119-23
    CrossrefGoogle Scholar
  • 30 Jackson CG. Antimicrobial prophylaxis in ear surgery. Laryngoscope 1988; 98: 1116-23
    Google Scholar
  • 31 Fairbanks DNF. Antimicrobial therapy in otolaryngology-head and neck surgery. 8th ed. Alexandria: American Academy of Otolaryngology-Head and Neck Surgery Foundation; 1996. . p.47–50
    Google Scholar
  • 32 Man LX, Beswick DM, Johnson JT. Antibiotic prophylaxis in uncontaminated neck dissection. Laryngoscope 2011; Jul; 121 (7) 1473-7
    CrossrefGoogle Scholar