Journal article
Attitudes on Prophylactic Antibiotic Use in Dermatologic Surgery: A Survey Study of American College of Mohs Surgery Members
Dermatologic surgery, v 47(3), pp 339-342
01 Mar 2021
PMID: 32897951
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND
Antibiotic prescriptions associated with dermatologic surgical visits are increasing and prescribing pactices vary among surgeons.
OBJECTIVE
To describe dermatologic surgeons' attitudes and practices regarding prophylactic antibiotic use for surgical site infection (SSI), to compare current prescribing practices to those of a 2012 survey, and to determine surgeons' interest in clinical trial data on the utility of prophylactic antibiotics.
MATERIALS AND METHODS
This was a cross-sectional online survey of the American College of Mohs Surgery (ACMS) members. Survey items were adapted from a 2012 survey of ACMS members.
RESULTS
The survey was initiated by 101 ACMS members. 75.25% (76/101) of surgeons reported routinely prescribing prophylactic antibiotics to reduce SSI risk. The use of prophylactic antibiotics varied with clinical scenario. Most providers (84.21%, 64/76) prescribe postoperative antibiotics, with an average course of 6.56 days. 40.21% (39/97) of respondents were uncertain if prophylaxis prevents SSI, and up to 90.63% (87/96) indicated interest in clinical trial data evaluating the efficacy of oral antibiotics for SSI prevention.
CONCLUSION
Dermatologic surgeons continue to report varied attitudes and practices for SSI prophylaxis. Evidence from clinical trials is desired by surgeons to guide clinical practice.
Metrics
Details
- Title
- Attitudes on Prophylactic Antibiotic Use in Dermatologic Surgery: A Survey Study of American College of Mohs Surgery Members
- Creators
- Leora Aizman - George Washington UniversityJohn S. Barbieri - Brigham and Women's HospitalTess M. Lukowiak - Drexel Univ, Coll Med, Philadelphia, PA 19104 USAAllison M. Perz - Cooper Medical School of Rowan UniversityJoseph F. Sobanko - Hospital of the University of PennsylvaniaThuzar M. Shin - Hospital of the University of PennsylvaniaHarold William Higgins - University of PennsylvaniaCerrene N. Giordano - Hospital of the University of PennsylvaniaIan A. Maher - University of MinnesotaNicholas Golda - University of MissouriChristopher J. Miller - University of PennsylvaniaJeremy R. Etzkorn - Hospital of the University of Pennsylvania
- Publication Details
- Dermatologic surgery, v 47(3), pp 339-342
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 4
- Grant note
- T32-AR-007465 / National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS) Pfizer Fellowship in Dermatology Patient-Oriented Research Clinical Career Development Award in Dermatologic Surgery from the Dermatology Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000635152500012
- Scopus ID
- 2-s2.0-85103588617
- Other Identifier
- 991021860764204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Dermatology
- Surgery