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Available online 8 December 2021
Patterns of practice regarding surgical site infection prevention in head & neck surgery: An international survey
Estrategias de prevención de infecciones del sitio quirúrgico en cirugía de cabeza y cuello: una encuesta internacional
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Carlos Miguel Chiesa-Estombaa,i,
Corresponding author
chiesaestomba86@gmail.com

Corresponding author.
, Christian Calvo-Henriquezb,i, Nicholas Gonçalvesc,i, Jérome R. Lechiend,i, Jon Alexander Sistiaga-Suareza,i, Miguel Mayo-Yaneze,i, Jose Angel Gonzalez-Garciaa,i, Raghu Nandhanf,i, Federico Martinezg,h, Tareck Ayadh,i
a Otorhinolaryngology –Head & Neck Surgery Department, Hospital Universitario Donostia, San Sebastian, Guipuzkoa – Basque Country, Spain
b Department of Otolaryngology – Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain
c MBBCh (WITS), FCORL(SA) Division of Otolaryngology, Groote Schuur Hospital, Faculty of Health Science, University of Cape Town (UCT), South Africa
d Department of Human Anatomy & Experimental Oncology, University of Mons, Mons, Belgium
e Otorhinolaryngology – Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Spain
f Department of ORL-HNS, Madras ENT Research Foundation, Chennai, India
g Otorhinolaryngology – Head & Neck Surgery Department, Hospital Masiel, Montevideo, Uruguay
h Division of Otolaryngology – Head & Neck Surgery, Centre Hospitalier de l’Université de Montréal, Montreal, Canada
i Head & Neck Study Group of Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), France
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Tables (4)
Table 1. Demographic and study variables.
Table 2. Type of antibiotics according to type of surgery.
Table 3. Type of antibiotics used in true beta-lactam allergy.
Table 4. Pattern of practice and conformity with guidelines.
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Additional material (1)
Abstract
Introduction

Head & neck surgery encompasses a variety of surgical approaches for benign and malignant conditions. Due to the complexity in treating patients with head and neck pathology, it is necessary to adhere to basic surgical principles to decrease complications. Among them, surgical site infection can be prevented using a surgery quality protocol including the correct use of antibiotics and optimization of nutritional status.

Materials and methods

A survey was sent through the YO-IFOS and SEORL-CCC international mailing list.

Results

A total of 435 surgeons completed the survey. Of the respondents, 97.7% confirm that they scrub their hands before surgery, 40.9% respondents recommend nutritional support according to sign and symptoms, 60.9% use of antibiotic prophylaxis in clean surgery and just 9.2% use clindamycin in combination.

Conclusion

This survey has broadened the scope regarding H&N surgical safety around the globe. Identifying innovative ways in which surgical care may be improved is mandatory.

Keywords:
Antibiotic
Prophylaxis
Head
Neck
Surgery
Surgical infection
Guidelines
Resumen
Introducción

La cirugía de cabeza y cuello abarca una variedad de técnicas quirúrgicas dirigidas al tratamiento de un grupo de enfermedades benignas y malignas. Debido a la complejidad en el tratamiento de este tipo de pacientes el uso de protocolos quirúrgicos va a permitir disminuir las diversas complicaciones, entre ellas la infección del sitio quirúrgico, que será posible prevenirla mediante la adopción de protocolos de control quirúrgico que incluya, por ejemplo, el uso correcto de antibióticos y la optimización del estado nutricional.

Materiales y métodos

Para este estudio se envió una encuesta a través de la lista de correo electrónico del grupo internacional YO-IFOS y de la SEORL-CCC.

Resultados

Un total de 435 cirujanos completaron la encuesta. El 97,7% de los encuestados confirmó practicar el lavado de manos antes de la cirugía, el 40,9% refirió recomendar el apoyo nutricional en el periodo perioperatorio según los signos y síntomas del paciente, el 60,9% refirió utilizar profilaxis antibiótica en cirugía limpia y solo el 9,2% utilizar clindamicina en combinación.

Conclusión

Esta encuesta intenta analizar el alcance de los protocolos de seguridad quirúrgica a nivel mundial, con la intención de identificar formas innovadoras de mejorar los resultados quirúrgicos en cirugía de cabeza y cuello.

Palabras clave:
Antibiótico
Profilaxis
Cabeza
Cuello
Cirugía
Infección quirúrgica
Protocolos

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