Article
Perioperative antibiotic prophylaxis in ENT – an online survey on the actual situation in German ENT hospitals
Search Medline for
Authors
Published: | August 10, 2015 |
---|
Outline
Text
Introduction: The perioperative antibiotic prophylaxis is currently used differently in German ENT hospitals. Good references can not be found in ENT literature.
Methods: Questionnaires regarding the use of perioperative antibiotic prophylaxis in 50 different types of ENT surgeries were sent online to 161 ENT hospitals.
Results: 56 questionnaires were evaluated. The results showed that antibiotics were used in cases where there was no actual need. A main problem was assigning the different type of surgery to the wound classification. The tonsillectomy for example was classified in 5.6% aseptic, in 64.8% part aseptic and in 29.6% contaminate. There is often a different procedure of the perioperative antibiotic prophylaxis used for the same type of surgery. 51% of the hospitals used a perioperative antibiotic prophylaxis in cholesteatoma, also if there was no otorrhea, 55.8% in stapes surgery, 50% in neck dissection, without any opening of the pharynx and 43.4% in parotid gland surgery. 27 different antibiotics or their combinations were used in the investigated 50 different types of surgery.
Conclusions: The increasing antibiotic resistance requires a rational use of antibiotics in the perioperative prophylaxis. That’s why standardized procedures should be established for the ENT field. Therefore these strategies should be taught in antibiotic stewardship courses.