Clean-Contaminated Neck Surgery

What is the evidence for use of antibiotic prophylaxis in clean-contaminated head and neck surgery?

BACKGROUND Antibiotic prophylaxis is commonly used in head and neck surgery. Prophylactic use of antibiotics in clean surgical cases is not clearly indicated, but evidence exists for use in cases of clean-contaminated surgery, such as major head and neck oncologic procedures. Despite evidence specifically outlining the indications for antibiotic prophylaxis, there continues to be widespread var...

Antibiotic prophylaxis in clean neck dissections.

This study was designed to evaluate the effects of a prophylactic antibiotic regimen on the incidence of wound infection after clean neck dissections. A prospective series of 57 patients undergoing clean neck dissections with the use of perioperative ampicillin-sulbactam for 24 hours was compared with an historical control group of 51 patients undergoing clean neck dissections with no periopera...

Incidence of Post Operative Wound Infection Following the Use of Antibiotics in Clean Contaminated Head and Neck Surgery in a Tertiary Care Centre in Eastern Nepal

Single versus 3-dose antibiotic prophylaxis in clean and clean contaminated operations.

BACKGROUND Infection is a great problem in surgery and is encountered by all surgeons by nature of their craft; they invariably impair the first line of host defence. Bacteria may enter the wound during or after the operation and may be of endogenous or exogenous origin. The objective of this study was to determine the effectiveness of preoperative antibiotic prophylaxis in reduction of postope...

Need and duration of antibiotic therapy in clean and clean contaminated operations.

OBJECTIVE To define the need and duration of prophylactic antibiotic administration in clean and clean contaminated surgery in the prevailing operating theatre environment in Karachi. SETTING Surgical Department of Hamdard University Hospital and three other private hospitals in Karachi. METHODS One hundred consecutive patients undergoing elective clean and clean contaminated surgery were r...