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Is Prophylactic Antibiotic Therapy Needed in Thyroidectomy?

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Antibiotics have been traditionally prescribed for any open head and neck surgery. With classification of wound and wound contamination and various published guidelines the practice is still widely prevalent. Thyroidectomy being a clean surgery does not warrant the use of antibiotics at all. We performed an interventional prospective study to see the occurrence of wound infection in patients who received antibiotic prophylaxis as compared to those who did not. A total of 71 patients were recruited in the study who were randomly divided into two groups, one received antibiotic prophylaxis and other did not. Both the groups did not show any marked change in the incidence of wound infection hence highlighting the unnecessary use of prophylactic antibiotics in thyroid surgeries.

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References

  1. Woods RK, Dellinger EP (1998) Current guidelines for antibiotic prophylaxis of surgical wounds. Am. Fam. Physician 57(11):2731–2740

    CAS  Google Scholar 

  2. Avenia N, Sanguinetti A, Cirocchi R, Docimo G, Ragusa M, Ruggiero R, Procaccini E, Boselli C, D’Ajello F, Barberini F, Parmeggiani D, Rosato L, Sciannameo F, De Toma G, Noya G (2009) Antibiotic prophylaxis in thyroid surgery: a preliminary multicentric italianexperience. Ann. Surg. Innov. Res. 3:10. https://doi.org/10.1186/1750-1164-3-10

    Article  Google Scholar 

  3. Tourmousoglou CE, Yiannakopoulou EC, Kalapothaki V, Bramis J, Papadopoulos J (2008) Adherence to guidelines for antibiotic prophylaxis in general surgery: a critical appraisal. J. Antimicrob. Chemother. 61(1):214–218. https://doi.org/10.1093/jac/dkm406

    Article  CAS  Google Scholar 

  4. Bailey IS, Karran SE, Toyn K, Brough P, Ranaboldo C, Karran SJ (1992) Community surveillance of complications after hernia surgery. BMJ 304(6825):469–471. https://doi.org/10.1136/bmj.304.6825.469

    Article  CAS  Google Scholar 

  5. Cruse PJ, Food R (1980) The epidemiology of wound infection. A 10 year prospective study of 62.939 wounds. Surg. Clin. North Am. 60:27–40

    Article  CAS  Google Scholar 

  6. AORN Board of Directors: Recommended practices for skin preparation of patients. AORN J. 2002, 75(1).

  7. Moalem J, Ruan DT, Farkas RL, Shen WT, Kebebew E, Duh QY, Clark OH (2010) Patterns of antibiotic prophylaxis use for thyroidectomy and parathyroidectomy: results of an international survey of endocrine surgeons. J. Am. Coll. Surg. 210(6):949–956. https://doi.org/10.1016/j.jamcollsurg.2010.02.040

    Article  Google Scholar 

  8. Hardy RG, Forsythe JL (2007) Uncovering a rare but critical complication following thyroid surgery: an audit across the UK and Ireland. Thyroid 17(1):63–65

    Article  CAS  Google Scholar 

  9. Qin Q, Li H, Wang LB, Li AH, Chen LJ, Lu Q (2014) thyroid surgery without antibiotic prophylaxis: experiences with 1,030 patients from a teaching hospital in China. World J. Surg. 38:878–881. https://doi.org/10.1007/s00268-014-2453-y

    Article  Google Scholar 

  10. Samraj K, Gurusamy KS: Wound drains following thyroid surgery. Cochrane Database of Systematic. Reviews 2007:CD006099.

  11. Fachinetti A, Chiappa C, Arlant V, Kim HY, Liu X, Sun H, Dionigi G, Rovera F (2017) Antibiotic prophylaxis in thyroid surgery. Gland. Surg. 6(5):525–529. https://doi.org/10.21037/gs.2017.07.02

    Article  Google Scholar 

  12. Lee DY, Baek SK, Jung KY (2016) Endoscopic thyroidectomy: retroauricular approach. Gland. Surg. 5:327–335

    Article  Google Scholar 

  13. Clark JH, Kim HY, Richmon JD (2015) Transoral robotic thyroid surgery. Gland. Surg. 4:429–434

    Google Scholar 

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Correspondence to Vinay V. Rao.

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Rao, V.V., D’Souza, C. Is Prophylactic Antibiotic Therapy Needed in Thyroidectomy?. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 5769–5772 (2022). https://doi.org/10.1007/s12070-021-02393-3

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  • DOI: https://doi.org/10.1007/s12070-021-02393-3

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