Should Antibiotic Prophylaxis Be Given Prior to Thyroidectomy or Parathyroidectomy?
Although thyroid and parathyroid operations are very commonly performed, until recently there has been very little evidence to inform the decision of whether or not preoperative antibiotic prophylaxis should be given. It is interesting to note that while most surgeons would agree that clean operations that do not involve prosthetic implants do not generally require antibiotic prophylaxis, most endocrine surgeons give their patients preoperative antibiotic prophylaxis always or nearly always.
KeywordsAntibiotic prophylaxis Thyroidectomy Parathyroidectomy Wound infection
- 4.Control CD. Prevention. Nosocomial group a streptococcal infections associated with asymptomatic health-care workers--Maryland and California, 1997. MMWR Morb Mortal Wkly Rep. 1999;48(8):163.Google Scholar
- 16.Chadwick D. Fourth National Audit Report, The British Association of Endocrine and Thyroid Surgeons. 2012. Available at http://www.baets.org.uk/wp-content/uploads/2013/05/4th-National-Audit.pdf. Accessed 24 Mar 2015.
- 19.Lu Q, Xie S-Q, Chen S-Y, Chen L-J, Qin Q. Experience of 1166 thyroidectomy without use of prophylactic antibiotic. Biomed Res Int. 2014;2014:1–5.Google Scholar
- 22.Davey P, Brown E, Charani E, Fenelon L, Gould IM, Holmes A, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Libr. 2013.Google Scholar