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Patterns of practice regarding surgical site infection prevention in head & neck surgery: An international survey
Institution:1. Otorhinolaryngology –Head & Neck Surgery Department, Hospital Universitario Donostia, San Sebastian, Guipuzkoa – Basque Country, Spain;2. Department of Otolaryngology – Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain;3. MBBCh (WITS), FCORL(SA) Division of Otolaryngology, Groote Schuur Hospital, Faculty of Health Science, University of Cape Town (UCT), South Africa;4. Department of Human Anatomy & Experimental Oncology, University of Mons, Mons, Belgium;5. Otorhinolaryngology – Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Spain;6. Department of ORL-HNS, Madras ENT Research Foundation, Chennai, India;7. Otorhinolaryngology – Head & Neck Surgery Department, Hospital Masiel, Montevideo, Uruguay;8. Division of Otolaryngology – Head & Neck Surgery, Centre Hospitalier de l’Université de Montréal, Montreal, Canada;9. Head & Neck Study Group of Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), France
Abstract:IntroductionHead & 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 methodsA survey was sent through the YO-IFOS and SEORL-CCC international mailing list.ResultsA 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.ConclusionThis 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  Antibiótico  Profilaxis  Cabeza  Cuello  Cirugía  Infección quirúrgica  Protocolos
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