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Determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice
BACKGROUND: Prophylactic antibiotics (PAs) are beneficial to breast cancer patients undergoing surgery because they prevent surgical site infection (SSI), but limited information regarding their use has been published. This study aims to determine the use of PAs prior to breast cancer surgery amongs...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3496625/ https://www.ncbi.nlm.nih.gov/pubmed/22937833 http://dx.doi.org/10.1186/1471-2482-12-18 |
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author | Acuna, Sergio A Angarita, Fernando A Escallon, Jaime Tawil, Mauricio Torregrosa, Lilian |
author_facet | Acuna, Sergio A Angarita, Fernando A Escallon, Jaime Tawil, Mauricio Torregrosa, Lilian |
author_sort | Acuna, Sergio A |
collection | PubMed |
description | BACKGROUND: Prophylactic antibiotics (PAs) are beneficial to breast cancer patients undergoing surgery because they prevent surgical site infection (SSI), but limited information regarding their use has been published. This study aims to determine the use of PAs prior to breast cancer surgery amongst breast surgeons in Colombia. METHODS: An online survey was distributed amongst the breast surgeon members of the Colombian Association of Mastology, the only breast surgery society of Colombia. The scope of the questions included demographics, clinical practice characteristics, PA prescription characteristics, and the use of PAs in common breast surgical procedures. RESULTS: The survey was distributed amongst eighty-eight breast surgeons of whom forty-seven responded (response rate: 53.4%). Forty surgeons (85.1%) reported using PAs prior to surgery of which >60% used PAs during mastectomy, axillary lymph node dissection, and/or breast reconstruction. Surgeons reported they targeted the use of PAs in cases in which patients had any of the following SSI risk factors: diabetes mellitus, drains in situ, obesity, and neoadjuvant therapy. The distribution of the self-reported PA dosing regimens was as follows: single pre-operative fixed-dose (27.7%), single preoperative dose followed by a second dose if the surgery was prolonged (44.7%), single preoperative dose followed by one or more postoperative doses for >24 hours (10.6%), and single preoperative weight-adjusted dose (2.1%). CONCLUSION: Although this group of breast surgeons is aware of the importance of PAs in breast cancer surgery there is a discrepancy in how they use it, specifically with regards to prescription and timeliness of drug administration. Our findings call for targeted quality-improvement initiatives, such as standardized national guidelines, which can provide sufficient evidence for all stakeholders and therefore facilitate best practice medicine for breast cancer surgery. |
format | Online Article Text |
id | pubmed-3496625 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-34966252012-11-14 Determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice Acuna, Sergio A Angarita, Fernando A Escallon, Jaime Tawil, Mauricio Torregrosa, Lilian BMC Surg Research Article BACKGROUND: Prophylactic antibiotics (PAs) are beneficial to breast cancer patients undergoing surgery because they prevent surgical site infection (SSI), but limited information regarding their use has been published. This study aims to determine the use of PAs prior to breast cancer surgery amongst breast surgeons in Colombia. METHODS: An online survey was distributed amongst the breast surgeon members of the Colombian Association of Mastology, the only breast surgery society of Colombia. The scope of the questions included demographics, clinical practice characteristics, PA prescription characteristics, and the use of PAs in common breast surgical procedures. RESULTS: The survey was distributed amongst eighty-eight breast surgeons of whom forty-seven responded (response rate: 53.4%). Forty surgeons (85.1%) reported using PAs prior to surgery of which >60% used PAs during mastectomy, axillary lymph node dissection, and/or breast reconstruction. Surgeons reported they targeted the use of PAs in cases in which patients had any of the following SSI risk factors: diabetes mellitus, drains in situ, obesity, and neoadjuvant therapy. The distribution of the self-reported PA dosing regimens was as follows: single pre-operative fixed-dose (27.7%), single preoperative dose followed by a second dose if the surgery was prolonged (44.7%), single preoperative dose followed by one or more postoperative doses for >24 hours (10.6%), and single preoperative weight-adjusted dose (2.1%). CONCLUSION: Although this group of breast surgeons is aware of the importance of PAs in breast cancer surgery there is a discrepancy in how they use it, specifically with regards to prescription and timeliness of drug administration. Our findings call for targeted quality-improvement initiatives, such as standardized national guidelines, which can provide sufficient evidence for all stakeholders and therefore facilitate best practice medicine for breast cancer surgery. BioMed Central 2012-08-31 /pmc/articles/PMC3496625/ /pubmed/22937833 http://dx.doi.org/10.1186/1471-2482-12-18 Text en Copyright ©2012 Acuna et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Acuna, Sergio A Angarita, Fernando A Escallon, Jaime Tawil, Mauricio Torregrosa, Lilian Determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice |
title | Determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice |
title_full | Determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice |
title_fullStr | Determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice |
title_full_unstemmed | Determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice |
title_short | Determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice |
title_sort | determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3496625/ https://www.ncbi.nlm.nih.gov/pubmed/22937833 http://dx.doi.org/10.1186/1471-2482-12-18 |
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