Retrospective health-care associated infection surveillance in oral and maxillofacial reconstructive microsurgery

Márta Patyi, István Sejben, G. Cserni, Beáta Sántha, Zoltán Gaál, Júlia Pongrácz, Ferenc Oberna

Research output: Contribution to journalArticle

Abstract

In polymorbid or anaemic patients who receive preoperative radiotherapy or undergo long duration surgery involving potentially infectious sites, perioperative antibiotic prophylaxis (PAP) that is effective against normal oral bacterial flora is mandatory and plays an important role in preventing postoperative infection. In a four-year retrospective analysis, the incidence, outcome, and the efficacy of PAP were evaluated in patients treated at the Department of Oral and Maxillofacial Surgery and Otorhinolaryngology at Kecskemét Hospital. The results were compared with data from the literature to determine if the use of PAP was adequate at the Department. During the study period (between 01/09/2007 and 31/01/2011) 108 patients were evaluated. The mean duration of prophylactic antibiotic treatment was 8.3 ± 5.2 days, with cefotaxime+metronidazole being the most commonly used combination. Surgical site infection occurred in 8 patients (7.5%) in the clean-contaminated category. Our results showed that the perioperative antibiotic prophylaxis administered at our Department was efficient and effective against the oral bacterial flora of patients. Its use is recommended in head and neck microsurgery. To avoid development of antibiotic resistance and to reduce costs, it seems that the duration of antibiotic regimen for primary surgery can be reduced from 8.3 ± 5.2 days to 3 days.

Original languageEnglish
Pages (from-to)407-416
Number of pages10
JournalActa Microbiologica et Immunologica Hungarica
Volume61
Issue number4
DOIs
Publication statusPublished - Dec 1 2014

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Microsurgery
Cross Infection
Antibiotic Prophylaxis
Oral Surgery
Anti-Bacterial Agents
Surgical Wound Infection
Cefotaxime
Metronidazole
Otolaryngology
Microbial Drug Resistance
Neck
Radiotherapy
Head
Costs and Cost Analysis
Incidence
Infection

Keywords

  • Antibiotic prophylaxis
  • Head and neck surgery
  • Health-care associated infection
  • Oral bacterial flora

ASJC Scopus subject areas

  • Immunology and Microbiology(all)
  • Medicine(all)

Cite this

Retrospective health-care associated infection surveillance in oral and maxillofacial reconstructive microsurgery. / Patyi, Márta; Sejben, István; Cserni, G.; Sántha, Beáta; Gaál, Zoltán; Pongrácz, Júlia; Oberna, Ferenc.

In: Acta Microbiologica et Immunologica Hungarica, Vol. 61, No. 4, 01.12.2014, p. 407-416.

Research output: Contribution to journalArticle

Patyi, Márta ; Sejben, István ; Cserni, G. ; Sántha, Beáta ; Gaál, Zoltán ; Pongrácz, Júlia ; Oberna, Ferenc. / Retrospective health-care associated infection surveillance in oral and maxillofacial reconstructive microsurgery. In: Acta Microbiologica et Immunologica Hungarica. 2014 ; Vol. 61, No. 4. pp. 407-416.
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