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86th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

13.05. - 16.05.2015, Berlin

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Perioperative antibiotic prophylaxis in ENT – an online survey on the actual situation in German ENT hospitals

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  • corresponding author presenting/speaker Rainer Müller - HNO-Klinik, Mediz. Fakultät, TU Dresden, Dresden, Germany
  • author Eberhard Kuhlisch - Inst. f.Med. Informatik und Biometrie, Med. Fakultät, TU Dresden, Dresden, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 86th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Berlin, 13.-16.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15hno03

doi: 10.3205/15hno03, urn:nbn:de:0183-15hno033

Published: August 10, 2015

© 2015 Müller et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Introduction: The perioperative antibiotic prophylaxis is currently used differently in German ENT hospitals. Good references can not be found in ENT literature.

Methods: Questionnaires regarding the use of perioperative antibiotic prophylaxis in 50 different types of ENT surgeries were sent online to 161 ENT hospitals.

Results: 56 questionnaires were evaluated. The results showed that antibiotics were used in cases where there was no actual need. A main problem was assigning the different type of surgery to the wound classification. The tonsillectomy for example was classified in 5.6% aseptic, in 64.8% part aseptic and in 29.6% contaminate. There is often a different procedure of the perioperative antibiotic prophylaxis used for the same type of surgery. 51% of the hospitals used a perioperative antibiotic prophylaxis in cholesteatoma, also if there was no otorrhea, 55.8% in stapes surgery, 50% in neck dissection, without any opening of the pharynx and 43.4% in parotid gland surgery. 27 different antibiotics or their combinations were used in the investigated 50 different types of surgery.

Conclusions: The increasing antibiotic resistance requires a rational use of antibiotics in the perioperative prophylaxis. That’s why standardized procedures should be established for the ENT field. Therefore these strategies should be taught in antibiotic stewardship courses.