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Prophylactic antibiotic therapy and/or therapeutic in patients undergoing plastic surgery: a necessity?

INTRODUCTION: Antibiotic therapy and therapy is often used in error by the surgeon to prevent infection, causing losses to the patient and contributing to the selection of resistant bacteria antibiotics. This study evaluates whether there is need for antibiotic therapy in aesthetic plastic surgery. METHODS: This study included 488 patients who underwent plastic surgery between 2006 and 2009, divided into four groups: Group 1 - patient operated in 2006, 2007, outpatient, surgical time, up to 2 hours, receive prophylactic antibiotic therapy; Group 2 - patients operated on in 2008, 2009, outpatient, surgical time, up to 2 hours did not receive antibiotics; Group 3 - patients operated in 2006, 2007, regime hospital stay more than 3 hours, and received prophylactic antibiotic therapy; Group 4 - patients operated on in 2008, 2009, hospital system, duration more than 3 hours, received prophylactic antibiotics. RESULTS: In Groups 1 e 2, there was no infection, in Group 3 was one (0.39%) case of infection and in Group 4, another (0.42%) case. CONCLUSION: Prophylactic antibiotic therapy did not influence the occurrence of infection in surgery that lasted up to two hours. The use of antibiotic therapy did not affect the incidence of infection in surgery that lasted over three hours.

Surgery, plastic; Anti-bacterial agents; Infection control


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