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[Podcast] Antibiotic prophylaxis for surgical site infection
In this latest podcast, Dr Helena Rosengren – a Skin Cancer & Aesthetic Doctor in Townsville, Queensland – gives a sneak peek into her presentation at the upcoming Skin & Skin Cancer Conference and Masterclasses in Brisbane on 21-24 July 2022, where she will talk about antibiotic prophylaxis for surgical site infection.
In the podcast, Dr Rosengren talks about how she got started in skin cancer medicine after working as a general practitioner for most of her career. She describes the prevalence and management of wound infections following skin procedures.
Dr Rosengren offers her expert advice for GPs on a pragmatic approach to antibiotic prophylaxis for surgical site infection, drawing on recent research that shows Australia has the highest antibiotic prescribing rate in the world. She explains how to manage high-risk sites and high-risk patients.
“As antibiotic prophylaxis goes, I would say generally don’t do it. You only ever want to consider something if it has been proven to be effective, if you’re dealing with a high risk patient, high risk sites and doing high risk surgery.”
This podcast provides a sneak peek into Dr Rosengren’s upcoming in-depth presentation at the Skin & Skin Cancer Conference and Masterclasses in Brisbane on 21-24 July 2022.
Listen to the full podcast now:
Skin & Skin Cancer Conference and Masterclasses:
To begin with, keynote speakers Prof Giuseppe Argenziano and Dr Aimilios Lallas will present a special edition of their popular Dermoscopy Excellence program during the two-day Dermoscopy Masterclass. The program is highly interactive and fun, combining advanced theory with practical application on real patient case studies.
Next, you are invited to join the two-day Skin and Skin Cancer Conference. In a ﬁrst, the keynote speakers and a diverse group of local experts will provide the latest updates, newest research, and best-practice advice in the areas of skin cancer, dermatology and aesthetic medicine in primary care. After joint plenary sessions, delegates will break out into smaller groups for a deep dive into one of the three topics of most interest.
All session recordings will be made available for a comprehensive learning experience.
4 comments on “[Podcast] Antibiotic prophylaxis for surgical site infection”
At my practice (broad spectrum GP not a skin clinic) we use Intravenous ceftriaxone 2gm just prior to the first incision “hospital standard prophylaxis” for Below the knee+diabetic+elderly when combined (or similar such as immune-suppressed ).
I would suggest that oral cephalexin the initial gastric absorption in any particular patient is unknown. The only way to ensure that the minimum inhibitory concentration at the wound site at the time of first incision is with iv a/b. Clinics that have this capability should use it IMHO.
But we don’t routinely use this iv or oral a/b for below the knee/elderly; rather watch carefully in the post operative period – quite a few don’t get any infection at all. If they do we use intravenous antibiotics initially to facilitate quick control of the infection.
Australian GPs do more skin cancer /more complex excisions/serial excisions due to the much higher rate of skin cancers than overseas-and in much higher risk areas eg nose/ears and lower legs, so I am not surprised a/b prescribing is much higher.
(re statement 23/1000 antibiotics prescriptions -double than for Sweden and 50% up from UK.)
Surely our obesity rate hence diabetes is higher as well and would follow USA-perhaps A comparison re antibiotic use across a similar population may be more useful. ( Also some countries don’t have access to antibiotics or don’t get procedures done possibly.)
what pathophysiological role might sweat play in warmer climates with high humidity in relation to surgical skin wound infection, i wonder?
the combination of urea and ammonia plus the physical effects of water in sweat retained in surgical wound dressings, perhaps contribute adversely to wound healing?