Retrospective study in 608 cases on the rate of surgical site infections after orbital surgery without prophylactic systemic antibiotics

Ronald Olaf Björn de Keizer, Genesis Kozdras, René Wubbels, Willem A Van den Bosch, Dion Paridaens

Research output: Contribution to journalArticleResearchpeer-review

Abstract

OBJECTIVE: To determine postoperative surgical site infection (SSI) rates in three separate patient groups who underwent orbital surgery without prophylactic systemic antibiotics.

STUDY DESIGN: Single-centre retrospective descriptive case series.

STUDY POPULATION: We studied the notes of 639 consecutive patients who had undergone orbital surgery in our hospital from 2009 through 2013. All patients belonged to either of three groups: (1) clean orbital surgery (n=226); (2) clean orbital surgery with implant (n=290); (3) clean-contaminated surgery (n=92). Thirty-one patients were excluded.

RESULTS: Of the total of 608 patients, without systemic antibiotic prophylaxis, only five were diagnosed with SSI 5/608 (0.82%): 1/226 in the 'clean' group, 3/290 in the 'clean-with-implant' group and 1/92 in the 'clean-contaminated' group. All five patients with SSI were effectively treated with antibiotics.

CONCLUSION: In this study 'clean', 'clean-with-implant' and 'clean-contaminated' orbital surgery was safely performed without prophylactic antibiotics. Where postoperative infection did occur, the patients were effectively treated with systemic antibiotics. We suggest to restrict the administration of systemic antibiotic prophylaxis in orbital surgery.

Original languageEnglish
Pages (from-to)1466-1468
Number of pages3
JournalBritish Journal of Ophthalmology
Volume103
Issue number10
DOIs
Publication statusPublished - Oct 2019

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents/therapeutic use
  • Antibiotic Prophylaxis
  • Child
  • Child, Preschool
  • Eye Infections/prevention & control
  • Female
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Ophthalmologic Surgical Procedures
  • Orbital Diseases/surgery
  • Retrospective Studies
  • Surgical Wound Infection/epidemiology

Fingerprint Dive into the research topics of 'Retrospective study in 608 cases on the rate of surgical site infections after orbital surgery without prophylactic systemic antibiotics'. Together they form a unique fingerprint.

Cite this