Volume 9, Issue 2 (2020)
WJPS 2020, 9(2): 135-140 |
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1- NDORMs, Botnar Research Centre, University of Oxford.
2- Trauma & Orthopaedics, Royal Berkshire Hospital, Reading, England.
2- Trauma & Orthopaedics, Royal Berkshire Hospital, Reading, England.
Abstract: (3096 Views)
BACKGROUND
National Institute for Health and Care Excellence (NICE) CG74 has set out evidence-based guidance on which types of surgery require antibiotic prophylaxis. Our aim was to establish what the current practice for antibiotic prophylaxis in Dupuytren’s surgery is amongst hand surgeons in the United Kingdom, through the British Society for Surgery of the Hand (BSSH).
METHODS
Permission was granted for our online survey to be distributed to BSSH hand surgeons via consecutive BSSH e-bulletins. Hand surgeons who did not perform fasciectomy or dermofasciectomy were excluded from the study.
RESULTS
There were 64 respondents, represented an estimated 7.4-7.8% of membership. Eleven percent of respondents used antibiotics for fasciectomy, with an increasing trend towards revision surgery and dermofasciectomy. Over 30% prescribed them for revision dermofasciectomy. Dupuytren’s surgery was classified as clean, non-prosthetic and uncomplicated which National Institute for Health and Care Excellence (NICE) CG74 suggestions did not require antibiotic prophylaxis.
CONCLUSION
This study highlighted variation in practice amongst hand surgeons in the United Kingdom. Further consultation to create guidelines for hand surgery may help guide members and reduce potentially unnecessary prophylactic antibiotic use.
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