Mr Josh Totty J.Totty@hull.ac.uk
NIHR Clinical Lecturer in Plastic Surgery
Mr Josh Totty J.Totty@hull.ac.uk
NIHR Clinical Lecturer in Plastic Surgery
Rubeta Matin
Aaron Wernham
Ruby Ray
Emma Thomas-Jones
Rachel Abbott
Skin cancer is the most common malignancy in the UK, and up to a third of lesions are ulcerated at the time of excision. Ulceration has been shown to increase the risk of developing surgical site infection post-excision, with some studies finding infection rates of 33%. However, no specific guidelines for the use of antibiotic prophylaxis in such cases exist. We surveyed 129 clinicians from dermatology, plastic surgery, ear, nose and throat surgery and oral and maxillofacial surgery, who all excise skin lesions on a regular basis. There was significant variability in their practice with regards to antibiotic prophylaxis, with 9% always prescribing them and 19% never prescribing them. Variation exists both inter- and intra-speciality. This variation increases the risk of antimicrobial resistance and shows a paucity of good clinical evidence, which mandates a well-designed clinical trial to guide future practice.
Totty, J., Matin, R., Wernham, A., Ray, R., Thomas-Jones, E., & Abbott, R. (in press). The use of perioperative prophylactic antibiotics following excision of ulcerated skin lesions in the UK – A national, multi-speciality survey of clinicians. Clinical and experimental dermatology, https://doi.org/10.1111/ced.15075
Journal Article Type | Article |
---|---|
Acceptance Date | Dec 20, 2021 |
Online Publication Date | Dec 22, 2021 |
Deposit Date | Dec 20, 2021 |
Publicly Available Date | Dec 23, 2022 |
Journal | Clinical and experimental dermatology |
Print ISSN | 0307-6938 |
Publisher | Wiley |
Peer Reviewed | Peer Reviewed |
DOI | https://doi.org/10.1111/ced.15075 |
Public URL | https://hull-repository.worktribe.com/output/3902608 |
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