Ramon A, Correia N, Smati M, Malinovsky J M, Bajolet O, Reynaud J P, Perrot P, Bodin F, Francois C
Chirurgie plastique, reconstructrice et esthétique, hôpital maison Blanche, CHU Reims, 45, rue Cognacq Jay, 51100 Reims, France.
Anesthésie et réanimation, hôpital Maison Blanche, CHU Reims, 45, rue Cognacq Jay, 51100 Reims, France.
Ann Chir Plast Esthet. 2020 Feb;65(1):13-23. doi: 10.1016/j.anplas.2019.10.001. Epub 2019 Dec 9.
In plastic surgery, guidelines about antibiotic prophylaxis are inaccurate and incomplete, due to result the absence of high-level studies on this subject. The main aim is to establish national common recommendations for plastic surgery antibiotic prophylaxis.
A working group will discuss and validate a multi-center analysis of practices in three University Hospital Centers compared to an interdisciplinary analysis of recommendations to the French Society of Anaesthesia and Intensive Care Medicine and scientific literature. This working group is composed of plastic surgeon members of the French Society of Aesthetic Reconstructive Plastic Surgery, infectious disease physicians, and anaesthesiologists to define clear and precise antibiotic prophylaxis recommendations.
Antibiotic prophylaxis with cefazoline (or clindamycine±gentamicine in case of allergy), has been recommended for general surgery with flap or implants, for breast surgery, lipofilling, and rhinoplasty. In other plastic surgery, no antibiotic prophylaxis has been recommended.
We established common recommendations for plastic surgery antibiotic prophylaxis that is the first step to update these recommendations. Now, they can be evaluated in clinical situation to validate them.
在整形手术中，由于缺乏关于该主题的高水平研究，抗生素预防的指南不准确且不完整。主要目的是制定整形手术抗生素预防的国家通用建议。
一个工作组将讨论并验证对三个大学医院中心实践的多中心分析，并与法国麻醉与重症医学学会的建议跨学科分析以及科学文献进行比较。该工作组由法国美容重建整形外科学会的整形外科医生成员、传染病医生和麻醉师组成，以确定明确而精确的抗生素预防建议。
对于带皮瓣或植入物的普通外科手术、乳房手术、脂肪填充和隆鼻手术，建议使用头孢唑林进行抗生素预防（过敏时用克林霉素±庆大霉素）。在其他整形手术中，不建议进行抗生素预防。
我们制定了整形手术抗生素预防的通用建议，这是更新这些建议的第一步。现在，可以在临床情况下对其进行评估以验证它们。
