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皮肤科手术中当前使用的抗生素指南综述。

Review of the current antibiotic guidelines used in dermatologic surgery.

作者信息

Dreyfuss Isabella, Ramnot Amanda, Jean-Pierre Philippe H, Frech Fabio, Hernandez Loren, Nouri Keyvan

机构信息

Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, Florida, USA.

Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, Florida, USA.

出版信息

Dermatol Ther. 2022 Jul;35(7):e15557. doi: 10.1111/dth.15557. Epub 2022 May 18.

Abstract

Antibiotics have been used as a prophylaxis for dermatologic procedures. We will review the various procedures that specific antibiotics with dosages are used for, depending on the procedure, diagnosis, and circumstance of the patient. We will examine the current and updated guidelines used in dermatologic surgery and the overlapping guidelines across other fields. Physicians must consider the side effects of antibiotics and the resistance that may occur as a result before using the class or level of prophylaxis. Initial evaluation for alcohol, chlorhexidine, or iodine should be measured as well. Updated guidelines aim to address the contraindications of antibiotics, yet further research is needed to avoid antibiotic resistance and to explore alternative methods of antibiotic application, such as intranasal and intravenous.

摘要

抗生素已被用作皮肤科手术的预防用药。我们将根据手术、诊断和患者情况,回顾使用特定抗生素及剂量的各种手术。我们将研究皮肤科手术中使用的当前和更新的指南,以及其他领域重叠的指南。医生在使用预防用药的类别或级别之前,必须考虑抗生素的副作用以及可能由此产生的耐药性。还应评估酒精、氯己定或碘的初始情况。更新的指南旨在解决抗生素的禁忌症,但仍需要进一步研究以避免抗生素耐药性,并探索抗生素应用的替代方法,如鼻内和静脉内给药。

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