Glatzel Valerie, Glatzel Caroline, Kendziora Benjamin, Schlager Justin Gabriel, Hartmann Daniela
Klinik und Poliklinik für Dermatologie und Allergologie, LMU Klinikum, Frauenlobstr. 9-11, 80337, München, Deutschland.
Klinik für Dermatologie und Allergologie, München Klinik gGmbH, München, Deutschland.
Dermatologie (Heidelb). 2025 Aug;76(8):480-482. doi: 10.1007/s00105-025-05532-x. Epub 2025 Jun 27.
Surgical site infections can occur after any dermatosurgical procedure and lead to increased morbidity and mortality. To minimize the risk, perioperative administration of antibiotics may be advisable if correctly indicated. The German Society for Dermatosurgery has issued current recommendations for this. Criteria such as the type of procedure, location, contamination of the surgical site, and patient-specific risk factors all play a role. Perioperative antibiotic prophylaxis should ideally be administered 30-60 min before the surgical procedure and can be administered orally or intravenously.
任何皮肤外科手术后都可能发生手术部位感染,并导致发病率和死亡率增加。为将风险降至最低,在正确指征下,围手术期使用抗生素可能是可取的。德国皮肤外科学会已为此发布了当前建议。手术类型、部位、手术部位污染情况以及患者特定风险因素等标准都起着作用。围手术期抗生素预防性用药理想情况下应在手术前30 - 60分钟给药,可口服或静脉给药。