George P M
University of Minnesota, Minneapolis, USA.
J Am Acad Dermatol. 1995 Sep;33(3):418-21. doi: 10.1016/0190-9622(95)91386-6.
Antibiotic prophylaxis is frequently used for the prevention of infection at a distant site such as the heart valve or prosthetic joint. However, there are no published data describing how dermatologists manage patients "at risk".
The purpose of this study is to document prophylactic antibiotic use by dermatologists.
A total of 211 randomly selected community dermatologists and 69 academic dermatologic surgeons were surveyed by questionnaire to determine whether they would provide antibiotic prophylaxis in 20 different clinical situations.
This survey showed that under certain circumstances, almost all dermatologists provide antibiotic prophylaxis to prevent infection at a distant site. However, many dermatologists use antibiotics in settings with relatively little or no indication and confuse a prophylactic regimen with treatment of a superficial infection.
This survey underscores the need for education and research into the prophylactic management of patients "at risk" who undergo dermatologic surgical procedures.
抗生素预防常用于预防远处部位（如心脏瓣膜或人工关节）的感染。然而，尚无已发表的数据描述皮肤科医生如何管理“高危”患者。
本研究的目的是记录皮肤科医生使用预防性抗生素的情况。
通过问卷调查对总共211名随机选择的社区皮肤科医生和69名学术性皮肤科外科医生进行调查，以确定他们是否会在20种不同的临床情况下提供抗生素预防。
这项调查表明，在某些情况下，几乎所有皮肤科医生都会提供抗生素预防以防止远处部位感染。然而，许多皮肤科医生在指征相对较少或没有指征的情况下使用抗生素，并将预防方案与浅表感染的治疗相混淆。
这项调查强调了对接受皮肤科手术的“高危”患者进行预防管理的教育和研究的必要性。
