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  Vol. 127 No. 9, September 1991 TABLE OF CONTENTS
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Antibiotic Prophylaxis of Wound Infections in Skin Surgery

Pier Luca Bencini, MD; Michela Galimberti, MD; Massimo Signorini, MD; Carlo Crosti, MD

Arch Dermatol. 1991;127(9):1357-1360.


Abstract

• A controlled prospective study of 2165 outpatients undergoing skin surgery was performed to evaluate the utility and the effects of several antibiotic schedules for prophylaxis of wound infections. The patients were divided into four groups. Twenty-three of the 541 group A patients, given no antibiotics, had wound infections. Eight of the 542 group B patients, given systemic antibiotics from immediately after surgery until the third day, had wound infections. Four of the 540 group C patients, treated only with local sterile antibiotic powder sprinkled into the wound during surgery, had wound infections develop, and only one infection occurred in the 542 group D patients given systemic antibiotics from 2 days before surgery until the second day after surgery. This last schedule was the best for prophylaxis of wound infections in contamination-prone regions.Local antibiotic administration is a simple method for prevention of infections in routine skin surgery.

(Arch Dermatol. 1991;127:1357-1360)



Author Affiliations

From the Institute of First Dermatological Clinic and Pediatric Dermatology (Drs Bencini and Crosti), and Institute of General and Cardiovascular Surgery, (Dr Galimberti), University of Milan (Italy), Maggiore Hospital-IRCCS; and the Institute of Plastic Surgery (Dr Signorini), University of Milan, Niguarda Hospital.


Footnotes

Accepted for publication March 6, 1991.

Reprint requests to Corso Venezia 37, 20121 Milano, Italy (Dr Bencini).



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