Perioperative antibiotic prophylaxis in selective surgery of the nasal cavity and paranasal sinuses


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Abstract

A review of modern generalizing data considering the principles and tactics of perioperative antibiotic prophylaxis in elective surgery is presented. Analysis of the literature indicates that perioperative antibiotic prophylaxis is one of the proven ways to prevent surgical site infection and is an integral part of the concept of «Fast Track surgery», which is a set of principles aimed at accelerating various stages of the treatment process. Otorhinolaryngological surgeries require adherence to the established principles of perioperative antibiotic prophylaxis; however, it is necessary to take into account the features of the microbiota of the ENT organs, which affects the choice of the optimal prophylactic antibiotic. It is not possible to assess the state of the issue of antibiotic prophylaxis in surgical otorhinolaryngology and its compliance with international recommendations based on literature data due to the small number of studies with a sufficient level of evidence.

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About the authors

Maya A. Edzhe

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: ayam75@mail.ru
Cand. Sci. (Med.), Associate Professor at the Department of Otorhinolaryngology Moscow, Russia

A. Yu Ovchinnikov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Department of Otorhinolaryngology Moscow, Russia

D. O Semiletova

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Department of Otorhinolaryngology Moscow, Russia

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