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Prophylactic antibiotics in sialendoscopy: a randomized clinical trial.

Authors :
Chiesa-Estomba, Carlos M.
Sanchez-Barrueco, Alvaro
Cammaroto, Giovanni
Lechien, Jerome R.
Mayo-Yanez, Miguel
Cenjor, Carlos
Capaccio, Pasquale
Saga-Gutierrez, Carlos
Source :
European Archives of Oto-Rhino-Laryngology. Oct2024, Vol. 281 Issue 10, p5511-5516. 6p.
Publication Year :
2024

Abstract

Objective: Antibiotics have been prescribed routinely in sialendoscopy procedures to reduce the risk of postoperative infection, despite the limited evidence supporting this practice. Being necessary to assess the need for antibiotics in Sialendoscopy, aiming to provide evidence-based guidance to clinicians regarding antibiotic administration in this procedure. Materials & method: A prospective, randomized, double-blind, controlled clinical trial to evaluate the of prophylactic antibiotics in Sialendoscopy was designed. Results: A total of 80 patients were included in this study, including 57 females (71.8%) and 23 males (28.8%). In terms of prophylaxis, 36 patients (45%) received prophylactic treatment, and 44 patients (55%) did not. The occurrence of infectious events was observed in 2 patients (5.6%) with prophylaxis and 4 patients (9.1%) without prophylaxis. However, this difference was not statistically significant (p = 0.556). Conclusion: In conclusion, our prospective, randomized clinical trial aimed to address the debate regarding the use of prophylactic antibiotics in sialendoscopy. Our study's findings suggest that the routine use antibiotics may not be necessary to prevent postoperative infections in sialendoscopy procedures. These results have important implications for clinical practice, potentially reducing the unnecessary use of antibiotics and addressing concerns related to antibiotic resistance and adverse drug reactions. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09374477
Volume :
281
Issue :
10
Database :
Academic Search Index
Journal :
European Archives of Oto-Rhino-Laryngology
Publication Type :
Academic Journal
Accession number :
179772268
Full Text :
https://doi.org/10.1007/s00405-024-08773-z