Value of Prophylactic Postoperative Antibiotic Therapy after Bimaxillary Orthognathic Surgery: A Clinical Trial

Introduction: Antibiotic therapy before or after orthognathic surgery is commonly recommended by surgeons to minimize the risk of wound infection. This article evaluates the value of Prophylactic antibiotic therapy in order to diminish the incidence of postoperative wound infection after orthognathi...

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Main Authors: Majid Eshghpour, Amin Khajavi, Mahmoud Bagheri, Elham Banihashemi
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2014-10-01
Series:Iranian Journal of Otorhinolaryngology
Subjects:
Online Access:http://ijorl.mums.ac.ir/pdf_2867_7ee427c6073720876d47aaaa2c27eaa7.html
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author Majid Eshghpour
Amin Khajavi
Mahmoud Bagheri
Elham Banihashemi
author_facet Majid Eshghpour
Amin Khajavi
Mahmoud Bagheri
Elham Banihashemi
author_sort Majid Eshghpour
collection DOAJ
description Introduction: Antibiotic therapy before or after orthognathic surgery is commonly recommended by surgeons to minimize the risk of wound infection. This article evaluates the value of Prophylactic antibiotic therapy in order to diminish the incidence of postoperative wound infection after orthognathic surgery.   Materials and Methods: Fifty candidates for bimaxillary orthognathic surgery were divided into cases and controls. Cefazolin (1g) was administered intravenously to all participants 30 mins prior to surgery followed by a similar dose 4 hours later. Case-group patients ingested amoxicillin (500 mg) orally for 7 days after surgery. Postoperative wound infection was assessed using clinical features, and the P-value significance was set at P  Results: Both groups were similar according to gender, age, and operating time. During the follow-up period no infection was observed in either the case or control group.   Conclusion:  The results of this study suggest that long-term postoperative antibiotic therapy is not essential for the prevention of postoperative infection, and that application of aseptic surgical technique and hygiene instruction after surgery are sufficient.
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spelling doaj.art-9e6af51b0b6f482cbea60b5de07ca1922022-12-22T03:10:55ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2014-10-0126772072102867Value of Prophylactic Postoperative Antibiotic Therapy after Bimaxillary Orthognathic Surgery: A Clinical TrialMajid Eshghpour0Amin Khajavi1Mahmoud Bagheri2Elham Banihashemi3Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.General Practitioner, Mashhad, Iran.General Practitioner, Mashhad, Iran.General Practitioner, Mashhad, Iran.Introduction: Antibiotic therapy before or after orthognathic surgery is commonly recommended by surgeons to minimize the risk of wound infection. This article evaluates the value of Prophylactic antibiotic therapy in order to diminish the incidence of postoperative wound infection after orthognathic surgery.   Materials and Methods: Fifty candidates for bimaxillary orthognathic surgery were divided into cases and controls. Cefazolin (1g) was administered intravenously to all participants 30 mins prior to surgery followed by a similar dose 4 hours later. Case-group patients ingested amoxicillin (500 mg) orally for 7 days after surgery. Postoperative wound infection was assessed using clinical features, and the P-value significance was set at P  Results: Both groups were similar according to gender, age, and operating time. During the follow-up period no infection was observed in either the case or control group.   Conclusion:  The results of this study suggest that long-term postoperative antibiotic therapy is not essential for the prevention of postoperative infection, and that application of aseptic surgical technique and hygiene instruction after surgery are sufficient.http://ijorl.mums.ac.ir/pdf_2867_7ee427c6073720876d47aaaa2c27eaa7.htmlAmoxicillinAntibiotic therapyOrthognathic surgeryPost-operative wound infection
spellingShingle Majid Eshghpour
Amin Khajavi
Mahmoud Bagheri
Elham Banihashemi
Value of Prophylactic Postoperative Antibiotic Therapy after Bimaxillary Orthognathic Surgery: A Clinical Trial
Iranian Journal of Otorhinolaryngology
Amoxicillin
Antibiotic therapy
Orthognathic surgery
Post-operative wound infection
title Value of Prophylactic Postoperative Antibiotic Therapy after Bimaxillary Orthognathic Surgery: A Clinical Trial
title_full Value of Prophylactic Postoperative Antibiotic Therapy after Bimaxillary Orthognathic Surgery: A Clinical Trial
title_fullStr Value of Prophylactic Postoperative Antibiotic Therapy after Bimaxillary Orthognathic Surgery: A Clinical Trial
title_full_unstemmed Value of Prophylactic Postoperative Antibiotic Therapy after Bimaxillary Orthognathic Surgery: A Clinical Trial
title_short Value of Prophylactic Postoperative Antibiotic Therapy after Bimaxillary Orthognathic Surgery: A Clinical Trial
title_sort value of prophylactic postoperative antibiotic therapy after bimaxillary orthognathic surgery a clinical trial
topic Amoxicillin
Antibiotic therapy
Orthognathic surgery
Post-operative wound infection
url http://ijorl.mums.ac.ir/pdf_2867_7ee427c6073720876d47aaaa2c27eaa7.html
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