Are Prophylactic Antibiotics Required Before Breast Surgery? Even if it is a Clean Case?

Rodrigo Arrangoiz MS, MD, FACS, FSSO
👉The use of prophylactic antibiotics depends on:

  • The type of case (clean vs contaminated)
  • As well as patient specific variables such as the presence of a mechanical heart valve or other prosthesis, placement of a prosthesis, such as a tissue expander, and/or other variables.
  • 👉Prolonged prophylactic antibiotics are avoided due to concerns over promoting the incidence of multidrug resistant bacterial infections and because the risks of this strategy outweigh the benefits in reducing postoperative infections.
  • 👉Strong evidence supports a single dose of prophylactic antibiotics prior to breast surgery.
  • 👉There is no evidence that antibiotics improve wound healing aside from decreasing infection rates.
  • 👉There does not appear to be benefit from additional postoperative antibiotics.
  • 👉Patients undergoing re-excision lumpectomy appear to be at increased risk of infection and would also benefit from prophylactic antibiotics. 

    • REFERENCES

    1. The American Society of Breast Surgeons. Surgical site infection and cellulitis after breast and/or axillary surgery.Accessed January 18, 2017
    2. Hall JC, Willsher PC, Hall JL. Randomized clinical trial of single-dose antibiotic prophylaxis for non-reconstructive breast surgery. Br J Surg. 2006;93:1342-1346.
    3. Jones DJ, Bunn F, Bell-Syer SV. Prophylactic antibiotics to prevent surgical site infection after breast cancer surgery. Cochrane Database Syst Rev. 2014;3:CD005360.
    4. Kataria K, Bagdia A, Srivastava A, et al. Are breast surgical operations clean or clean contaminated? Indian J Surg. 2015;77:S1360-S1362. 
    5. Throckmorton AD, Hoskin T, Boostrom SY, et al. Complications associated with postoperative antibiotic prophylaxis after breast surgery. Am J Surg 2009;198:553-556.
    6. Tran CL, Langer S, Broderick-Villa G, et al. Does reoperation predispose to postoperative wound infection in women undergoing operation for breast cancer? Am Surg. 2003;69:852-856.

    👉Rodrigo Arrangoiz MS, MD, FACS cirujano oncology y cirujano de mamá de Sociedad Quirúrgica S.C en el America British Cowdray Medical Center en la ciudad de Mexico:

    • Es experto en el manejo del cáncer de mama.

     

    👉Es miembro de la American Society of Breast Surgeons:

    Training:

    • General surgery:

    • Michigan State University:

    • 2004 al 2010

    • Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

    • Fox Chase Cancer Center (Filadelfia):

    • 2010 al 2012

    • Masters in Science (Clinical research for health professionals):

    • Drexel University (Filadelfia):

    • 2010 al 2012

    • Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

    • IFHNOS / Memorial Sloan Kettering Cancer Center:

    • 2014 al 2016

     

    #Arrangoiz

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    #Cirujano

    #SurgicalOncologist

    #CirujanoOncologo

    #BreastSurgeon

    #CirujanodeMama

    #CancerSurgeon

    #CirujanodeCancer

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    Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

    My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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