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Evaluation of prolonged vs short courses of antibiotic prophylaxis following ear, nose, throat, and oral and maxillofacial surgery: A systematic review and meta-analysis

JAMA Otolaryngology-Head & Neck Surgery Jul 24, 2019

Oppelaar MC, et al. - Researchers conducted this systematic review and meta-analysis to compare short-course antibiotic prophylaxis (≤24 hours) compared to extended-course antibiotic prophylaxis (≥72 hours) after ear, nose, throat, and oral and maxillofacial surgery. There were 21 articles with a cumulative 1974 patient included in the meta-analysis. No distinction was discovered in postoperative infections after ear, nose, throat, and oral and maxillofacial surgery between short-course and extended-course antibiotic prophylaxis. Therefore, it is advised to take a brief course of antibiotic prophylaxis unless there are documented conditions that are best treated with an extended course. The use of short-course antibiotics could prevent further adverse events, development of antibiotic resistance, and greater hospital expenses. Future study should concentrate on identifying risk groups for which prolonged prophylaxis could benefit.
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