ArticleHernia : the journal of hernias and abdominal wall surgery2013
Use of antibiotic prophylaxis in elective inguinal hernia repair in adults in London and south-east England: a cross-sectional survey.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Network meta-analysis of antibiotic prophylaxis for prevention of surgical-site infection after groin hernia surgery.The British journal of surgery · 2017Pooled it
- USA Department of Defense audit of surgical antibiotic prophylaxis prescribing patterns in inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Preoperative Antibiotic Prophylaxis in Elective Minor Surgical Procedures among Adults in Southern Italy.Antibiotics (Basel, Switzerland) · 2020Article
- Supportive technology in collaborative research: proposing the STiCR framework.Annals of the Royal College of Surgeons of England · 2020Review
- Inguinal hernia repair in Nigeria: a survey of surgical trainees.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Knowledge, attitude and practice of surgical staff towards preoperative surgical antibiotic prophylaxis at an academic tertiary hospital in Sudan.Patient safety in surgery · 2019Article
- Commentary: Hernia, Mesh, and Topical Antibiotics, Especially Gentamycin: Seeking the Evidence for the Perfect Outcome….Frontiers in surgery · 2017Article
- The effectiveness of i.v. cefuroxime prophylaxis of surgical site infection after elective inguinal hernia repair with mesh: A retrospective observational study.European journal of clinical pharmacology · 2016Observational
- Antibiotic prophylaxis in open inguinal hernia repair: a literature review and summary of current knowledge.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016Review
- A national trainee-led audit of inguinal hernia repair in Scotland.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- Clinical trial networks in orthopaedic surgery.Bone & joint research · 2014Review
- [Antibiotic prophylaxis in dermatologic and soft tissue surgery].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2014Article
- The danger of performing meta-analysis and the impact of guidelines.Hernia : the journal of hernias and abdominal wall surgery · 2013Article
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36 authors.
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Abstract
purposeEvidence regarding whether or not antibiotic prophylaxis is beneficial in preventing post-operative surgical site infection in adult inguinal hernia repair is conflicting. A recent Cochrane review based on 17 randomised trials did not reach a conclusion on this subject. This study aimed to describe the current practice and determine whether clinical equipoise is prevalent.
methodsSurgeons in training were recruited to administer the Survey of Hernia Antibiotic Prophylaxis usE survey to consultant-level general surgeons in London and the south-east of England on their practices and beliefs regarding antibiotic prophylaxis in adult elective inguinal hernia repair. Local prophylaxis guidelines for the participating hospital sites were also determined.
resultsThe study was conducted at 34 different sites and received completed surveys from 229 out of a possible 245 surgeons, a 93 % response rate. Overall, a large majority of hospital guidelines (22/28) and surgeons' personal beliefs (192/229, 84 %) supported the use of single-dose pre-operative intravenous antibiotic prophylaxis in inguinal hernia repair, although there was considerable variation in the regimens in use. The most widely used regimen was intravenous co-amoxiclav (1.2 g). Less than half of surgeons were adherent to their own hospital antibiotic guidelines for this procedure, although many incorrectly believed that they were following these.
conclusionIn the south-east of England, there is a strong majority of surgical opinion in favour of the use of antibiotic prophylaxis in this procedure. It is therefore likely to be extremely difficult to conduct further randomised studies in the UK to support or refute the effectiveness of prophylaxis in this commonly performed procedure.
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