engleski

Preoperative antibiotics for cochlear implantation surgery, are they necessary

Objectives: To examine the impact of preoperative antibiotic prophylaxis on the occurrence of postoperative complications in patients undergoing cochlear implantation Materials and Methods: Data of 491 patients were included in a non–randomized retrospective comparative cohort study. Results: There were 317 patients who did not receive preoperative antibiotic prophylaxis and 174 patients who received preoperative antibiotic prophylaxis. The overall rate of complications requiring surgical treatment was 2.85%. No difference in complication rate was observed between the two groups. No correlation between sex, age, manufacturer, surgeon and postoperative complications were noted. Conclusion: There is insufficient evidence to inform decision making regarding preoperative antibiotics use for prevention of infection after cochlear implantation surgery, with data failing to show that administration of preoperative antibiotics leads to a decrease in complication rate. Considering a very low overall complication rate, with few complications related to infection, routine use of preoperative antibiotic prophylaxis should be analyzed further.

cochlear implant, antibiotics

nije evidentirano