Avsluta undersökningen Antibiotics use in Aesthetic Surgery - A Survey Question Title * 1. Our intention in this survey is to discuss and learn more about the use of antibiotics and infections in Aesthetic surgery at next SFEP meeting Uppsala August 23-25, 2013. Please see the preliminary program www.sfep2013.se.The aims of the Board of Swedish Society of Aesthetic Plastic Surgery / SFEP and its members are to present highest quality of plastic surgery and to strive for the uppermost patient safety and to always gain knowledge in the field.Your answers are of course confidential.What is your standpoint in handling the issue of MRSA bacteria? No tracking since they are in good health and without infected wounds Tracking by cultures all patients being inside a hospital abroad within the last 6 months Tracking by cultures all patients being nside a hospital abroad within the last 2 years Tracking by cultures all patients being inside a hospital abroad within the last 10 years Annan (var god ange) Question Title * 2. What's your preference of antibiotic prophylaxis? No prophylaxis PO the day before surg PO 30-60 min before surg only IV 30-60 min before surg only IV for 24 hrs IV + PO for 2-3 days IV + PO for >7 days Blepharoplasty Blepharoplasty No prophylaxis Blepharoplasty PO the day before surg Blepharoplasty PO 30-60 min before surg only Blepharoplasty IV 30-60 min before surg only Blepharoplasty IV for 24 hrs Blepharoplasty IV + PO for 2-3 days Blepharoplasty IV + PO for >7 days Face lift Face lift No prophylaxis Face lift PO the day before surg Face lift PO 30-60 min before surg only Face lift IV 30-60 min before surg only Face lift IV for 24 hrs Face lift IV + PO for 2-3 days Face lift IV + PO for >7 days Rhinoplasty Rhinoplasty No prophylaxis Rhinoplasty PO the day before surg Rhinoplasty PO 30-60 min before surg only Rhinoplasty IV 30-60 min before surg only Rhinoplasty IV for 24 hrs Rhinoplasty IV + PO for 2-3 days Rhinoplasty IV + PO for >7 days Chin or malar implant Chin or malar implant No prophylaxis Chin or malar implant PO the day before surg Chin or malar implant PO 30-60 min before surg only Chin or malar implant IV 30-60 min before surg only Chin or malar implant IV for 24 hrs Chin or malar implant IV + PO for 2-3 days Chin or malar implant IV + PO for >7 days Breast augmentation Breast augmentation No prophylaxis Breast augmentation PO the day before surg Breast augmentation PO 30-60 min before surg only Breast augmentation IV 30-60 min before surg only Breast augmentation IV for 24 hrs Breast augmentation IV + PO for 2-3 days Breast augmentation IV + PO for >7 days Breast reduction Breast reduction No prophylaxis Breast reduction PO the day before surg Breast reduction PO 30-60 min before surg only Breast reduction IV 30-60 min before surg only Breast reduction IV for 24 hrs Breast reduction IV + PO for 2-3 days Breast reduction IV + PO for >7 days Liposuction 1-4 litres Liposuction 1-4 litres No prophylaxis Liposuction 1-4 litres PO the day before surg Liposuction 1-4 litres PO 30-60 min before surg only Liposuction 1-4 litres IV 30-60 min before surg only Liposuction 1-4 litres IV for 24 hrs Liposuction 1-4 litres IV + PO for 2-3 days Liposuction 1-4 litres IV + PO for >7 days Fat transplantation to face Fat transplantation to face No prophylaxis Fat transplantation to face PO the day before surg Fat transplantation to face PO 30-60 min before surg only Fat transplantation to face IV 30-60 min before surg only Fat transplantation to face IV for 24 hrs Fat transplantation to face IV + PO for 2-3 days Fat transplantation to face IV + PO for >7 days Fat transplantation to body Fat transplantation to body No prophylaxis Fat transplantation to body PO the day before surg Fat transplantation to body PO 30-60 min before surg only Fat transplantation to body IV 30-60 min before surg only Fat transplantation to body IV for 24 hrs Fat transplantation to body IV + PO for 2-3 days Fat transplantation to body IV + PO for >7 days Abdominoplasty Abdominoplasty No prophylaxis Abdominoplasty PO the day before surg Abdominoplasty PO 30-60 min before surg only Abdominoplasty IV 30-60 min before surg only Abdominoplasty IV for 24 hrs Abdominoplasty IV + PO for 2-3 days Abdominoplasty IV + PO for >7 days Combination surgery Combination surgery No prophylaxis Combination surgery PO the day before surg Combination surgery PO 30-60 min before surg only Combination surgery IV 30-60 min before surg only Combination surgery IV for 24 hrs Combination surgery IV + PO for 2-3 days Combination surgery IV + PO for >7 days Postbariatric surgery Postbariatric surgery No prophylaxis Postbariatric surgery PO the day before surg Postbariatric surgery PO 30-60 min before surg only Postbariatric surgery IV 30-60 min before surg only Postbariatric surgery IV for 24 hrs Postbariatric surgery IV + PO for 2-3 days Postbariatric surgery IV + PO for >7 days Genital surgery Genital surgery No prophylaxis Genital surgery PO the day before surg Genital surgery PO 30-60 min before surg only Genital surgery IV 30-60 min before surg only Genital surgery IV for 24 hrs Genital surgery IV + PO for 2-3 days Genital surgery IV + PO for >7 days Annan (var god ange) Question Title * 3. What's Your choice of antibiotic drug? No prophylaxis pc isoxacillin Cephalospo Klindamyc Quinolones Tienam Tetracycl Metronidazol Trimethoprim Blepharoplasty Blepharoplasty No prophylaxis Blepharoplasty pc isoxacillin Blepharoplasty Cephalospo Blepharoplasty Klindamyc Blepharoplasty Quinolones Blepharoplasty Tienam Blepharoplasty Tetracycl Blepharoplasty Metronidazol Blepharoplasty Trimethoprim Face lift Face lift No prophylaxis Face lift pc isoxacillin Face lift Cephalospo Face lift Klindamyc Face lift Quinolones Face lift Tienam Face lift Tetracycl Face lift Metronidazol Face lift Trimethoprim Rhinoplasty Rhinoplasty No prophylaxis Rhinoplasty pc isoxacillin Rhinoplasty Cephalospo Rhinoplasty Klindamyc Rhinoplasty Quinolones Rhinoplasty Tienam Rhinoplasty Tetracycl Rhinoplasty Metronidazol Rhinoplasty Trimethoprim Chin or malar implant Chin or malar implant No prophylaxis Chin or malar implant pc isoxacillin Chin or malar implant Cephalospo Chin or malar implant Klindamyc Chin or malar implant Quinolones Chin or malar implant Tienam Chin or malar implant Tetracycl Chin or malar implant Metronidazol Chin or malar implant Trimethoprim Breast augmentation Breast augmentation No prophylaxis Breast augmentation pc isoxacillin Breast augmentation Cephalospo Breast augmentation Klindamyc Breast augmentation Quinolones Breast augmentation Tienam Breast augmentation Tetracycl Breast augmentation Metronidazol Breast augmentation Trimethoprim Breast reduction Breast reduction No prophylaxis Breast reduction pc isoxacillin Breast reduction Cephalospo Breast reduction Klindamyc Breast reduction Quinolones Breast reduction Tienam Breast reduction Tetracycl Breast reduction Metronidazol Breast reduction Trimethoprim Liposuction 1-4 litres Liposuction 1-4 litres No prophylaxis Liposuction 1-4 litres pc isoxacillin Liposuction 1-4 litres Cephalospo Liposuction 1-4 litres Klindamyc Liposuction 1-4 litres Quinolones Liposuction 1-4 litres Tienam Liposuction 1-4 litres Tetracycl Liposuction 1-4 litres Metronidazol Liposuction 1-4 litres Trimethoprim Fat transplantation to face Fat transplantation to face No prophylaxis Fat transplantation to face pc isoxacillin Fat transplantation to face Cephalospo Fat transplantation to face Klindamyc Fat transplantation to face Quinolones Fat transplantation to face Tienam Fat transplantation to face Tetracycl Fat transplantation to face Metronidazol Fat transplantation to face Trimethoprim Fat transplantation to body Fat transplantation to body No prophylaxis Fat transplantation to body pc isoxacillin Fat transplantation to body Cephalospo Fat transplantation to body Klindamyc Fat transplantation to body Quinolones Fat transplantation to body Tienam Fat transplantation to body Tetracycl Fat transplantation to body Metronidazol Fat transplantation to body Trimethoprim Abdominoplasty Abdominoplasty No prophylaxis Abdominoplasty pc isoxacillin Abdominoplasty Cephalospo Abdominoplasty Klindamyc Abdominoplasty Quinolones Abdominoplasty Tienam Abdominoplasty Tetracycl Abdominoplasty Metronidazol Abdominoplasty Trimethoprim Combination surgery Combination surgery No prophylaxis Combination surgery pc isoxacillin Combination surgery Cephalospo Combination surgery Klindamyc Combination surgery Quinolones Combination surgery Tienam Combination surgery Tetracycl Combination surgery Metronidazol Combination surgery Trimethoprim Postbariatric surgery Postbariatric surgery No prophylaxis Postbariatric surgery pc isoxacillin Postbariatric surgery Cephalospo Postbariatric surgery Klindamyc Postbariatric surgery Quinolones Postbariatric surgery Tienam Postbariatric surgery Tetracycl Postbariatric surgery Metronidazol Postbariatric surgery Trimethoprim Genital surgery Genital surgery No prophylaxis Genital surgery pc isoxacillin Genital surgery Cephalospo Genital surgery Klindamyc Genital surgery Quinolones Genital surgery Tienam Genital surgery Tetracycl Genital surgery Metronidazol Genital surgery Trimethoprim Annan (var god ange) Question Title * 4. Have you ever experienced serious complications due to infection in Aesthetic surgery? MRSA infection GroupA Streptocc - "Killer bacteria" Clostridium Difficile Necrotizing Fascitiis Comments / (please share with us your experiences) Question Title * 5. Have You ever had an elective aesthetic surgical patient develop a postoperative MRSA infection? Yes No Annan (var god ange) Question Title * 6. In a case of known MRSA - Do you consider surgery? Yes No Comments (please specify) Question Title * 7. Do You consider other options for infection prevention? yes no Demand stop smoking at surgery Demand stop smoking at surgery yes Demand stop smoking at surgery no Demand stop smoking 4 weeks pre- and 4 postop. Demand stop smoking 4 weeks pre- and 4 postop. yes Demand stop smoking 4 weeks pre- and 4 postop. no Do you change your choice of antibiotics in a Diabetic patient Do you change your choice of antibiotics in a Diabetic patient yes Do you change your choice of antibiotics in a Diabetic patient no Hair removal / shaving the day before Hair removal / shaving the day before yes Hair removal / shaving the day before no Hair removal electric barbing at opstart Hair removal electric barbing at opstart yes Hair removal electric barbing at opstart no No hair removal No hair removal yes No hair removal no Prevent hypothermia i.e. electric blanket or similar Prevent hypothermia i.e. electric blanket or similar yes Prevent hypothermia i.e. electric blanket or similar no Do you practice infection registration Do you practice infection registration yes Do you practice infection registration no Tips & tricks (please share with us) Question Title * 8. In the case of Breast augmentationWhat's your technique? Always Sometimes Never Dress the whole op field in plastic as Tegaderm/Ioban Dress the whole op field in plastic as Tegaderm/Ioban Always Dress the whole op field in plastic as Tegaderm/Ioban Sometimes Dress the whole op field in plastic as Tegaderm/Ioban Never Cover the Nipple area complex with tegaderm Cover the Nipple area complex with tegaderm Always Cover the Nipple area complex with tegaderm Sometimes Cover the Nipple area complex with tegaderm Never Do you use sizers for the implants Do you use sizers for the implants Always Do you use sizers for the implants Sometimes Do you use sizers for the implants Never Regularly change of gloves Regularly change of gloves Always Regularly change of gloves Sometimes Regularly change of gloves Never Alcohol rinsing of the skin incision area before implantation Alcohol rinsing of the skin incision area before implantation Always Alcohol rinsing of the skin incision area before implantation Sometimes Alcohol rinsing of the skin incision area before implantation Never Rinse the prosthesis in Chlorhexidin solution before implantation Rinse the prosthesis in Chlorhexidin solution before implantation Always Rinse the prosthesis in Chlorhexidin solution before implantation Sometimes Rinse the prosthesis in Chlorhexidin solution before implantation Never Rinse the prosthesis in antibiotics before implantation Rinse the prosthesis in antibiotics before implantation Always Rinse the prosthesis in antibiotics before implantation Sometimes Rinse the prosthesis in antibiotics before implantation Never Instillate the pocket with antibiotics Instillate the pocket with antibiotics Always Instillate the pocket with antibiotics Sometimes Instillate the pocket with antibiotics Never Instillate the pocket with Iodin / Jod Instillate the pocket with Iodin / Jod Always Instillate the pocket with Iodin / Jod Sometimes Instillate the pocket with Iodin / Jod Never Use of Keller funnel Use of Keller funnel Always Use of Keller funnel Sometimes Use of Keller funnel Never Stitch in more than 2 layers Stitch in more than 2 layers Always Stitch in more than 2 layers Sometimes Stitch in more than 2 layers Never Tips & tricks (please share with us) Question Title * 9. What do you believe is your frequence of wound infection demanding antibiotics? < 1 % 1-2 % 2-5 % 5-10 % 10-15 % 15-20 % Blepharoplasty Blepharoplasty < 1 % Blepharoplasty 1-2 % Blepharoplasty 2-5 % Blepharoplasty 5-10 % Blepharoplasty 10-15 % Blepharoplasty 15-20 % Face lift Face lift < 1 % Face lift 1-2 % Face lift 2-5 % Face lift 5-10 % Face lift 10-15 % Face lift 15-20 % Rhinoplasty Rhinoplasty < 1 % Rhinoplasty 1-2 % Rhinoplasty 2-5 % Rhinoplasty 5-10 % Rhinoplasty 10-15 % Rhinoplasty 15-20 % Chin or malar implant Chin or malar implant < 1 % Chin or malar implant 1-2 % Chin or malar implant 2-5 % Chin or malar implant 5-10 % Chin or malar implant 10-15 % Chin or malar implant 15-20 % Breast augmentation Breast augmentation < 1 % Breast augmentation 1-2 % Breast augmentation 2-5 % Breast augmentation 5-10 % Breast augmentation 10-15 % Breast augmentation 15-20 % Breast reduction Breast reduction < 1 % Breast reduction 1-2 % Breast reduction 2-5 % Breast reduction 5-10 % Breast reduction 10-15 % Breast reduction 15-20 % Liposuction 1-4 litres Liposuction 1-4 litres < 1 % Liposuction 1-4 litres 1-2 % Liposuction 1-4 litres 2-5 % Liposuction 1-4 litres 5-10 % Liposuction 1-4 litres 10-15 % Liposuction 1-4 litres 15-20 % Fat transplantation to face Fat transplantation to face < 1 % Fat transplantation to face 1-2 % Fat transplantation to face 2-5 % Fat transplantation to face 5-10 % Fat transplantation to face 10-15 % Fat transplantation to face 15-20 % Fat transplantation to body Fat transplantation to body < 1 % Fat transplantation to body 1-2 % Fat transplantation to body 2-5 % Fat transplantation to body 5-10 % Fat transplantation to body 10-15 % Fat transplantation to body 15-20 % Abdominoplasty Abdominoplasty < 1 % Abdominoplasty 1-2 % Abdominoplasty 2-5 % Abdominoplasty 5-10 % Abdominoplasty 10-15 % Abdominoplasty 15-20 % Combination surgery Combination surgery < 1 % Combination surgery 1-2 % Combination surgery 2-5 % Combination surgery 5-10 % Combination surgery 10-15 % Combination surgery 15-20 % Postbariatric surgery Postbariatric surgery < 1 % Postbariatric surgery 1-2 % Postbariatric surgery 2-5 % Postbariatric surgery 5-10 % Postbariatric surgery 10-15 % Postbariatric surgery 15-20 % Genital surgery Genital surgery < 1 % Genital surgery 1-2 % Genital surgery 2-5 % Genital surgery 5-10 % Genital surgery 10-15 % Genital surgery 15-20 % Comments (please specify) Question Title * 10. What do you believe is your frequency of breast implant infection demanding removal of prosthesis? 0 % < 1 % 1-2 % 2-5 % 5-10 % 10-15 % 15-20 % Comments (please specify) Question Title * 11. What do you believe is your frequency of complications in breast augmentation? within 1 year 2-10 years > 10 years Capsular contraction 0 % < 1 % 2-5 % 5-10 % 10-15 % Capsular contraction within 1 year menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Capsular contraction 2-10 years menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Capsular contraction > 10 years menu Seroma formation 0 % < 1 % 2-5 % 5-10 % 10-15 % Seroma formation within 1 year menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Seroma formation 2-10 years menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Seroma formation > 10 years menu Rotation/flip around 0 % < 1 % 2-5 % 5-10 % 10-15 % Rotation/flip around within 1 year menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Rotation/flip around 2-10 years menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Rotation/flip around > 10 years menu Rupture silicon prosthesis 0 % < 1 % 2-5 % 5-10 % 10-15 % Rupture silicon prosthesis within 1 year menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Rupture silicon prosthesis 2-10 years menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Rupture silicon prosthesis > 10 years menu Rupture saline prosthesis 0 % < 1 % 2-5 % 5-10 % 10-15 % Rupture saline prosthesis within 1 year menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Rupture saline prosthesis 2-10 years menu 0 % < 1 % 2-5 % 5-10 % 10-15 % Rupture saline prosthesis > 10 years menu Annan (var god ange) Question Title * 12. What's your Brand of breast prosthesis Mentor Allergan/Natrelle Eurosilicon Perthese Arion Polyurethan Mexx Annan (var god ange) Question Title * 13. How old are you? 20-30 years 31-40 years 41-50 years 51-60 years 61-70 years 71-80 years Question Title * 14. What's your working conditions? Single center 1-2 collegues 3-4 collegues larger center > 4 collegues Question Title * 15. How many aesthetic procedures do you perform a year? 100-200 200-300 300-400 400-500 500-600 600-700 Question Title * 16. Where are you practising? Sverige Norge Finland Danmark Island Other Annan (var god ange) Question Title * 17. Thanks for your help and contribution to this coming discussion at sfep2013.se Uppsala August 23-25 2013. Do you have any suggestion for an interesting topic to bring up at next years meeting? Klar
