Antibiotic Preference in Interventions Frequently Performed by Pediatric Surgeons and Pediatric Urology Doctors in Türkiye

Gülnur Göllü

Article Details

Antibiotic Preference in Interventions Frequently Performed by Pediatric Surgeons and Pediatric Urology Doctors in Türkiye

Authors:

Gülnur Göllü

Publisher:

Ankara University

Main Topics:

Pediatric Surgery

Journal:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 1, pp.75-80

Document Type:

Article

Publication Date:

3/2024

Document Language:

English

Document ID (Org No.):

2001349787

pISSN:

0365-8104

Keywords:

Abstract:

 Objectives: The practices regarding the use of antibiotics in common pediatric urology procedures are not clear. Therefore, our practical approaches may vary. This survey aimed to evaluate the antibiotic preferences of surgeons in Turkey in urological procedures commonly performed by pediatric surgeons and pediatric urologists. Materials and Methods: Ethical approval was obtained from the local ethics committee on 21.11.2022, with approval number I10-626-22. The survey questions, prepared using Google Forms, were sent via email to pediatric surgery and pediatric urology specialists. The study was completed by 40 surgeons. Results: 90 of the participants were pediatric surgery specialists, and 40 had over 16 years of experience. 40 of the participants worked in university hospitals. The rate of antibiotic use was determined to be 80 before and 90 after surgery in distal hypospadias repairs, and 85 before and 97.5 after surgery in proximal hypospadias repairs. When asked about the selected antibiotic types, first and second-generation cephalosporins were most commonly preferred for hypospadias patients. In pyeloplasty, antibiotic use was 95, and in patients who underwent laparoscopic exploration for an undescended testicle, it was 57.5. Inguinal approaches for hernia or hydrocele repairs had a 30 antibiotic use rate, and endourological procedures had a rate of 62.5. The most commonly preferred antibiotic in patients undergoing bladder augmentation was third-generation cephalosporins 51.3, followed by aminoglycosides 28.2. Multiple drug use was most pronounced in bladder augmentation cases. Conclusion: Similar to the global practice, there is no consensus among pediatric urologists in Turkey regarding the use of prophylactic antibiotics before or after surgery. In order to establish standardized approaches, evidence-based, randomized controlled studies involving large patient groups are needed to develop clear guidelines.

 Objectives: The practices regarding the use of antibiotics in common pediatric urology procedures are not clear. Therefore, our practical approaches may vary. This survey aimed to evaluate the antibiotic preferences of surgeons in Turkey in urological procedures commonly performed by pediatric surgeons and pediatric urologists. Materials and Methods: Ethical approval was obtained from the local ethics committee on 21.11.2022, with approval number I10-626-22. The survey questions, prepared using Google Forms, were sent via email to pediatric surgery and pediatric urology specialists. The study was completed by 40 surgeons. Results: 90 of the participants were pediatric surgery specialists, and 40 had over 16 years of experience. 40 of the participants worked in university hospitals. The rate of antibiotic use was determined to be 80 before and 90 after surgery in distal hypospadias repairs, and 85 before and 97.5 after surgery in proximal hypospadias repairs. When asked about the selected antibiotic types, first and second-generation cephalosporins were most commonly preferred for hypospadias patients. In pyeloplasty, antibiotic use was 95, and in patients who underwent laparoscopic exploration for an undescended testicle, it was 57.5. Inguinal approaches for hernia or hydrocele repairs had a 30 antibiotic use rate, and endourological procedures had a rate of 62.5. The most commonly preferred antibiotic in patients undergoing bladder augmentation was third-generation cephalosporins 51.3, followed by aminoglycosides 28.2. Multiple drug use was most pronounced in bladder augmentation cases. Conclusion: Similar to the global practice, there is no consensus among pediatric urologists in Turkey regarding the use of prophylactic antibiotics before or after surgery. In order to establish standardized approaches, evidence-based, randomized controlled studies involving large patient groups are needed to develop clear guidelines.

 Objectives: The practices regarding the use of antibiotics in common pediatric urology procedures are not clear. Therefore, our practical approaches may vary. This survey aimed to evaluate the antibiotic preferences of surgeons in Turkey in urological procedures commonly performed by pediatric surgeons and pediatric urologists. Materials and Methods: Ethical approval was obtained from the local ethics committee on 21.11.2022, with approval number I10-626-22. The survey questions, prepared using Google Forms, were sent via email to pediatric surgery and pediatric urology specialists. The study was completed by 40 surgeons. Results: 90 of the participants were pediatric surgery specialists, and 40 had over 16 years of experience. 40 of the participants worked in university hospitals. The rate of antibiotic use was determined to be 80 before and 90 after surgery in distal hypospadias repairs, and 85 before and 97.5 after surgery in proximal hypospadias repairs. When asked about the selected antibiotic types, first and second-generation cephalosporins were most commonly preferred for hypospadias patients. In pyeloplasty, antibiotic use was 95, and in patients who underwent laparoscopic exploration for an undescended testicle, it was 57.5. Inguinal approaches for hernia or hydrocele repairs had a 30 antibiotic use rate, and endourological procedures had a rate of 62.5. The most commonly preferred antibiotic in patients undergoing bladder augmentation was third-generation cephalosporins 51.3, followed by aminoglycosides 28.2. Multiple drug use was most pronounced in bladder augmentation cases. Conclusion: Similar to the global practice, there is no consensus among pediatric urologists in Turkey regarding the use of prophylactic antibiotics before or after surgery. In order to establish standardized approaches, evidence-based, randomized controlled studies involving large patient groups are needed to develop clear guidelines.

 Amaç: Yaygın çocuk ürolojisi girişimlerinde antibiyotik kullanımına ilişkin uygulamalar net değildir. Bu nedenle pratik uygulamalarımız değişken olabilir. Bu anket çalışmasında çocuk cerrahları ve çocuk ürologları tarafından sık uygulanan ürolojik girişimlerde Türkiyedeki cerrahların antibiyotik tercihlerinin değerlendirilmesi amaçlandı. Gereç ve Yöntem: Çalışma öncesinde yerel etik kuruldan 21.11.2022 tarih ve İ10-626-22 sayılı onay alındı. Google Forms üzerinden hazırlanan anket soruları e-posta yoluyla çocuk cerrahisi ve çocuk ürolojisi uzmanlarına ulaştırıldı. Çalışmayı 40 cerrah cevapladı. Bulgular: Katılımcıların 90ı çocuk cerrahisi uzmanıydı ve 40ı 16 yıldan daha tecrübeliydi, 40ı üniversite hastanesinde çalışmaktaydı. Distal hipospadias onarımlarında ameliyat öncesinde 80, ameliyat sonrasında 90, proksimal hipospadias onarımlarında ameliyat öncesinde 85, ameliyat sonrasında ise 97,5 antibiyotik kullanma oranı belirlendi. Seçilen antibiyotik türleri sorulduğunda ise; hipospadias hastalarına en sık 1. ve 2. kuşak sefalosporinler tercih edildi. Pyeloplastide 95, üreteroneosistostomi ve mesane augmentasyonu veveya MitrafanoffMontide 97,5 ele gelmeyen testis nedeni ile laparoskopik eksplorasyon yapılanlarda 57,5 inguinal yaklaşımla fıtık veya hidrosel onarımlarında 30 ve endoürolojik girişimlerde 62,5 oranında antibiyotik uygulandığı tespit edildi. Mesane augmentasyonu yapılan hastalarda da en sık 3.kuşak sefalosporin 51,3 tercih edilmekle beraber ikinci en sık tercih aminoglokozitler 28,2 oldu. Çoklu ilaç kullanımı en belirgin mesane augmentasyonunda gözlendi. Sonuç: Dünyada olduğu gibi Türkiyede de çocuk ürologları arasında, cerrahi öncesinde veya sonrasında proflaktik antibiyotik kullanımı hakkında fikir birliği yoktur. Bu konuda standardize edilmiş yaklaşımların belirlenebilmesi için kanıta dayalı, randomize kontrollü, geniş hasta gruplarını içeren çalışmalarla belirlenmiş net yönergelerin oluşturulması gerekmektedir.

Article Details

Antibiotic Preference in Interventions Frequently Performed by Pediatric Surgeons and Pediatric Urology Doctors in Türkiye

Authors:

Gülnur Göllü

Publisher:

Ankara University

Main Topics:

Pediatric Surgery

Journal:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 1, pp.75-80

Document Type:

Article

Publication Date:

3/2024

Document Language:

English

Document ID (Org No.):

2001349787

pISSN:

0365-8104

Antibiotics

pediatric urology

surgery

prophylaxisAntibiyotik

çocuk ürolojisi

cerrahi

koruma

Issues

Article Details

Authors: Gülnur Göllü

Publisher: Ankara University

Main Topics: Pediatric Surgery

Journal: Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 1, pp.75-80

Document Type: Article

Publication Date: 3/2024

Document Language: English

Document ID (Org No.): 2001349787

pISSN: 0365-8104

Issues

Authors:

Gülnur Göllü

Publisher:

Ankara University

Main Topics:

Pediatric Surgery

Journal:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 1, pp.75-80

Document Type:

Article

Publication Date:

3/2024

Document Language:

English

Document ID (Org No.):

2001349787

pISSN:

0365-8104