title: The bacteriology of children prior to 1st stage autologous ear reconstruction.
abstract: In virtually all surgical specialities the use of peri-operative antibiotic prophylaxis to minimise wound site infection is routine practice. Antibiotic selection is targeted towards the pathogens most commonly encountered at the surgical site. The surgical management of microtia is by autologous rib cartilage reconstruction, a process that involves at least two surgical stages. The pits and recesses of the microtia ear are difficult to clean and may shelter unusual pathogens not routinely found as skin commensals, requiring modified prophylaxis. This retrospective review of 37 patients undergoing 1st stage ear reconstruction, examines the pre-operative ear site, nose and throat swabs to determine the common pre-operative bacteria encountered in children prior to ear reconstruction, to aid in appropriate antibiotic selection.
authors.affiliation: Department of Plastic Surgery, Oxford Radcliffe Hospitals NHS Trust, Headley Way, Oxford OX3 9DU, UK. Karen.a.eley@gmail.com
authors.forename: Karen A
authors.initials: KA
authors.lastname: Eley
authors.forename: David T
authors.initials: DT
authors.lastname: Gault
mesh_terms: D000293:Adolescent; D019072:Antibiotic Prophylaxis; D002648:Child; D000013:Congenital Abnormalities; D065817:Congenital Microtia; D004423:Ear / Q000002:abnormalities / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000382:microbiology; D010614:Pharynx / Q000382:microbiology*; D057234:Preoperative Period; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000517:prevention & control*; D014182:Transplantation, Autologous