Thumbnail Image
Item

Contemporary Prophylactic Antibiotic Practices and Adjunct Therapies in Autologous Fat Grafting Procedures: A Survey of The Aesthetic Society Members

Araya, Sthefano
; 
Chang, Alexander H.
; 
Moss, Civanni
; 
Gubara, Sarah M.
; 
Gebreyesus, Maria T.
; 
Jordan, Kenneth
; 
Ruth, Karen J.
; 
Baltodano, Pablo
; 
Patel, Sameer A.
Citations
Altmetric:
Genre
Journal article
Date
2024-01-09
Advisor
Committee member
Group
Fox Chase Cancer Center (Temple University)
Department
Subject
Permanent link to this record
https://scholarshare.temple.edu/handle/20.500.12613/11745
Collections
Faculty/Researcher Works
Show all metadata
Files
Thumbnail Image
SthefanoEtAl-JournalArticle-2024-01.pdf
Adobe PDF, 323.85 KB
Research Projects
Organizational Units
Journal Issue
DOI
https://doi.org/10.1093/asjof/ojae001
Abstract
Background Autologous fat grafting (AFG) is a widely used surgical technique that involves extracting a patient's own adipose tissue and transferring it to different areas of the body. This practice is still evolving. Guidelines for antibiotic prophylaxis and use of adjuncts in plastic surgery are currently limited, with a notable absence of standardized guidelines for AFG. Objectives In this survey, we assess contemporary antibiotic practices and adjuncts in AFG procedures. Methods A 52-question survey was emailed to 3106 active members of The Aesthetic Society. Two hundred and ninety-three responses were recorded, representing a 9% response rate. Results We analyzed 288 responses. The most common AFG procedures were facial (38%), gluteal (34%), and breast (27%) augmentation. Preoperative antibiotics were used by 84.0% overall, with rates of 74.3%, 88.0%, and 92.7% in face, breast, and gluteal AFG, respectively. Lipoaspirate–antibiotic mixing was reported by 19.8%, mainly during gluteal AFG (46.9%), and less so in face (2.8%) and breast (8%) AFG. Notably, 46.9% of surgeons administered prolonged prophylaxis for 72 h or more. Tranexamic acid was utilized by 39.9% of the surveyed surgeons. Platelet-rich plasma was used by 5.6%. Doppler ultrasound was incorporated by 16.7% in AFG, with 21.5% in gluteal AFG, 14% in the face, and 19% in breast procedures. Conclusions In this survey, we offer insights into antibiotic practices and adjunct therapies in AFG, especially intraoperative antibiotic mixing. Practices among members of The Aesthetic Society vary from guidelines. It is crucial to standardize practices and conduct further research to pave the way for evidence-based guidelines in AFG.
Description
Citation
Sthefano Araya, Alexander H Chang, Civanni Moss, Sarah M Gubara, Maria T Gebreyesus, Kenneth Jordan, Karen J Ruth, Pablo Baltodano, Sameer A Patel, Contemporary Prophylactic Antibiotic Practices and Adjunct Therapies in Autologous Fat Grafting Procedures: A Survey of The Aesthetic Society Members, Aesthetic Surgery Journal Open Forum, Volume 6, 2024, ojae001, https://doi.org/10.1093/asjof/ojae001
Citation to related work
Oxford University Press (OUP)
Has part
Aesthetic Surgery Journal. Open forum, Vol. 6
ADA compliance
Embedded videos
License
Attribution-NonCommercial CC BY-NC
cbn