Publication date: Available online 8 July 2017
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Justine S. Ko, Samantha Zwiebel, Brigid Wilson, Devra Becker
PurposeCarpal tunnel syndrome (CTS) has a high incidence in diabetic patients, with a reported incidence up to 21%. In severe cases of CTS, patients may undergo carpal tunnel release (CTR) surgery, which involves risk of infection and other complications. Some physicians provide prophylactic antibiotics to decrease risk of infection. Our study examines the effects of prophylactic antibiotic use, especially in a high-risk, diabetic population.Methods469 CTR surgeries performed by plastic surgery specialists were reviewed for diabetic status at time of surgery and perioperative antibiotic use. Postoperative infections occurring at the surgical site were recorded. Associations between perioperative antibiotic use and infection in diabetics and non-diabetics were then analyzed.ResultsNo significant decrease in infection rate was seen in those who were given perioperative antibiotic use. This relationship held true for diabetics as well.ConclusionsNo benefit to antibiotic use during CTR surgery was seen. There was, however, a trend toward a protective effect in patients with uncontrolled diabetes mellitus, suggesting that such patients may benefit from perioperative antibiotic use.Level of EvidenceIII (Retrospective cohort study), Therapeutic.
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