Perioperative Antibiotic Use in Esophagoscopy With or Without Therapeutic Intervention: Survey Study
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https://orcid.org/0000-0003-3139-8026
Malak Alhawsawi
Milan Amin, M.D
Abstract
Background: There is a little data evaluating antibiotic use esophagoscopy with or without therapeutic intervention.The goal of this study was to determine antibiotic use rate and factors that influence antibiotic use during esophagoscopy.
Methods: An online-based survey was distributed to the laryngologists across U.S.Outcomes included the antibiotic use in general,fellowship training,practice location,surgeon experience,and patient factors influencing antibiotic use.
Results: There were 42 respondents (24.13% response rate).100% were in academic institutions.88.1% of Respondents were fellowship-trained laryngologists.Most surgeons (90.5%)don’t give perioperative antibiotics during diagnostic esophagoscopy while 21.4% , 19%,9.5% of the respondents give antibiotics during Esophagoscopy with Balloon Dilatation , Bougies Dilatation,UES Botulinum Toxin Injection respectively.In general,No statistically significant association was found between the routine of prescribing preoperative antibiotics and being fellowship-trained in laryngology or not by using Fisher's Exact Test while a statistically significant association was found between the fellowship training and the decision made based on patients’ comorbidities (P<0.05).Using Bonferroni correction,A significant difference was observed between having a fellowship in laryngology or not,and prescribing perioperative antibiotics(sometimes)in Esophagoscopy with Balloon Dilatation(P <0.005).Furthermore,the decision to prescribe perioperative antibiotics based on the patient’s comorbidities was significantly associated with the years after the fellowship completed was completed,P<0.05.
Conclusion:This study shows that most of the laryngologists do not prescribe antibiotic during esophagoscopy in general but there was significant variation in prescribing practices based on patient comorbidities, fellowship training in laryngology, and years of practice after residency or fellowship