AI Article Synopsis
- Cochlear implant patients face a higher risk of pneumococcal meningitis, prompting new government guidelines for mandatory vaccination.
- The guidelines recommend antibiotic prophylaxis but lack specific recommendations on which antibiotics to use and for what duration.
- A survey of UK implant centers revealed that all surgeons use antibiotic prophylaxis; however, there is significant variability in the type and duration of antibiotics used, with many not following established surgical antibiotic principles.
Article Abstract
Cochlear implant patients are at an increased risk of pneumococcal meningitis. Recent government guidelines require all implant patients to undergo pneumococcal vaccination. The guidelines also suggest antibiotic prophylaxis but no clear guidelines regarding which antibiotic to use or for how long were issued.We asked each implant centre within the UK to describe their antibiotic protocol for cochlear implantation.Our results have showed that 100% of UK implant surgeons use antibiotic prophylaxis. The type of antibiotic and duration vary significantly between centres. Interestingly, however, the regimes followed by most practices do not adhere to surgical principles of antibiotic prophylaxis.
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| http://dx.doi.org/10.1179/cim.2008.9.2.82 | DOI Listing |
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