{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T23:09:32Z","timestamp":1784243372155,"version":"3.55.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study aimed to evaluate the impact of surgical antimicrobial prophylaxis (SAP) on testicular torsion surgery (TTS) postoperative outcomes using data from the National Surgical Quality Improvement Program Pediatric (NSQIP-P). Across multiple studies, NSQIP-P has proven increased sensitivity in recording postoperative complications compared with similar databases.<\/jats:p>\n                  <jats:p>The 2021\u20132023 NSQIP-P participant user and SAP files were queried for all TTSs. Patients with unrecorded SAP administration data (n\u2009=\u20092,725) were excluded. Postoperative events were then compared between subjects who did or did not receive SAP. Primary outcomes included rates of surgical site infection (SSI), 30-day readmission, and 30-day reoperation. SPSS statistical software was used to perform comparative statistical analyses between groups.<\/jats:p>\n                  <jats:p>A total of 614 patients were included in the study and divided into Group 1 (+SAP, n\u2009=\u2009322) and Group 2 (\u2212SAP, n\u2009=\u2009292). In the +SAP group, there was no observation of SSI, but one case resulted in 30-day readmission and reoperation. Another 30-day readmission and 30-day reoperation were noted, as well. In the \u2212SAP, there was one observation of a deep incisional SSI who was readmitted. There were no 30-day reoperations in this group. There was no statistical significance in outcomes between the two groups.<\/jats:p>\n                  <jats:p>To date, this is the first study assessing the impact of SAP in torsion-reduction surgeries using the NSQIP-P database. There is a low frequency of postoperative complications with this procedure. Our study suggests limited utility of SAP with this surgery despite continued use.<\/jats:p>","DOI":"10.1055\/a-2786-3629","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T23:51:48Z","timestamp":1768521108000},"page":"347-350","source":"Crossref","is-referenced-by-count":0,"title":["Is Preoperative Antimicrobial Prophylaxis Necessary in Testicular Torsion Surgery? Results from the National Surgical Quality Improvement Program Pediatric"],"prefix":"10.1055","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5696-3981","authenticated-orcid":false,"given":"Alexandra","family":"Stone","sequence":"additional","affiliation":[{"name":"Department of Urology, SUNY Upstate Medical University, Syracuse, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maithili","family":"Gopalakrishnan","sequence":"additional","affiliation":[{"name":"Department of Urology, SUNY Upstate Medical University, Syracuse, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Tracey","sequence":"additional","affiliation":[{"name":"Department of Urology, SUNY Upstate Medical University, Syracuse, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Mason","sequence":"additional","affiliation":[{"name":"Department of Urology, SUNY Upstate Medical University, Syracuse, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Villanueva","sequence":"additional","affiliation":[{"name":"Department of Urology, SUNY Upstate Medical University, Syracuse, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"issue":"12","key":"ref1","first-page":"835","article-title":"Testicular torsion: Diagnosis, evaluation, and management","volume":"88","author":"V J Sharp","year":"2013","journal-title":"Am Fam Physician"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1017\/ice.2020.71","article-title":"Understanding antibiotic prophylaxis prescribing in pediatric surgical specialties","volume":"41","author":"S M Malone","year":"2020","journal-title":"Infect Control Hosp 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Jernigan","year":"2020","journal-title":"N Engl J Med"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1001\/jamapediatrics.2016.0019","article-title":"National variability and appropriateness of surgical antibiotic prophylaxis in US children's hospitals","volume":"170","author":"T J Sandora","year":"2016","journal-title":"JAMA Pediatr"},{"issue":"02","key":"ref14","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1007\/s15010-023-02145-1","article-title":"Prospective assessment of the frequency of and risk factors for bleeding events in patients treated with cefazolin","volume":"52","author":"E Gras","year":"2024","journal-title":"Infection"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s10096-018-3412-6","article-title":"Evolution of haemostatic parameters and risk of bleeding during treatment with cefazolin","volume":"38","author":"A Strazzulla","year":"2019","journal-title":"Eur J Clin 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