{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:32:31Z","timestamp":1790274751151,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T00:00:00Z","timestamp":1678320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The aim of perioperative antibiotic prophylaxis (PAP) is to prevent the occurrence of surgical site infections (SSIs) or other infectious complications (especially bacterial endocarditis or septic arthritis). PAP is effective in surgeries where overall infection rates are high even without considering patient\u2010related risk factors (such as orthopedic surgery or fracture repair). Surgery on airways, gastrointestinal, genital, or urinary tract is also considered to be associated with a risk of infection and may require PAP. Overall, SSIs in skin surgery are relatively rare and vary between 1% and 11% depending on the localization, complexity of the wound closure and patient cohort. Therefore, the general surgical recommendations regarding PAP only partially reflect the needs of dermatologic surgery. In contrast to the USA, where recommendations on the use of PAP in skin surgery already exist, there are currently no guidelines for the use of PAP specifically designed for dermatologic surgery in Germany. In the absence of an evidence\u2010based recommendation, the use of PAP is guided by the experience of the surgeons and leads to a heterogeneous use of antimicrobial substances. In this work, we summarize the current scientific literature on the use of PAP and make a recommendation depending on procedure\u2010 and patient\u2010related risk factors.<\/jats:p>","DOI":"10.1111\/ddg.14947","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T14:17:13Z","timestamp":1678371433000},"page":"949-956","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Perioperative antibiotic prophylaxis in skin surgery \u2013 Position paper of the Antibiotic Stewardship working group of the German Society for Dermatologic Surgery (DGDC), Part 1: Procedure\u2010 and patient\u2010related risk factors"],"prefix":"10.1111","volume":"21","author":[{"given":"Christoph R.","family":"L\u00f6ser","sequence":"first","affiliation":[{"name":"Department of Dermatolgogy Ludwigshafen City Hospital  Ludwigshafen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f6ren L.","family":"Becker","sequence":"additional","affiliation":[{"name":"Institute of Medical Microbiology and Hygiene Saarland University  Homburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Hartmann","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, Ludwig Maximilian University Munich  Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Kofler","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Center for Dermatologic Surgery Eberhard\u2010Karls University of T\u00fcbingen  T\u00fcbingen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Kunte","sequence":"additional","affiliation":[{"name":"Department of Dermatologic Surgery and Dermatology Artemed Clinic Munich  Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia S. 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