Academic Journal
Antibiotic prophylaxis and risk of orbital cellulitis following orbital floor fracture: a real-world evidence study using the TriNetX network.
| Τίτλος: | Antibiotic prophylaxis and risk of orbital cellulitis following orbital floor fracture: a real-world evidence study using the TriNetX network. |
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| Συγγραφείς: | Khan S; Ophthalmic Plastic Surgery, Lions Eye Institute, Department of Ophthalmology, Albany Medical College, Slingerlands, New York, USA., Simmons KL; Ophthalmic Plastic Surgery, Lions Eye Institute, Department of Ophthalmology, Albany Medical College, Slingerlands, New York, USA., Khan S; College of Medicine, Drexel University, Philadelphia, Pennsylvania, USA., Wladis EJ; Ophthalmic Plastic Surgery, Lions Eye Institute, Department of Ophthalmology, Albany Medical College, Slingerlands, New York, USA. |
| Πηγή: | Orbit (Amsterdam, Netherlands) [Orbit] 2026 Oct; Vol. 45 (5), pp. 645-649. Date of Electronic Publication: 2026 May 18. |
| Τύπος έκδοσης: | Journal Article; Multicenter Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8301221 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-5108 (Electronic) Linking ISSN: 01676830 NLM ISO Abbreviation: Orbit Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Informa Healthcare Original Publication: Amsterdam : Aeolus Press, [1982- |
| Ιατρικοί όροι (MeSH): | Orbital Fractures*/surgery , Orbital Cellulitis*/prevention & control , Orbital Cellulitis*/epidemiology , Anti-Bacterial Agents*/therapeutic use , Antibiotic Prophylaxis*, United States/epidemiology ; Humans ; Retrospective Studies ; Female ; Male ; Middle Aged ; Incidence ; Adult ; Risk Factors ; Aged |
| Περίληψη: | Purpose: To determine whether prophylactic antibiotic administration following the development of an orbital floor fracture or after orbital floor fracture repair is associated with a reduced risk of orbital or periorbital cellulitis. Methods: A multicenter retrospective cohort study was designed using data obtained from the TriNetX United States Collaborative Network. Patients with orbital floor fractures were categorized by antibiotic exposure within 14 days of diagnosis. Similarly, patients who underwent orbital floor fracture repair were queried to determine whether or not they received antibiotics either at the time of surgery or in the immediate postoperative period. The primary outcome was orbital or periorbital cellulitis within 180 days, assessed after 1:1 propensity-score matching for demographic and clinical variables. Statistical analyses were then performed to determine differences in the two groups. Results: Among 3,169 matched pairs, antibiotic use was associated with higher cellulitis incidence after incident orbital floor fracture (1.93% vs 0.57%, respectively; RR = 3.40, p < 0.0001). In 1,116 matched pairs who underwent orbital floor fracture repair, patients who received antibiotics were more likely to develop orbital cellulitis than those that did not (2.69% vs. 1.08%, respectively; RR = 2.50, 95% CI [1.29-4.86], p = 0.005). Conclusion: Prophylactic antibiotics did not reduce infection risk after incident orbital floor fracture or after floor fracture repair and were associated with higher cellulitis rates. While clinical decision making may depend on a variety of factors, routine use of antibiotics in these settings may not be appropriate. |
| Contributed Indexing: | Keywords: Orbital floor fracture; antibiotics; orbital cellulitis; periorbital cellulitis |
| Substance Nomenclature: | 0 (Anti-Bacterial Agents) |
| Entry Date(s): | Date Created: 20260518 Date Completed: 20260823 Latest Revision: 20260904 |
| Update Code: | 20260904 |
| DOI: | 10.1080/01676830.2026.2673568 |
| PMID: | 42151747 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1744-5108 |
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| DOI: | 10.1080/01676830.2026.2673568 |