From: Determining the use of prophylactic antibiotics in breast cancer surgeries: a survey of practice
Number | Question | Possible answer(s) |
---|---|---|
1 | In what city do you practice? | Open answer. |
2 | What is your specialty? | Choose one of the following: breast surgery, surgical oncology, general surgery, gynecology/obstetrics, or plastic surgery. |
3 | How many years of practice do you have in breast surgery? | Open answer. |
4 | What type of practice do you have? | Choose one of the following: Private or private/academic |
5 | What percentage of your cases corresponds to breast surgery? | Choose one of the following: <25%, 25– 49%, 50– 75%, or >75%. |
6 | What is your monthly breast surgery case load? | Choose one of the following:<5 cases/month, 5 – 15 cases/month, 16 – 25 cases/month, or >25 cases/month. |
7 | Indicate from the following list of breast surgical procedures in which cases you administer prophylactic antibiotic: | Select as many as are appropriate: breast conserving surgery, wire localized excision, mastectomy, axillary lymph node dissection, sentinel lymph node biopsy, reconstruction with flap, reconstruction with implant, terminal conduct excision, and benign lesion excision. |
8 | Do you use prophylactic antibiotic in all your breast surgeries? | Choose one of the following: yes or no. |
9 | What prophylactic antibiotic do you use? | Open answer. |
10 | If you use prophylactic antibiotic, how do you administer it? | Choose one of the following: single pre-operative fixed-dose, single preoperative fixed dose followed by a second fixed dose if the surgery is prolonged, single preoperative fixed dose followed by one or more postoperative fixed doses for >24 hours, or single preoperative weight-adjusted dose. |
11 | If you do not administer routine prophylactic antibiotic, in what cases do you use it? | Select as many as are appropriate: older age, obesity, cancer, smoking, diabetes mellitus, active skin disease, neoadjuvant therapy, use of drains in situ, and surgical re-intervention. |