Antibiotic Prophylaxis for Dermatologic Surgery. Part II: Practicing Antibiotic Stewardship - Risks, Resistance, and Responsible Use.

Fardos, Mohammad; Silva, Vixey; Miller, Patricia; Kasprzak, Julia Marian; Miller, Richard; Wanat, Karolyn A; Graham, Mary Beth; Corey, Anna · J Am Acad Dermatol · 2026

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Abstract

Perioperative antibiotic prescribing in dermatologic surgery remains highly variable and frequently extends beyond evidence-based indications despite the low incidence of surgical site infections. This 2-part continuing medical education article synthesizes current evidence to guide perioperative antibiotic decision-making. Part II focuses on antimicrobial stewardship, emphasizing practical strategies to improve prescribing and reduce unnecessary antibiotic use. Special attention is given to optimization of perioperative practices, patient-centered communication, and system-level stewardship interventions.