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1999, Number 1

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Med Crit 1999; 13 (1)

Value of the antimicrobial prophylaxis for surgery in patients admitted to the intensive care unit

Sánchez-Velázquez LD

Language: Spanish
References: 15
Page: 19-23
PDF size: 105.55 Kb.


ABSTRACT

Objective. To evaluate the use of the antimicrobial prophylaxis for surgery of the ICU patients and its influence on the morbidity and mortality rate.
Design. Cohort analytic sstudy.
Setting. A multidisciplinary ICU of private hospital.
Patients. A total of 115 patients admitted to the ICU after a surgical procedure.
Interventions. None.
Results. Prophylaxis was adequate in 20 (17.4%), inadequate in 48 (41.7%) and absent in 47 (40.9%) cases, respectivamente. The relative risk for the developing of surgical wound infection with adequate prophylaxis was 0.36%, with inadequate prophylaxis 0.45% and without prophylaxis 2.35%. It was found a greater need of invasive access, artificial nutrition and antibiotics when prophylaxis was inadequated (p ‹ 0.05).
Conclusion. The inapropiate use of prophylactic antibiotics is increase the risk of surgical infection and the need of monitoring and supporting therapy.


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