López NM, Díaz GEJ, Monteón BIJ

Language: Spanish
References: 20
Page: 337-343
PDF size: 402.05 Kb.

ABSTRACT

Background: The use of prophylactic antibiotics (PAB) in surgery, has demonstrated to reduce the incidence of complications. Nowadays there are international guidelines for the use of PAB, depending on the type of surgery, contamination degree of the wound and bacteria associated. Nevertheless, data shows that the use of PAB is not usually the adequate, even the prolonged use of them haven’t shown better benefit, but does increasing: a) the risk of infection at different sites of the surgery’s wound, b) the antibiotic resistance and c) costs.
Methods: This is a two years retrospective, observational study. We review the charts of 75 patients that underwent gastrointestinal surgery; these patients required management in the Intensive Care Unit of the Hospital Angeles Pedregal. Variables to study were age, sex, days of hospitalization, anesthesic risk, prophylactic antibiotics used and their time of administration.
Results: 57.3% (n=43) were women, and 42.7% (n=32) were men. The average age was 57 years ± 19 with a mean of days of hospitalization of 9 days ± 7. 56% (n=42) of these patients had indication of using PAB, and 32% (n=24) received the prophylaxis recommended time. Two Intrahospital Acquired Pneumonia cases (2.6%) were reported and 2 cases of abdominal sepsis (2.6%).
Conclusions: In less than a half of the cases PAB were administered without specific medical indication. In the most cases studied PAB administration time does not correspond to the data recommended at international guidelines.

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