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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2013, Number 4

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An Med Asoc Med Hosp ABC 2013; 58 (4)

Use of antimicrobial prophylaxis at the Department of Pediatric Surgery from a tertiary center

Álvarez II, Chirino-Barceló Y, López LA, Zamorano JCA, Nava FM

Language: Spanish
References: 15
Page: 247-252
PDF size: 217.5 Kb.


ABSTRACT

Surgical site infections (SSI) are identified as a frequent cause of nosocomial infections in children’s hospitals and it is considered that antimicrobial prophylaxis can prevent SSI. The objective of the study was to examine if the Department of Pediatrics Surgery from a Tertiary Center follow international guidelines for surgical antimicrobial prophylaxis. The design was a cross-sectional observational, retrolective study of 81 patients younger than 18 years old, who underwent a surgical intervention between December 2008 and April 2009 by the cardiovascular surgical, general surgical and neurosurgical wards of the Hospital Infantil de Mexico (HIMFG). We registered 99 procedures, six were excluded, two because the patient died within 24 hours of the surgery and four because of lack of information in their files. For the analysis we evaluated 93 procedures in 76 patients since 11 patients underwent two or more surgical interventions. Of the 76 procedures that used antimicrobial prophylaxis, five (6.5%) followed international guidelines for correct antibiotic use. Three cases (3.2%) reported a superficial SSI diagnosed around 14.6 days after surgery. For the population studied we concluded that the antimicrobial prophylaxis is properly applied in 6.5% of the cases. The sample size was too small to calculate the incidence or demonstrate association between the principles of antimicrobial prophylaxis and SSI.


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