2016, Number 06
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MediSan 2016; 20 (06)
Hospitalization of patients with antibiotic therapy due to postoperative infections
Rodríguez FZ, Fernández LO, Romero GLI
Language: Spanish
References: 17
Page: 833-842
PDF size: 79.60 Kb.
ABSTRACT
A descriptive, serial cases study, of 258 patients undergoing surgery in an emergent or
elective way who presented postoperative infections was carried out during the triennium
2012-2014 in the General Surgery Service of "Saturnino Lora Torres" Teaching Clinical
Surgical Provincial Hospital in Santiago de Cuba, with the purpose of identifying different
factors related to the use of antibiotics in these cases. Among the outstanding results it
was obtained that the hospitalization lasted more than 14 days in more than half of the
patients whose surgical operations were classified as polluted or dirty, and that in the
preoperatory period antibiotics were applied in 77.1% of the series, while in the
postoperative phase antibiotics were administered in all those infected. Also, the
microbiological studies showed positivity in 86.5% and the most common isolated
microorganisms were gramnegative:
Klebsiella, pathogen
Staphylococcus, Escherichia
coli and
Acinetobacter. It was concluded that the politics of the rational use of antibiotics with preservatives and therapeutic ends, should be related to the intrahospital circulation of germs, according to the microbiological map and the resistance of these, so as to
implement a standardized protocol in this respect.
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