Varela VD, Martínez CR, López ECC, Iglesias LJ, Bernárdez ZI, Rendón-Macías ME, Sáez OGMM

Language: Spanish
References: 21
Page: 290-297
PDF size: 155.07 Kb.

ABSTRACT

Surgical antibiotic prophylaxis has reduced the frequency of infections in surgical sites in children and adults. Objective: Analyze the indications of a antibiotic prophylaxis in pediatric surgeries in a pediatric hospital in the last six years. Patients: Under 18 years. Material and methods: Prophylactic indications of antibiotic for pediatric surgical procedures in our hospital services were reviewed and analyzed, recommendation and non-indication. The results are presented in proportions with their 95% confidence intervals (95% CI). Results: 605 procedures were analyzed; in 41% an antimicrobial prophylaxis was indicated. Upon recommendation, it was indicated in 54.9% (95% CI from 50.1 to 59.7%); likewise, in 72.6% (95% CI from 65.3 to 78.6%) of the procedures without prophylactic recommendation, this was not indicated. The correct compliance with the recommendation was 60.6% (95% CI from 56.1 to 64%). The orthopedic service showed the best compliance (91 and 87.8%). Of the procedures, catheter placement was the least complied with in the administration of antibiotics prophylactic (60%) and hydrocelectomy was the highest in unjustified administration (50%). Conclusions: Adequate compliance of surgical antibiotic prophylaxis is still deficient in this sample. Training and continuous monitoring are required to reduce the risk of surgical site infections.

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