González VAP, Garza LH, Ponce PLV

Language: Spanish
References: 9
Page: 217-223
PDF size: 136.99 Kb.

ABSTRACT

In Mexico, hernias are among the main causes of hospitalary dismiss, and surgical site infection is one of the most common complications of their repair; antibiotic prophylaxis is important to diminish its incidence, morbidity, mortality and costs. Material and methods: Observational, retrospective, transversal study to evaluate the antibiotic prophylaxis in hernioplasties of the abdominal wall, according to the recommendations of the American Society of Health-System Pharmacists. Results: Antibiotic prophylaxis in 77% of the patients, correct antibiotic selection in 21.8%, correct application of the first antibiotic doses in 0.5%, correct duration of the antibiotic treatment 79%. Discussion: There is evidence of a suboptimal usage of the antibiotic prophylactic guidelines in numerous hospitalary centers throughout the world, as well as the absence of logistic to identify surgical site infection cases. Conclusions: There is very low adherence to the clinical practice guidelines in the antibiotic selection and in the adequate start of the antibiotic treatment. It is necessary to insist on the training of the surgeons, anesthesiologists and health care workers who are in charge of this kind of prophylaxis.

REFERENCES

1. Mayagoitia G. Hernias de la pared abdominal. 2.a ed. México, DF: Alfil; 2009. pp. 9-20.

2. Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, Bolon MK et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013; 70 (3): 195-283.

3. Bratzler DW, Houck PM; Surgical Infection Prevention Guideline Writers Workgroup. Antimicrobial prophylaxis for surgery: an advisory statement from the National Surgical Infection Program Prevention Project. Am J Surg. 2005; 189: 395-404.

4. Pessaux P, Lermite E, Blezel E, Msika S, Hay JM, Flamant Y et al. Predictive risk score for infection after inguinal hernia repair. Am J Surg. 2006; 192: 165-171.

5. Stridh-Ekman G, Ringbäck-Weitoft G, Nyrén O, Dickman PW, Ericsson O, Struwe J. National surveillance of surgical-site infection through register-based analysis of antibiotic use after inguinal hernia repair. Br J Surg. 2010; 97: 1722-1729.

6. Webb AL, Flagg RL, Fink AS. Reducing surgical site infections through a multidisciplinary computerized process for preoperative prophylactic antibiotic administration. Am J Surg. 2006; 192: 663-668.

7. Silver A, Eichorn A, Kral J, Pickett G, Barie P, Pryor V et al. Timeliness and use of antibiotic prophylaxis in selected inpatient surgical procedures. The Antibiotic Prophylaxis Study Group. Am J Surg. 1996; 171: 548-551.

8. Meeks DW, Lally KP, Carrick MM, Lew DF, Thomas EJ, Doyle PD et al. Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3? Am J Surg. 2011; 201: 76-83.

9. Weber WP, Marti WR, Zwahlen M, Misteli H, Rosenthal R, Reck S et al. The timing of surgical antimicrobial prophylaxis. Ann Surg. 2008; 247: 918-926.