Galicia AA, González VAP, Rodríguez RCE, Robles MHA, Paz MA

Language: Spanish
References: 13
Page: 151-155
PDF size: 178.63 Kb.

ABSTRACT

Introduction: Groin hernias encompass 75% of wall abdomen hernias. Gold standard treatment is hernioplasty with mesh, which consists in a clean wound procedure that could attend a surgical wound infection in 1 to 10% of all. Antibiotic prophylaxis reduces this risk and negative outcomes. There is detachment to antibiotic prophylaxis protocols, but educational interventions may improve the attachment to practice guidelines. Material and methods: A non-randomized, comparative, prospective, quasi-experimental research was carried out to 50 patients that underwent to hernia repair. They were distributed in 25 patients control group A and 25 patients post intervention group B. Attachment to practice guidelines was assessed according to the appropriate prophylaxis conduct. Results: A 16% draw (4 patients) between groups A & B was observed related to correct antibiotic election. Group A showed 10 patients (40%) and group B 8 patients (32%) related to correct antibiotic election (p = 0.55). A greater number for treatment term less than 24 hours by group A was observed with 10 patients (10%) vs group B with 8 patients (32%) (p = 0.11). Conclusion: Educational intervention through printed brochures were not enough to declare a positive impact on appropriate prophylaxis conduct, but an increase on antibiotic prophylaxis tendency was observed.

REFERENCES

1. Mehrabi M, Jabbari A, Jabbari M, Jangjoo A. The role of prophylactic cefazolin in the prevention of infection after various types of abdominal wall hernia repair with mesh. Asian J Surg. 2015; 38 (3): 139-144.

2. Zhuo Y, Zhang Q, Tang D, Cai D. The effectiveness of I.V. cefuroxime prophylaxis of surgical site infection after elective inguinal hernia repair with mesh: A retrospective observational study. Eur J Clin Pharmacol. 2016; 72 (9): 1033-1039.

3. Asociación Mexicana de Cirugía General. Tratado de cirugía general. 3a. ed. Ciudad de México: Manual Moderno; 2017. Capítulo 183, Hernia inguinal; p. 1517.

4. Bueno J, Torregrosa A, Sala A, Carbonell F, García P, Bonafé S et al. Predictors of mesh infection and explanation after abdominal wall hernia repair. Am J Surg. 2016; 213 (1): 50-57.

5. Asensio A. Infección de la localización quirúrgica. Profilaxis antimicrobiana en cirugía. Enferm Infecc Microbiol Clin. 2013; 32 (1): 48-53.

6. Cameron M, Jones S, Adedeji O. Antibiotic prophylaxis audit and questionnaire study: traffic light poster improves adherence to protocol in gastrointestinal surgery. Int J Surg. 2015; 19: 112-115.

7. Ross F, Jones N, Townend A, Bhaskar P. The cost of inappropriate antibiotic prophylaxis in inguinal hernia repair surgery. Int J Surg. 2015; 23: S72-S73.

8. Instituto Mexicano del Seguro Social. Prevención y diagnóstico de la infección de sitio quirúrgico. Guía de evidencias y recomendaciones: Guía de práctica clínica. México: IMSS; 2018. pp. 21, 27.

9. González VAP, Garza LH, Ponce PLV. Profilaxis antibiótica en hernioplastias de pared abdominal. Acta Med. 2015; 13 (4): 217-223.

10. Newland JG, Stach LM, De Lurgio SA, Hedican E, Yu D, Herigon JC et al. Impact of a prospective-audit-with-feedback antimicrobial stewardship program at a children’s hospital. J Pediatric Infect Dis Soc. 2012; 1 (3): 179-186.

11. Meeker D, Linder JA, Fox CR, Friedberg MW, Persell SD, Goldstein NJ et al. Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. JAMA. 2016; 315 (6): 562-570.

12. Goff DA, Bauer KA, Reed E, Stevenson KB, Taylor JJ, West JE. Is the “low-hanging fruit” worth picking for antimicrobial stewardship programs? Clin Infect Dis. 2012; 55 (4): 587-592.

13. Lee CR, Lee JH, Kang LW, Jeong BC, Lee SH. Educational effectiveness, target, and content for prudent antibiotic use. Biomed Res Int. 2015; 2015: 214021.