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Acta médica Grupo Ángeles

Print version ISSN 1870-7203

Abstract

GALICIA ARMAS, Adolfo et al. Educational intervention in antibiotic prophylaxis for groin hernioplasties. Acta méd. Grupo Ángeles [online]. 2020, vol.18, n.2, pp.151-155.  Epub Mar 28, 2022. ISSN 1870-7203.  https://doi.org/10.35366/93889.

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.

Keywords : Hernioplasty; antibiotic prophylaxis; educational intervention; abdominal wall.

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