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Acta médica Grupo Ángeles
versão impressa ISSN 1870-7203
Resumo
ZUBIETA O’FARRILL, Gregorio et al. Use of preoperative and postoperative antibiotics in the department of general surgery of a private hospital and a comparison with the current guidelines for antimicrobial management. Acta méd. Grupo Ángeles [online]. 2016, vol.14, n.1, pp.12-18. Epub 24-Jan-2022. ISSN 1870-7203.
There is a wide variety of antibiotics that possess different action spectrum for each type of infection. Multiple factors should be considered before selecting the optimal type of antibiotic for each infectious process.
Objective:
To evaluate the use and adherence to prophylactic antibiotics and postoperative schemes proposed by various international guidelines and to propose an institutional guide based on each procedure.
Methods:
Review of records of 100 patients undergoing abdominal surgical procedures between September 1 and November 30, 2013, to assess adherence to prophylactic and postoperative antibiotics to different schemes proposed by international guidelines.
Results:
The three most common procedures were: cholecystectomy, fundoplication and appendectomy; representing 30, 18 and 17% respectively. Ceftriaxone was the most used postoperative and prophylactic antibiotic followed by levofloxacin. Cholecystectomy was the most common procedure with prophylactic antibiotic use, in 73.3% of the cases; 100% of exploratory laparotomies and colon surgery had a postoperative antimicrobial management.
Conclusions:
Making a contrast to the principles established in the consulted guides, the ignorance and arbitrary use of antibiotic agents is remarkable.
Palavras-chave : Antibiotics; preoperative prophylaxis; antibiotic guidelines; abdominal infections; antimicrobial management; postoperative management.
