Perioperative Antibiotic Prophylaxis in Clinical

• Authors: Mirosław Jawień , Małgorzata Bulanda
• Languages of publication: EN

Abstracts

EN

The aim of the study was to determine the efficiency of perioperative antibiotic prophylaxis in surgical patients.Material and methods. During the period between January and December, 2005, eight surgical Departments were subject to investigation, considering surgical wound infections following selected procedures: 3 orthopedic departments, 3 general surgery departments, and two vascular surgery departments. Based on obtained results the following parameters concerning perioperative antibiotic prophylaxis were evaluated: was the procedure performed with antibiotic prophylaxis?; type of chemotherapeutic agent used, and duration of prophylaxis.Results. Inguinal hernia repair procedures were most often performed without antibiotic (33% of procedures). The statistically significant higher incidence index of surgical wound infections was confirmed in case of cholecystectomy without (18.8 vs 2%). In case of vascular procedures cefuroxime was used in 8 doses. In case of hip or knee joint endoprosthesis surgery cefazolin was administered in five doses. In 70% of cholecystectomy and hernial repair procedures one dose of cefazolin was used. Considering colorectal operations the following antibiotics were used: 6 doses of cefazolin in 36% of cases, and 8 doses of amoxicillin with clavulanic acid. Twenty-five percent of colorectal procedures required the administration of amoxicillin with clavulanic acid and metronidazolConclusions. Analysis demonstrated that in spite of the many guidelines elaborated by scientific associations concerning perioperative antibiotic prophylaxis, the above-mentioned are rarely administered according to clinical practice.

Keywords

EN

perioperative antibiotic prophylaxis; surgical wound infections; vascular surgery; endoprosthesis surgery; cholecystectomy; hernia repair procedures; colorectal

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2010
• Volume: 82
• Issue: 4
• Pages: 219-225

Dates

published

1 - 4 - 2010

online

15 - 9 - 2010

Contributors

author

Mirosław Jawień

• Department of Epidemiology of Infections, Chair of Microbiology, Collegium Medicum Jagiellonian University, Cracow

author

Małgorzata Bulanda

• Department of Epidemiology of Infections, Chair of Microbiology, Collegium Medicum Jagiellonian University, Cracow

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Identifiers

DOI

10.2478/v10035-010-0030-0