Hospitalization of patients with antibiotic therapy due to postoperative infections
Keywords:
hospitalization, antibiotic therapy, antibiotic prevention, microbiological study, postoperative infection, infection of the surgical site.Abstract
A descriptive, serial cases study, of 258 patients undergoing surgery in an emergent or elective way who presented postoperative infections was carried out during the triennium 2012-2014 in the General Surgery Service of "Saturnino Lora Torres" Teaching Clinical Surgical Provincial Hospital in Santiago de Cuba, with the purpose of identifying different factors related to the use of antibiotics in these cases. Among the outstanding results it was obtained that the hospitalization lasted more than 14 days in more than half of the patients whose surgical operations were classified as polluted or dirty, and that in the preoperatory period antibiotics were applied in 77.1% of the series, while in the postoperative phase antibiotics were administered in all those infected. Also, the microbiological studies showed positivity in 86.5% and the most common isolated microorganisms were gramnegative: Klebsiella, pathogen Staphylococcus, Escherichia coli and Acinetobacter. It was concluded that the politics of the rational use of antibiotics with preservatives and therapeutic ends, should be related to the intrahospital circulation of germs, according to the microbiological map and the resistance of these, so as to implement a standardized protocol in this respect.
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References
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