| Autor: |
Codina C; Hospital Clinic of Barcelona, University of Barcelona, and the August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain., Trilla A, Riera N, Tuset M, Carne X, Ribas J, Asenjo MA |
| Jazyk: |
angličtina |
| Zdroj: |
Infection control and hospital epidemiology [Infect Control Hosp Epidemiol] 1999 Jun; Vol. 20 (6), pp. 436-9. |
| DOI: |
10.1086/501650 |
| Abstrakt: |
A questionnaire survey was sent to a random sample of the Spanish network of National Health System public acute-care hospitals. Of responding institutions (representing 25% of Spanish hospital beds), nearly 75% had active surveillance programs for the prevention and control of surgical-site infections (SSIs), but only 20% performed postdischarge surveillance. Overall, perioperative antibiotic prophylaxis (PAP) was used in 84% of all surgical procedures. For 77% of procedures, there were written guidelines for the choice and use of PAP. Cefazolin was the most commonly used antibiotic (38%). Duration of PAP was shorter than 24 hours in 75% of procedures, and only a single dose was given in 52% of procedures. PAP was commonly used in breast (52%) and inguinal hernia repair (69%) procedures, as well as in laparoscopic abdominal surgery (86%). In summary, the use of PAP in Spanish hospitals is adequate, but improvements can be made in the frequency of prolonged PAP and in the use of broad-spectrum antibiotics. Surveillance systems for SSI, including postdischarge follow-up, also should be improved. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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