Epidemiologic analysis: Prophylaxis and multidrug-resistance in surgery
| Autor: | M. Ramírez-Marino, F.R. Espinoza-López, H. Solís-Téllez, F. Domínguez-Sosa, R.D. Romero-Morelos, E.E. Mondragón-Pinzón, J.F. Rubio-Suarez |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Epidemiologic study Isolation (health care) Surgical wound infection Resistance law.invention 03 medical and health sciences 0302 clinical medicine Time frame law medicine Statistical analysis 030212 general & internal medicine lcsh:RC799-869 Prophylaxis Critical patient business.industry Antibiotic General Medicine Antimicrobial Intensive care unit Surgery Multiple drug resistance 030220 oncology & carcinogenesis lcsh:Diseases of the digestive system. Gastroenterology business Surgical site infection |
| Zdroj: | Revista de Gastroenterología de México (English Edition), Vol 82, Iss 2, Pp 115-122 (2017) |
| ISSN: | 2255-534X |
| DOI: | 10.1016/j.rgmxen.2016.12.002 |
| Popis: | Background Surgical site infection is defined as an infection related to the surgical procedure in the area of manipulation occurring within the first 30 postoperative days. The diagnostic criteria include: purulent drainage, isolation of microorganisms, and signs of infection. Aims To describe the epidemiologic characteristics and differences among the types of prophylactic regimens associated with hospital-acquired infections at the general surgery service of a tertiary care hospital. Material and methods The electronic case records of patients that underwent general surgery at a tertiary care hospital within the time frame of January 1, 2013 and December 31, 2014 were reviewed. A convenience sample of 728 patients was established and divided into the following groups: Group 1: n = 728 for the epidemiologic study; Group 2: n = 638 for the evaluation of antimicrobial prophylaxis; and Group 3: n = 50 for the evaluation of multidrug-resistant bacterial strains in the intensive care unit. The statistical analysis was carried out with the SPSS 19 program, using the Mann-Whitney U test and the chi-square test. Results A total of 728 procedures were performed (65.9% were elective surgeries). Three hundred twelve of the patients were males and 416 were females. Only 3.98% of the patients complied with the recommended antimicrobial prophylaxis, and multidrug-resistant bacterial strains were found in the intensive care unit. Discussion A single prophylactic dose is effective, but adherence to this recommendation was not adequate. Conclusions The prophylactic guidelines are not strictly adhered to in our environment. There was a significant association between the development of nosocomial infections from multidrug-resistant germs and admission to the intensive care unit. |
| Databáze: | OpenAIRE |
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