Abstract

HERNANDEZ TORRES, Joaquín; PISONERO SOCIAS, Juan José  and  ACOSTA GUEDES, Isabel C. Política de antibióticos en un servicio de cirugía. Rev Cubana Cir [online]. 1998, vol.37, n.3, pp. 152-159. ISSN 1561-2945.

The medical histories of 1432 patients discharged from the Service of General Surgery of the «Joaquín Albarrán» Clinical and Surgical Teaching Hospital were reviewed. 367 patients that were treated with antibiotics during their hospitalization were studied so as to evaluate the application and the results of the antibiotics policy designed by this service. Data on the utilization of antibiotics, surgical procedures and surgical wound infection were obtained through surveys and were processed by an automated data management system. The policy guidelines were fulfilled in 58 % of the patients who received antibiotics. No surgical wound infection was observed among patients that underwent biliary tract surgery or abdominal hysterectomy and were administered prophylactic perioperative antibiotics therapy. The surgical wound infection rate in the appendectomies and colerectal surgery that received antibiotics prophylaxis was of 5 and 9 %, respectively. These figures were lower than those found in literature. When the antibiotics policy guidelines were not accomplished, the postoperative period lasted 11 days as an average and the antibiotics consumption cost was of $ 34,66

Keywords : SURGERY DEPARTMENT, HOSPITAL; ANTIBIOTICS [administration & dosage]; ANTIBIOTICS [therapeutic use]; ANTIBIOTIC PROPHYLAXIS; SURGICAL WOUND INFECTION [prevention & control].

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