Abstract

CHAVEZ AMARO, Juan et al. Postsurgery bacteremia present in "Frank País" International Orthopedic Scientific Center. Rev Cubana Ortop Traumatol [online]. 2009, vol.23, n.1, pp. 0-0. ISSN 1561-3100.

The aim of present paper is to optimize the surgical management of admitted adult patients with a clinical picture of postsurgery bacteremia. It is a retrospective and descriptive research in a case cohort aged 15 or more, admitted and operated on from January 1, 1999 to December 31, 2006. Sample is composed by those with postsurgical bacteremia. The 49 % of patients aged 60 or more, and from these, the 27.5 % were female patients. There was a predominance of fracture or hip coxarthrosis diagnoses with partial or total endoprosthetic replacement for 27.5 and 21.5 %, respectively. Clinical bacteremia incidence rate with positive hemoculture was of 12 of 10 000. Positive-and negative coagulase staphylococci accounted for more of 70 % of bacteremias, for a 39.2 and a 37.2 %, respectively . Twenty five or more from the 39 study gram-positive germs strains were resistant to Cefazolin sodium, Penicillin, Ceftriaxone sodium, Ampicillin, Kanamycin, and the Sulfamethoxazole +Trimethoprim. From the 12 study gram-negative germ strains, six or more were resistant to Cefazolin, Ampicillin, Sefotaxime sodium, Vancomycin, Gentamicin sulfate, Erythromycin, and Streptomycin sulfate. Most of patients were women aged 60 or more, operated on from a hip fracture or by coxarthrosis with partial or total prostheses placement, followed by operated on diagnoses with tibial open fracture. Twelve patients of 10 000 had a risk of postsurgical primary bacteremia confirmed by microbiology.

Keywords : Postsurgical bacteremia; hemoculture; staphylococcus.

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