Antimicrobial prophylaxis in general surgery – results after one year using of standart
Authors:
Jakub Jandík
Authors‘ workplace:
Chirurgické oddělení, Oblastní nemocnice Rychnov nad Kněžnou a. s.
Published in:
Hojení ran 7, č. 2: 7-13, 2013
Category:
Overview
Introduction:
Antimicrobial prophylaxis is not used adequately in general surgery and the incidence of surgical site infections is not observed systematically in Czech Republic. In the article, retrospective incidence analysis of surgical site infections after acute appendectomies at department of surgery during year 2011 is presented.
Target:
Impact evaluation of introduction of antimicrobial prophylaxis standard.
Methods:
Retrospective analysis of SSI incidence on file of 155 patients who underwent surgery in 24 hours after admission because of suspicion of acute appendicitis during year 2011 and comparing results to reference period of years 2005–2010.
Results:
Introducing of antimicrobial prophylaxis standard and higher number of laparoscopic procedures lead to reduce surgical site infections incidence from 9,57% to 7,74%.
Conclusion:
Antimicrobial prophylaxis and higher rate of laparoscopic procedures are occasions, how to decrease incidence of surgical site infections, thereby increase patients safety and quality of medical care of our patients who underwent acute appendectomy.
Key words:
acute appendicitis, antimicrobial prophylaxis, surgical site infections
Sources
Andersen, B. R., Kallehave, F. L., Andersen, H. K. Antibiotics versus placebo for prevention of postoperative infection after appendicectomy. Cochrane Database Syst Rev 3: CD001439, 2005.
Craig, S. Acute Appendicitis. eMedicine Apr. 12th 2010.
Cruse, P. J., Foord, R. The epidemiology of wound infection. A 10-year prospective study of 62,939 wounds. Surg Clin North Am 60, 1: 27–40, 1980.
Jandík, J. Akutní apendicitis – ranné komplikace a význam antibiotické profylaxe. Rozhl Chir 90, 7: 408–413, 2011.
Kirkland, K. B., Briggs, J. P., Trivette, S. L. et al. The impact of surgical-site infections in the 1990s: attributable mortality, excess lenght od hospitalization, and extra costs. Infect Control Hosp Epidemiol 20, 11: 725–730, 1999.
Lee, S. L., Shekgerdimian, S. Vermiform Appendix. eMedicine Specialities, General Surgery. Update Nov. 24th 2008.
Mangram, A. J., Horan, T. C., Pearson, M. L. et al. Guideline for prevention of surgical site infections, 1999. Hospital Infection Control Practices Advisory Commitee. Infect Control Hosp Epidemiol 20, 4: 247–275, 1999.
Mazzioti, M. V., Minkes, R. K. Appendicitis, Surgical Treatment. eMedicine, General Surgery. Update Nov. 12th 2008.
National Nosocomial infections surveillance (NNIS) report, data summary from October 1986-April 1996, issued May 1996. A report from National Nosocomial Infections Surveillance (NNIS) System. Am J Infect Control 24, 5: 380–388, 1996. (NNIS 1996)
Novák, K., Chudáček, Z., Neoral, Č. et al. Infekce v chirurgii. Praha: Grada Publishing, 2001.
Plodr, M., Čermák, P., Ferko, A. K problematice klasifikace infekcí měkkých tkání. Rozhl Chir 85, 11: 560–565, 2006.
Ryska, O., Šerclová, Z., Konečná, E. et al. Antibiotická profylaxe u akutních chirurgických výkonů – současná situace v ČR. Rozhl Chir 90, 7: 402–407, 2011.
Santacroce, L., Ochoa, J. B. Appendicitis. eMedicine Specialites, General Surgery. MedScape, Update Apr. 20th 2010.
Sauerland, S., Lefering, R., Neugebauer, E. A. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev 4: CD001546, 2004.
Shuhatovich, Y., Zuniga, M. R. et al. Appendectomy, Laparoscopic. MedScape, General Surgery, Update Aug. 20th 2010.
Singhal, H., Kaur, K. Wound Infection. eMedicine Specialities, General Surgery. Update Sep. 15th 2009.
Uckay, I., Harbarth, S., Peter, R. et al. Preventing surgical site infections. Expert Rev Anti Infect Ther 8, 6: 657–670, 2010.
Woods, R. K., Dellinger, E. P. Current guidelines for antibiotic prophylaxis of surgical wounds. Am Fam Physician 57, 11: 2731–2740, 1998.
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