<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032016000100012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso de antibióticos preoperatorios y postoperatorios en el departamento de cirugía general de un hospital privado y comparación con las guías actuales de manejo antimicrobiano]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of preoperative and postoperative antibiotics in the department of general surgery of a private hospital and a comparison with the current guidelines for antimicrobial management]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zubieta O&#8217;Farrill]]></surname>
<given-names><![CDATA[Gregorio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Alvarado]]></surname>
<given-names><![CDATA[Carlos Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cartagena Sotres]]></surname>
<given-names><![CDATA[Eduardo Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peña Vilchis]]></surname>
<given-names><![CDATA[Víctor Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garzón Muvdi]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robledo Ogazón]]></surname>
<given-names><![CDATA[Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Pedregal  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>14</volume>
<numero>1</numero>
<fpage>12</fpage>
<lpage>18</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032016000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032016000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032016000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Existe una gran variedad de antibióticos que tienen diferentes espectros de acción destinados a cada tipo de infección. Deben considerarse múltiples factores antes de seleccionar el tipo de antibiótico óptimo para cada proceso infeccioso.  Objetivo:  Evaluar el empleo y apego a los esquemas antibióticos profilácticos y postoperatorios sugeridos por diversas guías internacionales para proponer una guía institucional con base en cada procedimiento.  Métodos:  Revisión de expedientes de 100 pacientes sometidos a procedimientos quirúrgico- abdominales entre el 1 de septiembre y el 30 de noviembre de 2013 para evaluar el apego a los esquemas antibióticos profilácticos y postoperatorios propuestos por diferentes guías internacionales.  Resultados: Los tres procedimientos más comunes realizados fueron: colecistectomía, funduplicatura y apendicectomía; representando 30, 18 y 17%, respectivamente. El antibiótico profiláctico y postoperatorio más empleado fue ceftriaxona seguido de levofloxacino. La cirugía con mayor profilaxis fue la colecistectomía con 73.3%. 100% de las laparotomías exploradoras y cirugías de colon tuvieron un manejo antimicrobiano postoperatorio.  Conclusiones: Al realizar un contraste con los principios establecidos en las guías consultadas es notable el desconocimiento y empleo arbitrario de agentes antibióticos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: There is a wide variety of antibiotics that possess different action spectrum for each type of infection. Multiple factors should be considered before selecting the optimal type of antibiotic for each infectious process.  Objective:  To evaluate the use and adherence to prophylactic antibiotics and postoperative schemes proposed by various international guidelines and to propose an institutional guide based on each procedure.  Methods:  Review of records of 100 patients undergoing abdominal surgical procedures between September 1 and November 30, 2013, to assess adherence to prophylactic and postoperative antibiotics to different schemes proposed by international guidelines.  Results:  The three most common procedures were: cholecystectomy, fundoplication and appendectomy; representing 30, 18 and 17% respectively. Ceftriaxone was the most used postoperative and prophylactic antibiotic followed by levofloxacin. Cholecystectomy was the most common procedure with prophylactic antibiotic use, in 73.3% of the cases; 100% of exploratory laparotomies and colon surgery had a postoperative antimicrobial management.  Conclusions:  Making a contrast to the principles established in the consulted guides, the ignorance and arbitrary use of antibiotic agents is remarkable.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Antibióticos]]></kwd>
<kwd lng="es"><![CDATA[profilaxis preoperatoria]]></kwd>
<kwd lng="es"><![CDATA[guías antibióticos]]></kwd>
<kwd lng="es"><![CDATA[infecciones abdominales]]></kwd>
<kwd lng="es"><![CDATA[manejo antimicrobiano]]></kwd>
<kwd lng="es"><![CDATA[manejo postoperatorio]]></kwd>
<kwd lng="en"><![CDATA[Antibiotics]]></kwd>
<kwd lng="en"><![CDATA[preoperative prophylaxis]]></kwd>
<kwd lng="en"><![CDATA[antibiotic guidelines]]></kwd>
<kwd lng="en"><![CDATA[abdominal infections]]></kwd>
<kwd lng="en"><![CDATA[antimicrobial management]]></kwd>
<kwd lng="en"><![CDATA[postoperative management]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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