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Cirujano general

Print version ISSN 1405-0099

Abstract

HERMOSILLO-CORNEJO, Daniel González et al. Analysis of the compliance of antibiotic prophylaxis in elective laparoscopic cholecystectomy in a Mexican hospital. Cir. gen [online]. 2020, vol.42, n.4, pp.274-280.  Epub Aug 01, 2022. ISSN 1405-0099.  https://doi.org/10.35366/101396.

Introduction:

The administration of preoperative antibiotic prophylaxis reduces the risk of surgical site infection development, however, although there are preset recommendations for their prescription, these are often not met.

Objective:

To describe the compliance and results of preoperative antibiotic prophylaxis in elective laparoscopic cholecystectomy in our center.

Material and methods:

An observational, longitudinal, prospective and descriptive study was conducted, including the patients who underwent elective laparoscopic cholecystectomy in our hospital from July 1 to December 31 of 2018 in search of surgical site infection and other complications.

Results:

Preoperative antibiotic prophylaxis was administered in 97% (n = 162) of the cases, but only in 54% of the patients (n = 87) was prescribed correctly. Only 1% (n = 2) presented surgical site infection.

Conclusions:

In our study, despite there being a low correct prescription of preoperative antibiotic prophylaxis, only 1% of the cases developed surgical site infection, which is why we support the arguments of some clinical practice guidelines of not prescribing it systematically, but selecting the patients according to their characteristics and risks instead.

Keywords : Cholecystectomy; infection associated with healthcare; surgical site infection; laparoscopy; preoperative antibiotic prophylaxis.

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