Abstract
: to evaluate the antibiotic prophylaxis in surgical patients at the Gaffrée e Guinle University Hospital - HUGG. : we conducted a rospective study of a cohort of 256 patients undergoing elective operations between January and September 2014. We collected data on demographics, use or not of prophylactic antibiotic and the antibiotic prophylaxis following characteristics: type of antibiotic used, moment of administration and duration of postoperative use. The analyzed outcomes were "justified use or non-use of antibiotic prophylaxis", "correct antibiotic choice," "administration of the antibiotic at the right time" and "discontinuation of the antibiotic at the right time." : antibiotic prophylaxis was used in 91.8% of cases. The use or non-use of antibiotic prophylaxis was justified in 78.9% of patients, the choice of the administered antibiotic was considered correct in 97.9%, antibiotic administration was made at the right time in only 27.2% of patients and discontinuation of the antibiotic was performed at the correct time in 95.7% of cases. : the surgical antibiotic prophylaxis was not fully adequately performed in the sample. avaliar a antibioticoprofilaxia em pacientes cirúrgicos do Hospital Universitário Gaffrée e Guinle. estudo prospectivo de uma coorte de 256 pacientes submetidos à operações eletivas, entre janeiro e setembro de 2014. Foram coletados dados demográficos dos pacientes, se ocorreu utilização ou não do antibiótico profilático e as seguintes características da antibioticoprofilaxia: tipo de antibiótico utilizado, momento da administração e tempo de duração do uso no pós-operatório. Os desfechos de interesse analisados foram "uso ou não uso justificado da antibioticoprofilaxia", "escolha correta do antibiótico", "administração do antibiótico no tempo correto" e "descontinuação do antibiótico no tempo correto". a antibioticoprofilaxia foi utilizada em 91,8% dos casos. O uso ou não uso da antibioticoprofilaxia foi justificado em 78,9% dos pacientes, a escolha do antibiótico administrado foi considerada correta em 97,9%, a administração do antibiótico foi feita no momento correto em apenas 27,2% dos pacientes e a descontinuação do antibiótico foi realizada no tempo correto em 95,7% dos casos. a antibioticoprofilaxia cirúrgica não foi realizada de forma plenamente adequada na amostra estudada.
Highlights
IntroductionAmong the complications of the postoperative period, Surgical Site Infection (SSI) is responsible for a significant rate of mortality observed in the population of surgical patients
It is estimated that 234 million surgeries are performed worldwide annually[1]
The study by Haynes et al.[13], held by a group of institutions in different countries and using a program based on the World Health Organization (WHO) surgical Safety Checklist, which includes surgical antibiotic prophylaxis, showed a significant decrease in the operations complication and death rates
Summary
Among the complications of the postoperative period, Surgical Site Infection (SSI) is responsible for a significant rate of mortality observed in the population of surgical patients. In this particular group, SSI is the most common cause of nosocomial infection and may be responsible for up to 77% of observed deaths[2,3]. SSI occupies the third place in frequency among all the others, accounting for about 15% of all infectious processes observed in hospitalized patients[2,5] This type of complication involves financial burden to the patient, to the hospital and to the healthcare system. These facts make SSI an important public health problem and a target for improving the quality of care to the patient who is candidate to surgical treatment[6]
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