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Antibiotics prophylaxis in surgery : part 1 : gastroenterologica surgeries
Surgical site infections account for B15% of nosocomial infections and are associated with prolonged hospital stay and increased costs. Prophylactic use of antibiotics aims at reducing the incidence of postsurgical wound infection. Inappropriate prophylaxis, whether unnecessary use of broad-spectrum...
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Published in: | Ain-Shams journal of anesthesiology 2013, Vol.6 (2), p.99-106 |
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Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Online Access: | Get full text |
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Summary: | Surgical site infections account for B15% of nosocomial infections and are
associated with prolonged hospital stay and increased costs. Prophylactic
use of antibiotics aims at reducing the incidence of postsurgical wound infection.
Inappropriate prophylaxis, whether unnecessary use of broad-spectrum agents or
continuation of therapy beyond the recommended time period, is frequently seen.
Indeed, this increases the risk of adverse effects and promotes the emergence
of resistant organisms. Controversy remains as to the necessity of prophylaxis in
specific surgical procedures, as well as with regard to the duration of prophylaxis.
The aim of this review is to discuss the criteria upon which decisions pertaining to the
use of prophylactic antibiotics are based using the best clinical evidence available.
Special emphasis is directed towards the selection and proper time and duration
of administration. This review focuses on gastroenterological surgeries. Analyses
of other surgeries will follow. |
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ISSN: | 1687-7934 2090-925X |