Adherence to prophylactic antibiotic therapy of thoraco-abdominal interventions in Hospital Universitario San Jorge, Pereira

• Main Authors: Jorge Enrique Machado-Alba, Cristhian David Morales-Plaza, Mónica Johana Solarte
• Format: Article
• Language: Spanish
• Published: Universidad Colegio Mayor Nuestra Señora del Rosario 2013-05-01
• Series: Revista Ciencias de la Salud
• Subjects: practice guideline; guideline adherence; anti-infective agents; surgical wound infections; Colombia.
• Online Access: http://revistas.urosario.edu.co/index.php/revsalud/article/view/2683/2218

Objective: determine adherence to the protocol of antibiotic prophylaxis in patients undergoingsurgery at Hospital Universitario San Jorge, Pereira. Materials and methods: observational descriptivestudy took information from all patients who underwent surgery between April 1 and June31, 2010. The information was taken from medical records considering the variables age, gender,type of surgery, time, day of week, antimicrobial agents used compared with those recommendedby institutional guidelines. The analysis was done using SPSS 19.0 for Windows. Results: therewere 211 patients, with a predominance of men (52,6%) and average age of 45,2 ± 19,9 years.Adherence to guidelines pre-surgical prophylaxis was 44,5% of procedures. The variables malegender (OR 2,2; 95% CI 1,220 to 4,063, p=0,009), emergency surgery (OR 2,1; 95% CI 1,136 to3,889, p=0,018) and weekends surgery (OR 2,3; 95% CI 1,090 to 5,255; p=0,03) were statisticallysignificantly associated with nonadherence. Conclusion: it found low guideline for pre-surgicalantibiotic adherence associated with emergency and weekends surgeries. Should intervene witheducation and feedback the team working in the emergency and surgery department to improvethe level of compliance with guidelines.