Abstract

MACHADO-ALBA, Jorge Enrique; MORALES-PLAZA, Cristhian David  and  SOLARTE, Mónica Johana. Adherence to prophylactic antibiotic therapy of thoraco-abdominal interventions in Hospital Universitario San Jorge, Pereira. Rev. Cienc. Salud [online]. 2013, vol.11, n.2, pp.205-216. ISSN 1692-7273.

Objective: determine adherence to the protocol of antibiotic prophylaxis in patients undergoing surgery at Hospital Universitario San Jorge, Pereira. Materials and methods: observational descriptive study took information from all patients who underwent surgery between April 1 and June 31, 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 recommended by institutional guidelines. The analysis was done using SPSS 19.0 for Windows. Results: there were 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 male gender (OR 2,2; 95% CI 1,220 to 4,063, p=0,009), emergency surgery (OR 2,1; 95% CI 1,136 to 3,889, p=0,018) and weekends surgery (OR 2,3; 95% CI 1,090 to 5,255; p=0,03) were statistically significantly associated with nonadherence. Conclusion: it found low guideline for pre-surgical antibiotic adherence associated with emergency and weekends surgeries. Should intervene with education and feedback the team working in the emergency and surgery department to improve the level of compliance with guidelines.

Keywords : practice guideline; guideline adherence; anti-infective agents; surgical wound infections; Colombia.

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