Valoración y análisis del manejo de profilaxis antibiótica preoperatoria en pacientes quirúrgicas, con diagnóstico de patología Gineco-obstétrica emergente en el servicio Materno-infantil del Hospital Manuel Ygnacio Monteros Valdivieso IESS -Loja, en el periodo octubre-2017 a febrero-2018

Abstract

Abstract:In the absence of compliance with the antibiotic-prophylaxis schemes, a prospective, descriptive and cross-sectional study was carried out in 94 patients who underwent surgery with emerging gyneco-obstetric pathology and its relationship with surgical wound infection at the "Manuel Ygnacio Monteros" Hospital IESS-Loja, with the objective of identifying what are the practices of antibiotic-prophylaxis use since its use is not always attached to established protocols. The results were the following: the predominant pre-operative diagnosis that prevailed was the risk of compromise of fetal well-being in 36.2%. 100% of patients received some type of antibiotic-prophylaxis, of which 81.9% received true prophylaxis. Cefazolin was the antimicrobial of choice being used in 77.7% of cases and in percentages below 5% used combinations of prophylactic antibiotics. Regarding the infusion time in 2.2% of the cases it was incorrect because it exceeded 120 minutes, behavior that transgresses what is suggested in the international protocols. Regarding the presence of surgical wound infection, 2.1% presented infection despite receiving antibiotic prophylaxis.