Valoración y análisis del manejo de profilaxis antibiótica preoperatoria en pacientes quirúrgicos con diagnóstico de patología traumatológica urgente en el servicio de Traumatología y Ortopedia del Hospital Manuel Ygnacio Monteros Valdivieso IESS Loja, durante el periodo Octubre 2017 a Febrero 2018.

Abstract

Abstract:The study, evaluation and analysis of the management of preoperative antibiotic prophylaxis prepared in the Traumatology and Orthopedics service of the Manuel Ygnacio Monteros Valdivieso Hospital of the Ecuadorian Social Security Institute (IESS) Loja is descriptive, prospective and transversal. During the investigation the clinical histories of 36 patients treated surgically with diagnosis of urgent trauma pathology, evaluated during the period October 2017 to February 2018, were analyzed. Its objective is to identify the use of preoperative antibiotic prophylaxis and its relation with surgical wound complications according to sex. and age The results showed that the protocol of antibiotic prophylaxis used in the Traumatology and Orthopedics service is similar to the national and international protocols, since the drug of choice is cefazolin and 80% of the patients are managed, 1g IV as initial dose followed by 1g IV every 8 hours in 3 doses, with an initial administration of the drug less than 30 minutes in 83.30% of patients. In addition, 2 surgical wound infections were found, representing 5.6% of the evaluated population.