Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/123965
Título: Evaluación de la infección de localización quirúrgica en cirugía de colon y adecuación de la profilaxis antibiótica: estudio multicéntrico de incidencia
Otros títulos: Assessment of the surgical site infection in colon surgery and antibiotic prophylaxis adequacy: A multi-center incidence study
Autores/as: De Arriba Fernández, Alejandro 
Molina-Cabrillana, Jesús
Serra Majem, Luis 
García-de Carlos, Paloma
Clasificación UNESCO: 32 Ciencias médicas
3213 Cirugía
320505 Enfermedades infecciosas
Palabras clave: Antibiotic prophylaxis
Colon surgery
Incidence
Surgical site infection
Surveillance system
Fecha de publicación: 2022
Publicación seriada: Cirugia Española (Ed. impresa) 
Resumen: Introduction: Surgically site infections (SSIs) are a major problem that limits the benefits of surgical interventions. The cumulative incidence of SSIs in colon surgery and compliance with antibiotic prophylaxis as well as the causes of non-compliance were evaluated. Methods: Multi-centre prospective surveillance study between 2012 and 2019 in seven hospitals of the Canary Health Service using an active epidemiological surveillance system. SSIs was defined according to the criteria of the Centers for Disease Control and Prevention. Results: In 2019, the cumulative incidence of SSIs was 10.6% (n = 80), which implies maintaining the downward trend since 2012. The appearance of SSIs was more frequent during admission (76%). Surgical prophylaxis was adequate in 81.2%, the main causes of inadequacy being the excessive duration of the antimicrobial prescription (49%) and failure in the indication (33%). The incidence was higher in the group of organ-space infections (53.75% of the total) compared to superficial and deep infections. Conclusion: The cumulative incidence of SSIs obtained is similar to that calculated in other studies carried out under similar conditions. Preoperative chemoprophylaxis was adequate in most of the interventions.
URI: http://hdl.handle.net/10553/123965
ISSN: 0009-739X
DOI: 10.1016/j.ciresp.2021.05.011
Fuente: Cirugía Española [0009-739x], v. 10(11), pp. 718-724 (Noviembre 2022)
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