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Rev Esp Quimioter 2020; 33(3): 180-186

Evaluation of compliance with the antibiotic prophylaxis protocol in hysterectomy. Prospective cohort study

MARIO GIL-CONESA, JUAN ANTONIO DEL-MORAL-LUQUE, NIEVES CLIMENT-MARTÍNEZ, ALBERTO DELGADO-IRIBARREN, RITA RIERA-PÉREZ, CARLOS MARTÍN-CABALLERO, CAROLINA CAMPELLO-GUTIÉRREZ, MANUEL DURÁN-POVEDA, GIL RODRÍGUEZ-CARAVACA, ÁNGEL GIL-DE-MIGUEL, DIEGO RODRÍGUEZ-VILLAR

Published: 31 March 2020

http://www.doi.org/10.37201/req/098.2019

Objectives. Health care-related infections are a public health problem, among them surgical site infection (SSI) are the most frequent in hospitals. The objetive of this study was to assess the effect of the compliance to antibiotic prophylaxis protocol on the incidence of surgical site infection in hysterectomized patients.
Material and methods. A prospective cohort study was carried out between October 2009 and December 2018. The incidence of SSI was studied after a maximum period of 30 days from the moment of surgery. The degree of adequacy of antibiotic prophylaxis in hysterectomy and the effect of its inadequacy on the incidence of infection was evaluated using relative risk (RR) adjusted with a logistic regression model.
Results. A total of 1,025 interventions were studied in 1,022 women. The cumulative incidence of SSI was 2,1% (n = 22). The most frequent etiology of infection was Escherichia coli (23.1%) and Proteus mirabilis (23.1%). Antibiotic prophylaxis was indicated in 1,014 interventions (98.9%) being administered in 1,009 of them (99.5%). The adherence to the protocol was 92,5%. The main cause of non-compliance was the time of onset (40.9%), followed by the choice of the antibiotic (35.2%). The effect of inadequate prophylaxis on the incidence of infection was RR = 0.9; 95% CI 0.2-3.9; p> 0.05.
Conclusions. The adequacy of antibiotic prophylaxis was very high, with a low incidence of surgical site infection. No association was found between adequacy of prophylaxis and incidence of infection in hysterectomy. The continuous improvement of epidemiological surveillance in gynecology should be emphasized.

Rev Esp Quimioter 2020; 33(3): 180-186 [Texto completo PDF]


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Rev Esp Quimioter 2020; 33(2): 137-138

Detección de Streptococcus pyogenes en muestras faringoamigdalares mediante técnica de detección de antígeno  

(Detection of Streptococcus pyogenes in throat swab samples using antigen detection technique)

ISABEL CASANOVAS MORENO-TORRES, GEMMA JIMÉNEZ GUERRA, CARLA FORONDA GARCÍA-HIDALGO, MARÍA LUISA SERRANO GARCÍA

http://www.doi.org/10.37201/req/078.2019

LETTER TO THE EDITOR

Rev Esp Quimioter 2020; 33(2): 137-138 [Texto completo PDF]

 

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Rev Esp Quimioter 2020; 33(2): 147-148

Dalbavancina combinada con linezolid en infección protésica de cadera  

(Dalbavancin combined with linezolid in prosthetic-hip infection)

ISABEL MARÍA CARRIÓN MADROÑAL, RAQUEL SÁNCHEZ DEL MORAL, JOSÉ MIGUEL ABAD ZAMORA, FRANCISCO JAVIER MARTÍNEZ MARCOS

http://www.doi.org/10.37201/req/087.2019

LETTER TO THE EDITOR

Rev Esp Quimioter 2020; 33(2): 147-148 [Texto completo PDF]

 

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Rev Esp Quimioter 2020; 33(2): 145-146

Síndrome hemofagocítico por Leishmania en paciente con síndrome poliglandular  

(Hemofagoctic sindrome by Leishmania in patient with poliglandular sindrome)

ROCÍO CABRA RODRÍGUEZ, MARÍA JOSÉ RUÍZ MÁRQUEZ

http://www.doi.org/10.37201/req/083.2019

LETTER TO THE EDITOR

Rev Esp Quimioter 2020; 33(2): 145-146 [Texto completo PDF]

 

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Rev Esp Quimioter 2020; 33(2): 143-144

Aumento de Staphylococcus aureus resistente a meticilina y sensible a ciprofloxacino en infecciones osteoarticulares, de piel y tejidos blandos  

(Increase in methicillin-resistant and ciprofloxacin-susceptible Staphylococcus aureus in osteoarticular, skin and soft tissue infections)

JOAQUÍN BARTOLOMÉ-ÁLVAREZ, VERÓNICA SOLVES-FERRIZ

http://www.doi.org/10.37201/req/082.2019

LETTER TO THE EDITOR

Rev Esp Quimioter 2020; 33(2): 143-144 [Texto completo PDF]

 

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Rev Esp Quimioter 2020; 33(2): 149-150

Análisis de los tipos y subtipos gripales en función de la edad en las últimas cuatro temporadas epidémicas  

(Analysis of influenza types and subtypes according to pediatric age in the last four epidemic seasons)

JORDI REINA, JOAQUÍN DUEÑAS

http://www.doi.org/10.37201/req/089.2019

LETTER TO THE EDITOR

Rev Esp Quimioter 2020; 33(2): 149-150 [Texto completo PDF]

 

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Rev Esp Quimioter 2020; 33(2): 141-142

Joint infection due to Elizabethkingia miricola  

(Infección articular debida a Elizabethkingia miricola)

ELIZABETH CALATRAVA, ISABEL CASANOVAS, CARLA FORONDA, FERNANDO COBO

http://www.doi.org/10.37201/req/081.2019

LETTER TO THE EDITOR

Rev Esp Quimioter 2020; 33(2): 141-142 [Full-text PDF]

 


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Rev Esp Quimioter 2020; 33(2): 139-140

Unusual case report of skin infection by Paenibacillus timonensis  

(Infección de piel por Paenibacillus timonensis)

ADOLFO DE SALAZAR, FRANCISCO FERRER, DAVID VINUESA, NATALIA CHUECA, CLAUDIO

http://www.doi.org/10.37201/req/079.2019

LETTER TO THE EDITOR

Rev Esp Quimioter 2020; 33(2): 139-140 [Full-text PDF]

 

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