Keywords
prophylaxis
riks factor
surgical site
Categories
How to Cite
Abstract
Background: In Venezuela, there is a lack of availability of the antibiotics suggested in the international guidelines for the preoperative prophylaxis, and also growing levels of bacterial resistance. Objectives: To develop a score system which allows to design an antimicrobial prophylactic scheme for surgical site infections based on the risk factors in aesthetic plastic and posbariatric surgery. Methodology: A longitudinal, descriptive, and retrospective study was performed between January 2016 and March 2018. The sample was constituted of 100 patients to whom plastic surgery was performed and was evaluated by the Unit’s infectologist. Reviewing of medical history was performed and general data was registered (age, body mass index), background (smoking habit, diabetes, skin pathology, urinary infections in past 6 months, S. aureus carrier, antibiotic use in the last 6 months), surgical data (surgical area, surgical time, drainage use), antimicrobial prophylaxis (transoperative and postoperative) and infectious complications. Results and Conclusions: The sample was 96% female patients and 4% male. The average age was 39 years. BMI: 98% < 30 Kg/m2 . The transoperative antimicrobial prophylaxis was cephalotin (83%) and the postoperative prophylaxis was trimethoprim/sulfamethoxazole (79%), the overall incidence of SSI 5%. In mammary surgery the percentage of infection was 1.45%, in abdomen surgery 2.7% and in thigh surgeries 66.6%. We propose a scoring system practical and simple for the stratification of infectious surgical risk in aesthetic plastic and postbariatric surgery that allows the application of an antimicrobial prophylaxis scheme adapted to the situation of the region.
References
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