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[Antibiotic prophylaxis in emergency abdominal surgery]
Vestnik Khirurgii Imeni I. I. Grekova
|July 1, 1986
Summary
Antibiotic prophylaxis significantly reduced surgical site infections from 11.5% to 5.04% in emergency operations. This intervention also shortened hospital stays by an average of 3.2 days.
Area of Science:
- Surgical Infections
- Clinical Effectiveness
- Antibiotic Prophylaxis
Background:
- Surgical site infections (SSIs) are a significant concern in emergency operations.
- Optimizing antibiotic prophylaxis is crucial for reducing postoperative complications and improving patient outcomes.
Purpose of the Study:
- To evaluate the effectiveness of antibiotic prophylaxis in reducing suppurations (infections) following emergency surgical procedures.
- To assess the impact of antibiotic prophylaxis on the length of hospital stay for patients undergoing emergency operations.
Main Methods:
- A comparative analysis was conducted involving 1054 emergency operations.
- Patients were divided into an experimental group (337 patients) receiving antibiotic prophylaxis and a control group (717 patients) not receiving it.
- Key outcome measures included the incidence of suppurations and the duration of hospital stay.
Main Results:
- The incidence of suppurations in the experimental group was significantly lower (5.04%) compared to the control group (11.5%).
- Patients receiving antibiotic prophylaxis experienced a shorter average hospital stay, decreasing from 17.3 days to 14.1 days.
- This represents a reduction of over 50% in infection rates and a decrease of approximately 18% in hospital stay duration.
Conclusions:
- Antibiotic prophylaxis is highly effective in reducing surgical site infections in emergency surgery.
- Implementing antibiotic prophylaxis protocols can lead to substantial improvements in patient recovery and resource utilization by shortening hospital stays.