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[Current problems in hospital infection].
Zentralblatt Fur Chirurgie
|January 1, 1980
Summary
Staphylococci remain dominant in surgical infections, but gram-negative pathogens are increasing, especially in nosocomial settings. Systemic antibiotic use should be reduced, as it promotes resistance and does not replace aseptic techniques.
Area of Science:
- Infectious Diseases
- Surgical Infections
- Antimicrobial Resistance
Background:
- Staphylococci are the primary pathogens in surgical site infections.
- Gram-negative pathogens are increasingly significant in nosocomial infections.
- Systemic antibiotic administration contributes to the selection and resistance of gram-negative bacteria.
Purpose of the Study:
- To evaluate the current role and impact of systemic antibiotic administration in surgical infections.
- To advocate for a reduction in systemic antibiotic use in surgical settings.
- To emphasize the importance of aseptic and antiseptic practices over prophylactic antibiotic use.
Main Methods:
- Review of current literature on surgical infections and antibiotic resistance patterns.
- Analysis of the impact of systemic antibiotic administration on pathogen selection.
- Assessment of the efficacy of aseptic and antiseptic measures versus prophylactic antibiotics.
Main Results:
- Staphylococci continue to be the predominant pathogens in surgical infections.
- A rising prevalence of gram-negative pathogens is observed, particularly in hospital-acquired infections.
- Systemic antibiotic use fosters the emergence of gram-negative bacteria and increases antimicrobial resistance.
- Antibiotics are not a substitute for fundamental aseptic and antiseptic protocols.
Conclusions:
- Systemic antibiotic administration in surgical infections warrants significant reduction.
- Prophylactic antibiotic use in surgery to prevent wound infections should be eliminated.
- Adherence to aseptic and antiseptic principles is paramount in surgical infection control.