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[Current problems in hospital infection]
Abstract:
(1) In surgical infections staphylococci are still dominating. (2) Following nosocomial infections gramnegative pathogens become more and more important. (3) Systemic administration of antibiotics favour the selection of gramnegative bacteria and the increase of resistence. (4) Antibiotics do not substitute asepsis and antisepsis. (5) The systemic administration of antibiotics in surgical infections should be clearly reduced. (6) No prophylactic use of antibiotics in surgery to prevent wounds infections.
Insights
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.