Surgical site infection in pancreas surgery and the use of perioperative antibiotics / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
;
(6): 566-570, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-298781
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the pathogen profiles and the use of perioperative antibiotics after surgical site infection (SSI) in pancreas operation.</p><p><b>METHOD</b>We retrospectively analyzed the pathogen profiles and the use of perioperative antibiotics in 48 SSI patients who received pancreas operations from Jan 2001 to Dec 2005.</p><p><b>RESULTS</b>Totally 79 strains of pathogens (74 strains of bacteria) were isolated, including 17 strains of methicillin-resistant Staphylococcus aureus (MRSA), 17 strains of enterococcus species, 12 strains of Escherichia species, and 5 strains of enterobacteriaceae. Combination of the third generation of cephalosporins and antianaerobic agents were the main prophylactic therapies, with an average duration of (4.7 +/- 1.2) days. Most SSI episodes happened 6-14 days postoperatively (median 9 days). Celiac infections were most common (n=39). Therapeutic antibiotics gave priority to combined-antibiotics of the third cephalosporins and antianaerobic antibiotics, glycopeptides and carbapenems.</p><p><b>CONCLUSIONS</b>SSI commonly occurs on the 6-14 postoperative day, with MRSA and enterococci as the common pathogens of SSI after pancreas surgery. Antibiotic resistance should be considered when applying prophylactic therapies.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Surgical Wound Infection
/
Time Factors
/
Drug Resistance, Microbial
/
Antibiotic Prophylaxis
/
Perioperative Care
/
Therapeutic Uses
/
Microbiology
/
Anti-Bacterial Agents
Limits:
Humans
Language:
Chinese
Journal:
Acta Academiae Medicinae Sinicae
Year:
2007
Type:
Article
Similar
MEDLINE
...
LILACS
LIS