TY - JOUR T1 - Epidemiologic analysis: Prophylaxis and multidrug-resistance in surgery JO - Revista de Gastroenterología de México T2 - AU - Solís-Téllez,H. AU - Mondragón-Pinzón,E.E. AU - Ramírez-Marino,M. AU - Espinoza-López,F.R. AU - Domínguez-Sosa,F. AU - Rubio-Suarez,J.F. AU - Romero-Morelos,R.D. SN - 2255534X M3 - 10.1016/j.rgmxen.2016.12.002 DO - 10.1016/j.rgmxen.2016.12.002 UR - http://www.revistagastroenterologiamexico.org/en-epidemiologic-analysis-prophylaxis-multidrug-resistance-in-articulo-S2255534X16300706 AB - BackgroundSurgical site infection is defined as an infection related to the surgical procedure in the area of manipulation occurring within the first 30 postoperative days. The diagnostic criteria include: purulent drainage, isolation of microorganisms, and signs of infection. AimsTo describe the epidemiologic characteristics and differences among the types of prophylactic regimens associated with hospital-acquired infections at the general surgery service of a tertiary care hospital. Material and methodsThe electronic case records of patients that underwent general surgery at a tertiary care hospital within the time frame of January 1, 2013 and December 31, 2014 were reviewed. A convenience sample of 728 patients was established and divided into the following groups: Group 1: n=728 for the epidemiologic study; Group 2: n=638 for the evaluation of antimicrobial prophylaxis; and Group 3: n=50 for the evaluation of multidrug-resistant bacterial strains in the intensive care unit. The statistical analysis was carried out with the SPSS 19 program, using the Mann-Whitney U test and the chi-square test. ResultsA total of 728 procedures were performed (65.9% were elective surgeries). Three hundred twelve of the patients were males and 416 were females. Only 3.98% of the patients complied with the recommended antimicrobial prophylaxis, and multidrug-resistant bacterial strains were found in the intensive care unit. DiscussionA single prophylactic dose is effective, but adherence to this recommendation was not adequate. ConclusionsThe prophylactic guidelines are not strictly adhered to in our environment. There was a significant association between the development of nosocomial infections from multidrug-resistant germs and admission to the intensive care unit. ER -