Title of article :
Prophylactic antibiotics are not indicated in clean general surgery cases
Author/Authors :
Rebecca Knight، نويسنده , , Patrick Charbonneau، نويسنده , , Erick Ratzer، نويسنده , , Francine Zeren، نويسنده , , William Haun، نويسنده , , Jeffrey Clark، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2001
Abstract :
Background: In assigning risk of infection, the traditional wound classification system has been replaced by the National Nosocomial Infection Surveillance (NNIS) system. NNIS classification is determined by procedure length, wound cleanliness, and ASA status. To date, no prophylactic antibiotic guidelines have been proposed for the NNIS system.
Methods: Clean general surgery cases were retrospectively reviewed in our hospital for infection and prophylactic antibiotic use. These cases were then stratified per the NNIS system.
Results: One thousand twenty-three clean general surgery cases had 16 (1%) surgical site infections. The infection rate in NNIS class 0, 1, and 2 cases not given prophylactic antibiotics was 1.21%, 3.03%, and 0%, respectively. The infection rate in NNIS class 0, 1, and 2 cases given prophylactic antibiotics was 0.94%, 2.44%, and 6.67%, respectively.
Conclusions: No statistically significant decrease in infection rate was demonstrated by us using prophylactic antibiotics, regardless of the NNIS classification in clean general surgery cases.
Journal title :
The American Journal of Surgery
Journal title :
The American Journal of Surgery