부산대학교 도서관

The objective of our study was to characterize the pattern of surgical antibioprophylaxis in cholecystectomy and hernioplasty performed in the Surgical Clinic of the Emergency Clinical Hospital. This prospective study was conducted based on using a protocol established according to literature in this field and specific risks associated to surgical procedure. We recommended cefazolin 1g or cefuroxim 1.5g i. v., in a single dose for cholecystectomy. If the patients are allergic gentamicin, 1.7 mg/kg was recommended. We, also, chose cefazolin 1g i.v. in a single dose for hernia repair. Antibiotic was not routinely recommended in case of hernia repair without mesh or in laparoscopic cholecystectomy. Collected data were compared to our protocol and to the National Guide SRATI by conformities rate for each parameter. This study has identified several areas for improvement in SAP. We consider that the protocol should be revised and updated more often in order to improve the quality of the protocol and improvable of the medical staff and, also, to have in view the introduction of new antibiotics to be used. It is important for these medicines to be found in the Romanian market. Lately, we have had difficulty in being supplied with cefazolin therefore, we have used especially cefuroxim. The pharmaceutical varying market proves that the protocol should have a larger choice of antibiotics. [ABSTRACT FROM AUTHOR]