Medidas de prevención de la infección del sitio quirúrgico en cirugía abdominal. Revisión crítica de la evidencia |
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Authors: | Jaime Ruiz Tovar Josep M. Badia |
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Affiliation: | 1. Sección de Infección Quirúrgica, Asociación Española de Cirujanos, España;2. Servicio de Cirugía, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España;3. Servicio de Cirugía, Hospital General Universitari de Granollers, Universitat Internacional de Catalunya, Barcelona, España |
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Abstract: | Surgical site infection (SSI) is associated with prolonged hospital stay, increased morbidity, mortality and sanitary costs, and reduced patients quality of life. Many hospitals have adopted guidelines of scientifically-validated processes for prevention of surgical site and central-line catheter infections and sepsis. Most of these guidelines have resulted in an improvement in postoperative results. A review of the best available evidence on these measures in abdominal surgery is presented. The best measures are: avoidance of hair removal from the surgical field, skin decontamination with alcoholic antiseptic, correct use of antibiotic prophylaxis (administration within 30-60 min before incision, use of 1st or 2nd generation cephalosporins, single preoperative dosis, dosage adjustments based on body weight and renal function, intraoperative re-dosing if the duration of the procedure exceeds 2 half-lives of the drug or there is excessive blood loss), prevention of hypothermia, control of perioperative glucose levels, avoid blood transfusion and restrict intraoperative liquid infusion. |
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Keywords: | Infecció n de sitio quirú rgico Prevenció n Control Complicaciones postoperatorias Prevenció n |
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