Implementation of the hemoprophylactic protocol in orthopedic surgery
Introduction: Antibiotic prophylaxis is defined as the use of antimicrobials in the absence of symptoms of infection, with the aim of preventing or reducing the incidence of infection after surgery. We analyzed the incidence of surgical wound infection in patients in whom a protection of hemoprophyl...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
University of Sarajevo
2011-12-01
|
| Series: | Journal of Health Sciences |
| Subjects: | |
| Online Access: | https://www.jhsci.ba/ojs/index.php/jhsci/article/view/40 |
| _version_ | 1818857487832449024 |
|---|---|
| author | Elvedin Osmanovic Mensura Aščerić Esed Omerkic |
| author_facet | Elvedin Osmanovic Mensura Aščerić Esed Omerkic |
| author_sort | Elvedin Osmanovic |
| collection | DOAJ |
| description | Introduction: Antibiotic prophylaxis is defined as the use of antimicrobials in the absence of symptoms of infection, with the aim of preventing or reducing the incidence of infection after surgery. We analyzed the incidence of surgical wound infection in patients in whom a protection of hemoprophylaxis conducted using cefazolin and gentamicin, and determine the frequency of surgical wound infection in patients in whom there was a deviation in the implementation of hemoprophylaxis protection.
Methods: This retrospective-prospective study included 100 patients surgically treated at the The Department of Orthopedics and Traumatology, University Clinical Center in Tuzla from December 2007 to February 2010, which examined the incidence of surgical wound infection after surgical treatment of fractures or degenerative changes in the hip, thigh and lower leg fractures.
Results: In the first group, in patients who were treated with cefazolin were detected in 2 cases (5.7%) while the length of hemoprophylaxis was 7 days, patients who were treated with cefazolin and gentamicin were detected in 1 case (2.8%) and duration hemoprophylaxis was 7 days. In another control group tah was found 9 cases of wound infection (30%), and hemoprophylaxis duration was 10 days.
Conclusion: The combination of cefazolin and gentamycin for a period of 5 days significantly reduces the incidence of infection and significantly shortened the time of antibiotics in group that is respected application protocol in accordance with international recommendation. |
| first_indexed | 2024-12-19T08:41:11Z |
| format | Article |
| id | doaj.art-d663eeb71d7b4b07bfb3c0fdf0a48aea |
| institution | Directory Open Access Journal |
| issn | 2232-7576 1986-8049 |
| language | English |
| last_indexed | 2024-12-19T08:41:11Z |
| publishDate | 2011-12-01 |
| publisher | University of Sarajevo |
| record_format | Article |
| series | Journal of Health Sciences |
| spelling | doaj.art-d663eeb71d7b4b07bfb3c0fdf0a48aea2022-12-21T20:28:57ZengUniversity of SarajevoJournal of Health Sciences2232-75761986-80492011-12-011310.17532/jhsci.2011.13340Implementation of the hemoprophylactic protocol in orthopedic surgeryElvedin Osmanovic0Mensura Aščerić1Esed Omerkic2Emergency Department, Public Health Institution Health Centre Zivinice, Bosnia and HerzegovinaDepartment of Clinical Pharmacology and Toxicology, Medical Faculty Tuzla, University of Tuzla, Univerzitetska 1, 75000 Tuzla, Bosnia and HerzegovinaEmergency Department, Public Health Institution Health Centre Zivinice, Bosnia and HerzegovinaIntroduction: Antibiotic prophylaxis is defined as the use of antimicrobials in the absence of symptoms of infection, with the aim of preventing or reducing the incidence of infection after surgery. We analyzed the incidence of surgical wound infection in patients in whom a protection of hemoprophylaxis conducted using cefazolin and gentamicin, and determine the frequency of surgical wound infection in patients in whom there was a deviation in the implementation of hemoprophylaxis protection. Methods: This retrospective-prospective study included 100 patients surgically treated at the The Department of Orthopedics and Traumatology, University Clinical Center in Tuzla from December 2007 to February 2010, which examined the incidence of surgical wound infection after surgical treatment of fractures or degenerative changes in the hip, thigh and lower leg fractures. Results: In the first group, in patients who were treated with cefazolin were detected in 2 cases (5.7%) while the length of hemoprophylaxis was 7 days, patients who were treated with cefazolin and gentamicin were detected in 1 case (2.8%) and duration hemoprophylaxis was 7 days. In another control group tah was found 9 cases of wound infection (30%), and hemoprophylaxis duration was 10 days. Conclusion: The combination of cefazolin and gentamycin for a period of 5 days significantly reduces the incidence of infection and significantly shortened the time of antibiotics in group that is respected application protocol in accordance with international recommendation.https://www.jhsci.ba/ojs/index.php/jhsci/article/view/40infectionsorthopaedicprophylaxisantibioticcefazolingentamycin |
| spellingShingle | Elvedin Osmanovic Mensura Aščerić Esed Omerkic Implementation of the hemoprophylactic protocol in orthopedic surgery Journal of Health Sciences infections orthopaedic prophylaxis antibiotic cefazolin gentamycin |
| title | Implementation of the hemoprophylactic protocol in orthopedic surgery |
| title_full | Implementation of the hemoprophylactic protocol in orthopedic surgery |
| title_fullStr | Implementation of the hemoprophylactic protocol in orthopedic surgery |
| title_full_unstemmed | Implementation of the hemoprophylactic protocol in orthopedic surgery |
| title_short | Implementation of the hemoprophylactic protocol in orthopedic surgery |
| title_sort | implementation of the hemoprophylactic protocol in orthopedic surgery |
| topic | infections orthopaedic prophylaxis antibiotic cefazolin gentamycin |
| url | https://www.jhsci.ba/ojs/index.php/jhsci/article/view/40 |
| work_keys_str_mv | AT elvedinosmanovic implementationofthehemoprophylacticprotocolinorthopedicsurgery AT mensuraasceric implementationofthehemoprophylacticprotocolinorthopedicsurgery AT esedomerkic implementationofthehemoprophylacticprotocolinorthopedicsurgery |