Analysis of antibiticoprophylaxis in elective surgical procedures

Abstract

Introduction: Antibiotic prophylaxis in the surgical environment aims to reduce surgical site infections (SSI), being an adjuvant factor in prevention. The objective of this study was to analyze the use of antibiotic prophylaxis in elective surgical procedures in a public hospital in the Federal District (DF).Methods: This is a cross-sectional, retrospective study with a quantitative approach carried out on medical records of elective surgical procedures in a public hospital in the DF . The sample size was estimated using a formula using 320 medical records. Results: Surgical procedures performed by general surgery prevailed 43.8%. As for the potential for contamination of the surgical incision, the prevalence of 53.8% potentially contaminated surgeries. Prophylactic antibiotics were used in 98.4% of the procedures, with cefazolin being 50.6% of choice. The average hospital stay was 2.91 days with a deviation of 3.65. It was found that 1.6% of the participants had SSI. Conclusion: it is concluded that 1.6% of the sample had SSI, so the use of antibiotic prophylaxis was considered adequate due to the percentage of procedures that used it, 98.4% that fit into potentially contaminated procedures, being essential the use of antimicrobials.