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Use of perioperative antibiotic prophylaxis in selected surgical procedures — Results of a survey in 889 surgical departments in German hospitals

Praxis der perioperativen Antibiotikaprophylaxe bei ausgewählten Eingriffen — Ergebnisse einer Umfrage an 889 chirurgischen Abteilungen deutscher Krankenhäuser

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Summary

In 1989, a survey on perioperative antibiotic prophylaxis was conducted in 2,739 surgical (general surgical, orthopedic, traumatologic, and cardiothoracic) departments of German hospitals. In all, 889 (32.5%) questionnaires were returned. Regarding the choice of antibiotic and the duration of prophylaxis the respective rates of correct statements were as follows: 32.6% and 55.0% in gastric surgery, 29.5% and 42.9% in colorectal surgery, 38.3% and 50.5% in biliary tract surgery, 81.0% and 41.0% in total hip replacement, 91.3% and 0% in heart valve replacement, and 95.7% and 0% in coronary artery bypass graft. Altogether, the choice of antibiotic and the duration of prophylaxis were correct in only 49.1% and 43.3%, respectively.

Zusammenfassung

1989 wurde eine Umfrage in 2739 chirurgischen Abteilungen (Allgemeinchirurgie, Orthopädie, Unfallchirurgie und Herzchirurgie) deutscher Krankenhäuser durchgeführt. 889 (32,5%) Fragebögen wurden zurückgeschickt. Hinsichtlich der Auswahl des Antibiotikums und der Dauer der Prophylaxe war der Prozentsatz korrekter Angaben folgendermaßen: Magenresektion 32,6% bzw. 55,0%, Kolonresektion 29,5% bzw. 42,9%, Gallenwegs-Operation 38,3% bzw. 50,5%, Hüftgelenksimplantation 81,0% bzw. 41,0%, Herzklappenersatz 91,3% bzw. 0% und koronare Bypass-Operation 95,7% bzw. 0%. Insgesamt war die Auswahl des Antibiotikums nur in 49,1% und die Dauer der Prophylaxe nur in 43,3% richtig.

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  1. Klinikhygiene, Klinikum der Albert-Ludwigs-Universität, Hugstetterstr. 55, W-7800, Freiburg, Germany

    Ines Kappstein &  F. D. Daschner

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  1. Ines Kappstein
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  2. F. D. Daschner
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Kappstein, I., Daschner, F.D. Use of perioperative antibiotic prophylaxis in selected surgical procedures — Results of a survey in 889 surgical departments in German hospitals. Infection 19, 391–394 (1991). https://doi.org/10.1007/BF01726445

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