Use of perioperative antibiotic prophylaxis in selected surgical procedures--results of a survey in 889 surgical departments in German hospitals.
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%) questionnaries 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.
Kappstein
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Klinikhygiene, Albert-Ludwigs-Universität, Freiburg, Germany.
Daschner
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FD
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000517:prevention & control*; D001662:Biliary Tract Surgical Procedures; D006348:Cardiac Surgical Procedures; D003108:Colonic Diseases / Q000601:surgery; D005858:Germany; D006622:Hip Prosthesis; D006761:Hospitals; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D011292:Premedication; D012002:Rectal Diseases / Q000601:surgery; D013272:Stomach Diseases / Q000601:surgery; D013514:Surgical Procedures, Operative; D011795:Surveys and Questionnaires
D000900:Anti-Bacterial Agents