[Antibiotic prophylaxis in appendectomy. Often neglected--but necessary!].
For several decades it has been proven that adequate antimicrobial prophylaxis is effective in reducing postoperative septic complications also in appendectomy. The rational for this approach--including laparoscopic procedures--is discussed and national and international recommendations for antibiotic prophylaxis in appendectomy are cited. Unfortunately, in spite of all the evidence, less than 50% of all appendectomies in 1996 in Germany had been carried out under antibiotic cover--with serious consequences for many patients and increased costs for prolonged hospital stay and treatment due to the higher incidence of infectious postoperative complications. Surgeons are encouraged not to neglect facts and benefits concerning the use of appropriate prophylactic antimicrobials in all appendectomies.
Hell
K
K
Department Chirurgie, Universität Basel.
D019072:Antibiotic Prophylaxis; D001062:Appendectomy; D006801:Humans; D010535:Laparoscopy; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000517:prevention & control