engleski

Chemoprophylaxis in general surgery departments in Croatia, Serbia and Greece

Aim: The aim of the present study was to compare Chemoprophylaxis in General Surgery Clinics of three major University Hospitals in Croatia, Serbia and Greece, and to check if general guidelines for Surgical Chemoprophylaxis are met. Methods: All surgeons replied to the same questionnaire, which checked: 1) application of chemoprophylaxis, 2) duration and time of initiation of chemoprophylaxis and 3) the kind of antibiotics used. Results: In clean surgery, Croatian surgeons used chemoprophylaxis only exceptionally, Greek surgeons used chemoprophylaxis only in patients with a high risk for a post-surgical infection, while Serbian surgeons always used chemoprophylaxis. In contaminated surgery and in laparoscopy, Greek and Serbian surgeons always used chemoprophylaxis, while Croatian surgeons used chemoprophylaxis in some operations. Chemoprophylaxis was almost always initiated during the initiation of anesthesia and its duration varied. All surgeons used a beta lactam but Croatian surgeons used also gentamicin in some cases. Conclusions: Non-conformance to the guidelines is observed in surgical chemoprophylaxis in the three countries studied. Key-words: surgical chemoprophylaxis

surgical prophylaxis; antibiotis

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