EMPIRICAL AND PROPHYLACTIC ANTIBIOTIC MANAGEMENT OF UNCOMPLICATED ACUTE APPENDICITIS

Abstract

Objective: The importance of antibiotic treatment in the general management of intra-abdominal infections has been difficult to objectify and only until recently has tested its essential role in hea- ling without complications from infections. Methods: Prospective and random study in which 129 patients with average age between 19 and 60 years who entered the service of Surgery General Dr. Jose? Leo?n Tapia Contreras of the Hospital Dr. Luis Razetti, between of January 2, 2016 and March 30, 2016, in which pre-surgical diagnosis of uncomplicated acute appendicitis, and were operated and treated with empirical antibiotic therapies. Results: To demonstrate the significance of antibiotic prophylaxis empirical used in our study, half of the surgical site infections arose in a group of 22 patients that they received antibiotic therapy combi- ned with (aztreonam and metronidazole) and the other half is pre- sented in most of the treated sample only with aztreonam, being this group the highest percentage with a 75.6 total of the treated sample. Conclusion: Arises to determine the efficacy of aztreo- nam + preoperative metronidazole in patients with acute appendi- citis not complicated, limiting the unnecessary use of antibiotic to stop the collateral damage, analyze the attachment or not of the treating physicians and patients treated with empiric antibiotic management raised.