TITLE:
Antibioprophylaxy by the Surgery Staff in the Teaching Hospital Gabriel Touré in Mali
AUTHORS:
Bakary Tientigui Dembélé, Alhassane Traoré, Adégné Togo, Lassana Kanté, Ibrahim Diakité, Amadou Traoré, Bourama Emmanuel Cissoko, Madiassa Konaté, Boubacar Karembé, Yacaria Coulibaly, Soumeila Keita, Mamby Keita, Souleymane Diallo, Gangaly Diallo
KEYWORDS:
Antibioprophylaxy, Infection Risky Factors, Surgery
JOURNAL NAME:
Surgical Science,
Vol.6 No.3,
March
19,
2015
ABSTRACT: This prospective survey was conducted from February to December
2014 about the use ceftriaxone (ceftriaz) for antibioprophylaxy concerning 300
patients by the surgery staff in the Gabriel Touré Teaching Hospital in Mali.
The quantity of drug used was based on the weight of the patient. One dose was
administrated in intravenous at the anesthesiology induction time. For more
than 2 hours of intervention time, 4 (1.3%) patients received a second dose.
The majority of cases (189, 63%) were out of emergency (emergency cases—111,
37%). The mean age was 41.6 years (range: 3 - 95 years). The patients were
classed Altmeir II 203 (67.7%) and Altmeir I 97 (32.3%). The NNISS score 0
concerned 101 (33.6%) and NNISS 1 in 180 (60%) patients. The factors of risky
were anemia (38; 12.7%), diabetes (6; 2%), and HIV (3; 1%). The mean of intervention
duration was 56.8±27.5 minutes. Four cases of intervention site
infection were encountered caused byPseudomonasaeruginosain 2 patients;Escherichia coli(1 case), andStaphylococcus aureus(1 case). Conclusion: Antibioprohylaxy is not the only way
to prevent infections but it stays necessary. The respect of hygien and aseptic
measures should be used to reduce the rate of intervention site infection.