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Current status of initial antibiotic therapy and analysis of infections in patients with solitary abdominal trauma: a multicenter trial in Korea

Annals of Surgical Treatment and Research 2021년 100권 2호 p.119 ~ 125
이길재, 경규혁, 김기훈, 김남렬, 설영훈, 임경훈, 홍석경, 조항주,
소속 상세정보
이길재 ( Lee Gil-Jae ) - Gachon University College of Medicine Gachon University Gil Medical Center Department of Traumatology
경규혁 ( Kyoung Kyu-Hyouck ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Surgery
김기훈 ( Kim Ki-Hoon ) - Inje University Haeundae Paik Hospital Department of Surgery
김남렬 ( Kim Nam-Ryeol ) - Korea University Guro Hospital Department of Trauma Surgery
설영훈 ( Sul Young-Hoon ) - Chungbuk National University Hospital Department of Trauma Surgery
임경훈 ( Lim Kyoung-Hoon ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Surgery
홍석경 ( Hong Suk-Kyung ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery
조항주 ( Cho Hang-Joo ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Trauma Surgery

Abstract


Purpose: Proper use of antibiotics during emergency abdominal surgery is essential in reducing the incidence of surgical site infection. However, no studies have investigated the type of antibiotics and duration of therapy in individuals with abdominal trauma in Korea. We aimed to investigate the status of initial antibiotic therapy in patients with solitary abdominal trauma.

Methods: From January 2015 to December 2015, we retrospectively analyzed the medical records of patients with solitary abdominal trauma from 17 institutions including regional trauma centers in South Korea. Both blunt and penetrating abdominal injuries were included. Time from arrival to initial antibiotic therapy, rate of antibiotic use upon injury mechanism, injured organ, type, and duration of antibiotic use, and postoperative infection were investigated.

Results: Data of the 311 patients were collected. The use of antibiotic was initiated in 96.4% of patients with penetrating injury and 79.7% with blunt injury. Initial antibiotics therapy was provided to 78.2% of patients with solid organ injury and 97.5% with hollow viscus injury. The mean day of using antibiotics was 6 days in solid organ injuries, 6.2 days in hollow viscus. Infection within 2 weeks of admission occurred in 36 cases. Infection was related to injury severity (Abbreviated Injury Scale of >3), hollow viscus injury, operation, open abdomen, colon perforation, and RBC transfusion. There was no infection in cases with laparoscopic operation. Duration of antibiotics did not affect the infection rate.

Conclusion: Antibiotics are used extensively (84.2%) and for long duration (6.2 days) in patients with abdominal injury in Korea.

키워드

Abdoimnal Injury; Anti-bacterial agents; Blunt injury; Penetrating injury

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