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영상의학과적 중재술에서 예방적 항생제 사용의 영상의학과적 중재술에서 예방적 항생제 사용의

Investigation of Prophylactic Antibiotic Usage for Interventional Radiology in Korea

감염과화학요법 2008년 40권 5호 p.266 ~ 270
박경화, 정숙인, 김재규, 장미옥, 장남규,
소속 상세정보
박경화 ( Park Kyung-Hwa ) - 전남대학교 의과대학 내과학교실
정숙인 ( Jung Sook-In ) - 전남대학교 의과대학 내과학교실
김재규 ( Kim Jae-Kyu ) - 전남대학교병원 영상의학과
장미옥 ( Chang Mi-Ok ) - 전남대학교 의과대학 내과학교실
장남규 ( Jang Nam-Kyu ) - 전남대학교병원 영상의학과

Abstract


Every interventional procedure can result in infectious complication even though its incidence is very low. Increases in both indication of procedures and number of immunocompromised patients are likely to result in increase of infectious complications. However, no randomized controlled trials to evaluate the effectiveness of prophylactic antibiotics in interventional procedures have ever been performed. This study was performed to investigate the actual pattern of practice and awareness of medical providers concerning the antibiotic prophylaxis following vascular and nonvascular interventional procedures. A questionnaire regarding prophylactic antibiotic usage was sent to the interventional radiologists in 40 hospitals. A total of 12.2-30.3% responders used prophylactic antibiotics for vascular procedure. More than 80-90% of responders answered that vascular procedures except catheter insertion, are not clear indications of prophylactic antibiotics. In contrast, 31.3% and 51.5% of responders used prophylactic antibiotics for genitourinary and biliary drainage respectively. About 60-70% of responders considered both genitourinary and biliary drainage as clear indications of antibiotic prophylaxis. Further study assessing the appropriate antibiotic usage in interventional procedures is warranted.

키워드

Interventional radiology;Antibiotic prophylaxis;Infection

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등재저널 정보

KCI
KoreaMed
KAMS