외과환자에 있어서의 예방적 항생제의 사용

Abstract

To evaluate the use or abuse of prophylactic antibiotics in surgery, a total of 300 patients were randomly selected from the patients admitted to the department of surgery, Keimyung University Dongsn Medical Center from 1982 to 1988. Patients who receied inguinal herniorraphy, thyroid surgery, modified radical mastectomy, appendectomy, biliary surgery, and gastric surgery were included in this study and ten patients were randomly selected for each year group for each surgical category category and antibiotic use was analysed. In clean surgical procedures including inguinal herniorrhaphy, thyroid surgery, and breast surgery, the use of prophylactic antibiotics has improver over the years and by 1988 there was no unnecessary, the use of prophylactic antibiotics has improved over the years and by 1988 there was no unnecessary use of antibiotics in these procedures except in breastoperations where the antibiotic use was stilol found in 30% of cases in 1988. In appendectomies, the use of ntibiotics can be both prophlactic and therapeutic but in simple acute appendicitis was appropriate for the timing of the first dose but the duration of the use was prolonged to an average of 5 days. In biliary and gastric operations, the use of antibiotics was appropriate for the timing of the first dose but again the duration of the use was prolonged. The indications for the use of prophylactic antibiotics, the timing of the first dose, the duration of the antibiotic use, and the selection of proper antibiotics for specific operations are discussed.