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Uso inapropiado de antibióticos en apendicitis aguda. Resultado de una encuesta a cirujanos mexicanos.

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Title: Uso inapropiado de antibióticos en apendicitis aguda. Resultado de una encuesta a cirujanos mexicanos.
Authors: Corona-Cruz, José Francisco1 jofran_77@hotmail.com, Melchor-Ruan, Javier1, Gracida-Mancilla, Noé Isaías1, Vega-Chavaje, Gerardo Ricardo2, Sánchez-Lozada, Raúl1
Source: Cirugía y Cirujanos. ene/feb2007, Vol. 75 Issue 1, p25-29. 5p.
Subjects: APPENDECTOMY, SURGERY, ANTIBIOTICS, SURGEONS, APPENDICITIS, ANTI-infective agents
Abstract (English): Background: Appendectomy is the most common non-elective surgery. The postoperative use of antibiotics depends on the stage of the appendix at the time of surgery. Several classifications establish that state. We determine if these classifications are known and used by Mexican surgeons. Methods: A descriptive and observational study was performed. A questionnaire was completed by surgeons asking the following questions: Do you use a classification for acute appendicitis? 2) Which classification do you prefer? 3) Do you use antibiotics postoperatively? 4) For what period of time do you administer antibiotics postoperatively? We evaluated if the postoperative treatment is influenced by the use of a classification, using the ?2 test. Results: One hundred and forty two surgeons were interviewed, 99 % used a classification, and 48 % indicated postoperative antibiotics, despite the stage of the disease, monotherapy (69 %), and for three doses (60 %). Fifty two percent used antibiotic only in advanced stages, with two different types (61 %), and from 7 to 10 days (66 %). We did not find any statistical difference in management, regardless of whether or not an appendicitis classification was used. Conclusions: Although most surgeons use one classification for acute appendicitis, this does not influence postoperative treatment. This incongruity results in the unjustified use of antibiotics. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la apendicectomía es la cirugía no electiva más común. El uso posoperatorio de antibióticos depende del estado del apéndice al momento de la cirugía, que es determinado según diversas clasificaciones. El objetivo de este informe es identificar si en México estas clasificaciones son conocidas y usadas por los cirujanos. Material y métodos: se realizó un estudio descriptivo y observacional. Aplicamos una encuesta a cirujanos, a quienes se les preguntó si empleaban una clasificación de la apendicitis aguda; si era así, cuál preferían; si prescribían antibióticos para el posoperatorio y durante cuánto tiempo. Mediante χ² establecimos si el manejo posoperatorio está influido por una clasificación. Resultados: se encuestaron 142 cirujanos: 99 % empleaba algún tipo de clasificación y 48 % indicaba antibióticos posoperatorios, independientemente de la etapa de la enfermedad, 69 % monoterapia y 60 % por tres dosis; 52 % prescribía antibiótico sólo en etapas avanzadas, con dos tipos diferentes (61 %) y de siete a 10 días (66 %). No se encontró diferencia estadística en el tratamiento si se consideraba o no una clasificación de la apendicitis. Conclusiones: aunque la mayoría de los cirujanos utiliza algún tipo de clasificación para la apendicitis aguda, ello no influye en la decisión de manejo posoperatorio. Esta incongruencia repercute en el uso injustificado de antibióticos. [ABSTRACT FROM AUTHOR]
Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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DbLabel: MedicLatina
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PubTypeId: academicJournal
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  Label: Title
  Group: Ti
  Data: Uso inapropiado de antibióticos en apendicitis aguda. Resultado de una encuesta a cirujanos mexicanos.
– Name: Author
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  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Corona-Cruz%2C+José+Francisco%22">Corona-Cruz, José Francisco</searchLink><relatesTo>1</relatesTo><i> jofran_77@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Melchor-Ruan%2C+Javier%22">Melchor-Ruan, Javier</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Gracida-Mancilla%2C+Noé+Isaías%22">Gracida-Mancilla, Noé Isaías</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Vega-Chavaje%2C+Gerardo+Ricardo%22">Vega-Chavaje, Gerardo Ricardo</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Sánchez-Lozada%2C+Raúl%22">Sánchez-Lozada, Raúl</searchLink><relatesTo>1</relatesTo>
– Name: TitleSource
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  Data: <searchLink fieldCode="JN" term="%22Cirugía+y+Cirujanos%22">Cirugía y Cirujanos</searchLink>. ene/feb2007, Vol. 75 Issue 1, p25-29. 5p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22APPENDECTOMY%22">APPENDECTOMY</searchLink><br /><searchLink fieldCode="DE" term="%22SURGERY%22">SURGERY</searchLink><br /><searchLink fieldCode="DE" term="%22ANTIBIOTICS%22">ANTIBIOTICS</searchLink><br /><searchLink fieldCode="DE" term="%22SURGEONS%22">SURGEONS</searchLink><br /><searchLink fieldCode="DE" term="%22APPENDICITIS%22">APPENDICITIS</searchLink><br /><searchLink fieldCode="DE" term="%22ANTI-infective+agents%22">ANTI-infective agents</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Background: Appendectomy is the most common non-elective surgery. The postoperative use of antibiotics depends on the stage of the appendix at the time of surgery. Several classifications establish that state. We determine if these classifications are known and used by Mexican surgeons. Methods: A descriptive and observational study was performed. A questionnaire was completed by surgeons asking the following questions: Do you use a classification for acute appendicitis? 2) Which classification do you prefer? 3) Do you use antibiotics postoperatively? 4) For what period of time do you administer antibiotics postoperatively? We evaluated if the postoperative treatment is influenced by the use of a classification, using the ?2 test. Results: One hundred and forty two surgeons were interviewed, 99 % used a classification, and 48 % indicated postoperative antibiotics, despite the stage of the disease, monotherapy (69 %), and for three doses (60 %). Fifty two percent used antibiotic only in advanced stages, with two different types (61 %), and from 7 to 10 days (66 %). We did not find any statistical difference in management, regardless of whether or not an appendicitis classification was used. Conclusions: Although most surgeons use one classification for acute appendicitis, this does not influence postoperative treatment. This incongruity results in the unjustified use of antibiotics. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: la apendicectomía es la cirugía no electiva más común. El uso posoperatorio de antibióticos depende del estado del apéndice al momento de la cirugía, que es determinado según diversas clasificaciones. El objetivo de este informe es identificar si en México estas clasificaciones son conocidas y usadas por los cirujanos. Material y métodos: se realizó un estudio descriptivo y observacional. Aplicamos una encuesta a cirujanos, a quienes se les preguntó si empleaban una clasificación de la apendicitis aguda; si era así, cuál preferían; si prescribían antibióticos para el posoperatorio y durante cuánto tiempo. Mediante χ² establecimos si el manejo posoperatorio está influido por una clasificación. Resultados: se encuestaron 142 cirujanos: 99 % empleaba algún tipo de clasificación y 48 % indicaba antibióticos posoperatorios, independientemente de la etapa de la enfermedad, 69 % monoterapia y 60 % por tres dosis; 52 % prescribía antibiótico sólo en etapas avanzadas, con dos tipos diferentes (61 %) y de siete a 10 días (66 %). No se encontró diferencia estadística en el tratamiento si se consideraba o no una clasificación de la apendicitis. Conclusiones: aunque la mayoría de los cirujanos utiliza algún tipo de clasificación para la apendicitis aguda, ello no influye en la decisión de manejo posoperatorio. Esta incongruencia repercute en el uso injustificado de antibióticos. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Languages:
      – Code: spa
        Text: Spanish
    PhysicalDescription:
      Pagination:
        PageCount: 5
        StartPage: 25
    Subjects:
      – SubjectFull: APPENDECTOMY
        Type: general
      – SubjectFull: SURGERY
        Type: general
      – SubjectFull: ANTIBIOTICS
        Type: general
      – SubjectFull: SURGEONS
        Type: general
      – SubjectFull: APPENDICITIS
        Type: general
      – SubjectFull: ANTI-infective agents
        Type: general
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      – TitleFull: Uso inapropiado de antibióticos en apendicitis aguda. Resultado de una encuesta a cirujanos mexicanos.
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            NameFull: Corona-Cruz, José Francisco
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            NameFull: Melchor-Ruan, Javier
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            NameFull: Gracida-Mancilla, Noé Isaías
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            NameFull: Vega-Chavaje, Gerardo Ricardo
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            NameFull: Sánchez-Lozada, Raúl
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              Text: ene/feb2007
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              Y: 2007
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