Key result
A minimal postoperative antibiotic policy stratified by operative findings of contamination versus infection yielded low rates of mortality (2%), wound infection (7%), and intra-abdominal infection (1%).
Why the study?
Does a minimal postoperative antibiotic policy based on operative findings safely manage infection risk in patients after emergency abdominal surgery?
Population
163 patients undergoing emergency abdominal surgery (mean APACHE II score 7).
Design
Cohort
Authors
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Hypothesis-generating for minimal stratified antibiotics after emergency abdominal surgery; randomized trials needed before practice change.
Cohort (n=163)
Does a minimal postoperative antibiotic policy based on operative findings safely manage infection risk in patients after emergency abdominal surgery?
Stratifying postoperative antibiotic duration based on operative findings of contamination versus infection allows for a successful minimal antibiotic policy after emergency abdominal surgery.
Schein et al. (1994) conducted a cohort in Emergency abdominal surgery (n=163). Minimal postoperative antibiotic policy was evaluated on Mortality, wound infection, and postoperative intra-abdominal infection. A minimal postoperative antibiotic policy stratified by operative findings of contamination versus infection yielded low rates of mortality (2%), wound infection (7%), and intra-abdominal infection (1%).
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