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Perioperative Antibiotic Prophylaxis and Antimicrobial Therapy of Intra-Abdominal Infections
BACKGROUND: The increase of antimicrobial resistances to first- and second-line antibiotics, especially of Gram-negative bacteria, and the lack of novel antimicrobial substances are a challenge in the treatment of intra-abdominal infections. METHODS: Review article. RESULTS: The efficacy and safety...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger Verlag für Medizin und Naturwissenschaften GmbH
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571728/ https://www.ncbi.nlm.nih.gov/pubmed/26535044 http://dx.doi.org/10.1159/000368582 |
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author | Hagel, Stefan Scheuerlein, Hubert |
author_facet | Hagel, Stefan Scheuerlein, Hubert |
author_sort | Hagel, Stefan |
collection | PubMed |
description | BACKGROUND: The increase of antimicrobial resistances to first- and second-line antibiotics, especially of Gram-negative bacteria, and the lack of novel antimicrobial substances are a challenge in the treatment of intra-abdominal infections. METHODS: Review article. RESULTS: The efficacy and safety of perioperative antibiotic prophylaxis in visceral surgery has been demonstrated by several meta-analyses. Perioperative antibiotic prophylaxis is defined as a single administration of antibiotics shortly before a surgical intervention. A so-called prolonged prophylaxis including the postoperative period (e.g. 1-3 days postoperatively) should be avoided as it does not reduce the number of wound infections and is associated with an increased risk of antimicrobial resistance and side effects. Antimicrobial management of severe intra-abdominal infections involves a delicate balance of optimizing empirical therapy which has been shown to improve outcomes while simultaneously reducing unnecessary use of antimicrobials. CONCLUSION: Antimicrobial resistance poses a serious threat to human health and requires a rational use of antibiotics to curb further spreading. This applies for perioperative prophylaxis as well as for the treatment of intra-abdominal infections. |
format | Online Article Text |
id | pubmed-4571728 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | S. Karger Verlag für Medizin und Naturwissenschaften GmbH |
record_format | MEDLINE/PubMed |
spelling | pubmed-45717282015-11-03 Perioperative Antibiotic Prophylaxis and Antimicrobial Therapy of Intra-Abdominal Infections Hagel, Stefan Scheuerlein, Hubert Viszeralmedizin Review Article · Übersichtsarbeit BACKGROUND: The increase of antimicrobial resistances to first- and second-line antibiotics, especially of Gram-negative bacteria, and the lack of novel antimicrobial substances are a challenge in the treatment of intra-abdominal infections. METHODS: Review article. RESULTS: The efficacy and safety of perioperative antibiotic prophylaxis in visceral surgery has been demonstrated by several meta-analyses. Perioperative antibiotic prophylaxis is defined as a single administration of antibiotics shortly before a surgical intervention. A so-called prolonged prophylaxis including the postoperative period (e.g. 1-3 days postoperatively) should be avoided as it does not reduce the number of wound infections and is associated with an increased risk of antimicrobial resistance and side effects. Antimicrobial management of severe intra-abdominal infections involves a delicate balance of optimizing empirical therapy which has been shown to improve outcomes while simultaneously reducing unnecessary use of antimicrobials. CONCLUSION: Antimicrobial resistance poses a serious threat to human health and requires a rational use of antibiotics to curb further spreading. This applies for perioperative prophylaxis as well as for the treatment of intra-abdominal infections. S. Karger Verlag für Medizin und Naturwissenschaften GmbH 2014-10 2014-10-06 /pmc/articles/PMC4571728/ /pubmed/26535044 http://dx.doi.org/10.1159/000368582 Text en Copyright © 2014 by S. Karger Verlag für Medizin und Naturwissenschaften GmbH, Freiburg |
spellingShingle | Review Article · Übersichtsarbeit Hagel, Stefan Scheuerlein, Hubert Perioperative Antibiotic Prophylaxis and Antimicrobial Therapy of Intra-Abdominal Infections |
title | Perioperative Antibiotic Prophylaxis and Antimicrobial Therapy of Intra-Abdominal Infections |
title_full | Perioperative Antibiotic Prophylaxis and Antimicrobial Therapy of Intra-Abdominal Infections |
title_fullStr | Perioperative Antibiotic Prophylaxis and Antimicrobial Therapy of Intra-Abdominal Infections |
title_full_unstemmed | Perioperative Antibiotic Prophylaxis and Antimicrobial Therapy of Intra-Abdominal Infections |
title_short | Perioperative Antibiotic Prophylaxis and Antimicrobial Therapy of Intra-Abdominal Infections |
title_sort | perioperative antibiotic prophylaxis and antimicrobial therapy of intra-abdominal infections |
topic | Review Article · Übersichtsarbeit |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571728/ https://www.ncbi.nlm.nih.gov/pubmed/26535044 http://dx.doi.org/10.1159/000368582 |
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