Objective: to assess the level of knowledge among bariatric surgeons, about the recommendations of the ACERTO Project, correlating their assumptions on their perioperative prescriptions and the reality, according to the patients charts. Method: we conducted a prospective, longitudinal, observational study comparing the assumptions of bariatric surgeons obtained through responses on a specific...

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 met...

CONTEXT AND OBJECTIVES The appropriate use of antibiotic prophylaxis in the perioperative period may reduce the rate of infection in the surgical site. The purpose of this review was to evaluate adherence to guidelines for surgical antibiotic prophylaxis. METHODS The present systematic review was performed according to the Cochrane Collaboration methodology. The databases selected for this re...

BACKGROUND Historically, the preoperative and postoperative care of patients with gastrointestinal cancer was provided by surgeons. Contemporary perioperative care is a truly multidisciplinary endeavour with implications for cancer-specific outcomes. METHODS A literature review was performed querying PubMed and the Cochrane Library for articles published between 1966 to 2012 on specific perio...

Routine us of vancomycin for perioperative prophylaxis is discouraged, principally to minimize microbial resistance to it. However, outcomes and costs of this recommendation have not been assessed. We used decision-analytic models to compare clinical results and cost-effectiveness of no prophylaxis, cefazolin, and vancomycin, in coronary artery bypass graft surgery. In the base case, vancomycin...

Thorough and efficient perioperative evaluation is mandatory for all patients undergoing dermatologic operation. Patients may present with concise or extensive medical histories, and an organized approach will focus attention on issues relevant to the patient's dermatologic disease and the planned surgical procedure. Management of common perioperative issues in a proactive and standardized mann...

OBJECTIVE To assess the evidence for prophylactic treatment with systemic antibiotics in burns patients. DESIGN Systematic review and meta-analysis of randomised or quasi-randomised controlled trials recruiting burns inpatients that compared antibiotic prophylaxis (systemic, non-absorbable, or topical) with placebo or no treatment. DATA SOURCES PubMed, Cochrane Library, LILACS, Embase, conf...

BACKGROUND Hemorrhoidectomy is considered by many to be a contaminated operation that requires antibiotic prophylaxis to lower the incidence of surgical site infection. In reality, little evidence exists to either support or refute the use of antibiotic prophylaxis in this setting. OBJECTIVE This study aimed to determine if antibiotic prophylaxis is associated with reduced incidence of postop...

Background : 1st and 2nd generation cephalosporins used for perioperative prophylaxis in orthopaedic surgery do not cover non-fermenting Gram-negative rods (NFR). Methods: Epidemiological cohort study of adult patients operated for orthopedic infections between 2004 and 2014 with perioperative cefuroxim or vancomycin prophylaxis. Exclusion of polyneuropathic ischemic foot infections and septic ...