耳鼻喉外科手术早期感染的抗生素预防

Ceskoslovenska otolaryngologie Pub Date : 1990-08-01
P Skerík, T Sechser, Z Dolejs
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引用次数: 0

摘要

作者提请注意外科学科早期感染的抗生素预防的紧迫性,并强调其权宜实施的主要原则。在耳鼻喉科,抗生素预防在许多外科手术中证明是有用的;然而,作者也提出了一些他们不认为抗生素预防是权宜之计的例子。在用于预防性管理的抗生素中,他们认为目前对大多数耳鼻喉科手术第一代头孢菌素最有用。它们的光谱大致相当于青霉素、氧苄西林和氨苄西林的总和。然而,在选择抗生素时,必须始终使用个别方法,并且必须根据不同地区和卫生机构的流行病学情况进行调整。预防性使用不同类型的抗生素不可能具有永久有效性,我们必须预见抗生素的轮换和进一步新制剂的引入。
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[Antibiotic prophylaxis of early infection in otorhinolaryngology surgery].

The authors draw attention to the urgency of antibiotic prophylaxis of early infection in surgical disciplines and emphasize the main principles of its expedient implementation. In otorhinolaryngology antibiotic prophylaxis proves useful in a number of surgical procedures; the authors submit, however, also examples when they do not consider antibiotic prophylaxis expedient. Among antibiotics used for prophylactic administration they consider at present for the majority of ENT operations cephalosporins of the first generation most useful. Their spectrum is roughly equal to the action of penicillin, oxacillin and ampicillin combined. When selecting an antibiotic, however, always ain individual approach must be used and its selection must be adjusted to the epidemiological situation in different areas and health institutions. The prophylactic use of different types of antibiotics cannot have permanent validity, we have to foresee rotation of antibiotics and the introduction of further new preparations.

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