Hungal arthroplasty in hospitalized elderly people and the use of antibioticoprofilaxia

Abstract

Background and objectives: Population aging increases the risk of hip fractures and postoperative complications arising from surgeries, which may lead to morbidity and rehospitalization of these patients. Recommendations are aimed at guiding professionals in relation to the necessary care so that infections of surgical sites (ISC) can be avoided or minimized. Thus, the study aimed to describe the epidemiological and clinical profile of elderly hospitalized for hip arthroplasty and to verify the adherence to protocols of antibiotic prophylaxis in hip surgeries. Methods: A retrospective cross-sectional study, carried out in a teaching hospital. Secondary data were collected from the medical records of elderly patients 2 submitted to hip surgery during the year 2016. Results: There were 203 hip arthroplasties in he elderly, 57.6% were women, mean age 73.2 ± 8.1 years. Lacto-femoral total arthroplasty was performed in 32% of the patients, the mean intention was 8 ± 8.7 days, and 94.1% were hospital discharge. Cefazolin 1 g 6 / 6h were the most used antibiotic 73.4% on average the ATB was used for 65.52 hrs. The SSI rate was 0.99% and adherence to the dosage, dose and antibiotic duration according to the institutional protocols occurred in 16.2%, 13.7% and 8.6% respectively. Conclusion: The postoperative infection rate related to hip prosthesis surgeries was low, despite inadequate adherence to the protocols of surgical antibiotic prophylaxis. However, it should be considered that the dose of antibiotic administered prior to the start of surgery was not evaluated, due to the lack of information in the medical record.