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Antibiotikaprophylaxe und endoluminäre Sonden

Antibiotic prophylaxis and endoluminal tubes

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Zusammenfassung

Wundinfektionen gehören zu den häufigsten Komplikationen chirurgischer Eingriffe. Die Gabe einer perioperativen Antibiotikaprophylaxe kann die Zahl dieser Komplikationen erfolgreich reduzieren. Die Indikation, der Zeitpunkt und die Wahl des Antibiotikums werden anhand aktueller Literatur kritisch diskutiert. Zusammengenommen muss die Gabe einer Antibiotikaprophylaxe in Abhängigkeit von der potenziellen Wundkontamination, der Art des Eingriffs und der Risikofaktoren des Patienten geprüft werden. Im zweiten Teil dieser Arbeit wird die Effektivität endoluminaler Sonden in der Abdominalchirurgie anhand der aktuellen Literatur analysiert. Obwohl viele Chirurgen regelmäßig Sonden bei elektiven Eingriffen verwenden, existieren nur unzureichende Daten zu diesem Thema. Die Verwendung von Magensonden sollte bei elektiven Eingriffen vermieden werden.

Abstract

Surgical site infections are one of the most common complications after surgical procedures. The use of perioperative antibiotic prophylaxis can successfully reduce the number of wound infections. The indications, timing and choice of antibiotics are discussed critically. Taken together antibiotic prophylaxis should be evaluated depending on wound contamination, the type of operation and patient-specific risk factors. In the second part of this work the current literature on the effectiveness of endoluminal tubes in abdominal surgery is analyzed. While many surgeons use these tubes regularly in elective abdominal surgery, only few data are available on this topic. The use of nasogastric tubes in elective surgery should be avoided.

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  1. Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum des Saarlandes, Kirrberger Straße, 66424, Homburg/Saar, Deutschland

    C. Justinger & M.K. Schilling

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  1. C. Justinger
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  2. M.K. Schilling
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Correspondence to C. Justinger.

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Justinger, C., Schilling, M. Antibiotikaprophylaxe und endoluminäre Sonden. Chirurg 82, 1075–1078 (2011). https://doi.org/10.1007/s00104-011-2120-x

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