Search

La terapia antibiótica profiláctica en los actos quirúrgicos es una práctica común y aceptada por la comunidad médica, por que disminuye la probabilidad de infección quirúrgica y las complicaciones implican. A pesar de la frecuencia de uso y las normas hospitalarias que lo regulan, es posible observar la falta de seguimiento de éstas por parte del personal médico, quienes ateniéndose a conocimientos personales, al seguimiento de normas de otro origen o simplemente al desconocimiento de ellas, utilizan criterios y esquemas distintos a los recomendados, lo que aumenta el riesgo de utilizar terapias inapropiadas, la resistencia bacteriana a los antibióticos y los costos. El siguiente estudio compara el uso de antibióticos en procedimientos y cirugías obstétricas establecidas en el Servicio de Obstetricia del Hospital Clínico de la Universidad de Chile con las normas propuestas por el NIH, para así proponer una norma sobre el uso racional de antibióticos profilácticos en cirugía obstétricaThe use of the prophylactic antibiotic therapy in the surgical act is a common and accepted practice among the medical community, representing a tool that lowers the probability of infection in the surgical site, at a distance and the complications it implies. In spite of the frequency of its use and the establishment of hospital norms that regulate it, it is possible to observe the lack of follow-up of these by the medical personnel, who usually rely on personal knowledge, norms of another origin or simply on the ignorance of the regulations, and use criteria and schemes different from the recommended ones, which increases the risk of bacterial resistance, using unsuitable therapies, and raises the costs. The following study compares the use of antibiotics in surgical procedures and obstetrical surgeries in the obstetrics service of the Hospital Clínico de la Universidad de Chile with the norms of this center and international ones by the NIH, thus to propose a norm on rational use of prophylactic antibiotics in obstetrical surgery

Objective: To establish a mother-baby's rooming-in program (RI) in a hospital that provides a tertiary level of care., Material and Methods: Babies born to healthy mothers were included, both delivered vaginally (P) and by cesarean section (C). Information was gathered on the cause for RI suspension, the type of infant's feeding and the mother's opinion about the program., Results: Sixty-eight per cent of P infants and 98% of C infants participated in the program. The time from delivery to RI was uncovered; for P babies it was 5.8 hours and for C babies it was 17 hours. The RI was suspended in 1% of P and 6.7% of C infants, but with no justifiable medical reason in the infants. The mother's opinion about RI was very favorable. Only 50% of the infants started breast feeding within the first 6 hours after birth; however, all of them were breastfed at the time of discharge., Conclusions: It is possible to establish RI and initiate breast feeding in a tertiary care hospital, even in mothers with cesarean section.

A prospective and cooperative study was done in 152 patients that were submitted to cesarean section. Seventy eight patients received intrauterine device (IUD) T CU 220 during cesarean section, and the other 74 patients only got the cesarean section without IUD. The events that were analyzed during the puerperium were pain, bleeding and infection. We didn't find any difference in the results between both groups, these were analyzed with the help of the square chi (X2). These results suggest that with an adequate selection of the patients, the insertion of the IUD during the cesarean section is a secure and helpful method for the fertility control for patients with high risk of reproduction.