Wilson N I, Wright P A, McArdle C S
Br Med J (Clin Res Ed). 1982 Sep 25;285(6345):871-3. doi: 10.1136/bmj.285.6345.871.
The current use of prophylactic antibiotics in gastrointestinal surgery in Scotland was established by postal questionnaire. Twenty-one per cent of surgeons used prophylactic antibiotics during cholecystectomy, 49% during appendicectomy, and 95% for elective colorectal surgery. Two-thirds of those surgeons who did not provide routine antibiotic cover considered that the incidence of wound sepsis in their surgical practice was too low to merit special measures. Most surgeons using prophylaxis chose an appropriate antibiotic. The parenteral route for administration of antibiotic was used by 93% of surgeons during cholecystectomy, 29% during appendicectomy, and 45% in elective colorectal surgery. Most did not prolong cover beyond 24 hours postoperatively. This survey shows that the concepts governing the use of antibiotic prophylaxis have been absorbed into current surgical practice. Most surgeons used appropriate antibiotic regimens; many prefer the parenteral route of administration; most do not prolong cover beyond 24 hours.
通过邮寄问卷调查确定了苏格兰目前在胃肠外科手术中预防性使用抗生素的情况。21%的外科医生在胆囊切除术中使用预防性抗生素，49%在阑尾切除术中使用，95%在择期结直肠手术中使用。三分之二未提供常规抗生素覆盖的外科医生认为，他们手术中伤口感染的发生率过低，不值得采取特殊措施。大多数使用预防性抗生素的外科医生选择了合适的抗生素。93%的外科医生在胆囊切除术中采用静脉注射抗生素，29%在阑尾切除术中采用，45%在择期结直肠手术中采用。大多数人术后抗生素覆盖时间不超过24小时。这项调查表明，抗生素预防使用的相关概念已被纳入当前的外科实践。大多数外科医生使用了合适的抗生素方案；许多人更喜欢静脉注射给药途径；大多数人术后抗生素覆盖时间不超过24小时。
