Comparación de antibióticoterapia en la apendicitis complicada en pediatría.

  • Priscilla Carolina Riofrio Celi HCAM
  • Wuilian Rafael Ascanio HOSPITAL DE ESPECIALIDADES CARLOS ANDRADE MARÍN
  • Jorge Alberto Mier Jiménez HOSPITAL DE ESPECIALIDADES CARLOS ANDRADE MARÍN
  • Freud Cáceres Aucatoma HOSPITAL DE ESPECIALIDADES CARLOS ANDRADE MARÍN
Palabras clave: Apendicitis/complicaciones, Antibacterianos/uso terapéutico, Metronidazol, Ampicilina, Cefalexina, Gentamicinas

Resumen

INTRODUCCIÓN. La apendicitis aguda es una patología pediátrica quirúrgica que en su fase complicada requiere uso de antibióticos en el postoperatorio; encontrar la mejor opción como experiencia local, fue necesario. OBJETIVO. Comparar un esquema de antibioticoterapia triple vs un doble respecto a variables: demográficas, clínicas y de costos en pacientes pediátricos con apendicitis complicada. MATERIALES y MÉTODOS. Estudio analítico transversal. Población de 133 pacientes y una muestra de 93, operados por apendicitis complicada; 58 recibieron ampicilina + metronidazol + gentamicina y 35 ceftriaxona + metronidazol. Se comparó las variables: estadía hospitalaria, complicaciones y costo monetario de cada esquema. Se realizó en la Unidad de Cirugía Pediátrica del Hospital de Especialidades Carlos Andrade Marín,
en el periodo enero de 2017 a octubre de 2018. Los datos fueron analizados con R-Studio 1.8.366 para Windows. RESULTADOS. No hubo diferencia estadística con respecto a: estadía hospitalaria (p=0,261); complicaciones como infección del sitio quirúrgico (p=0,196), re-intervención quirúrgica (p=0,653) y costo (p=0,059). CONCLUSIÓN. Se comparó el esquema de antibioticoterapia triple vs un doble, utilizados
en apendicitis complicada en pediatría. No se encontró diferencias estadísticamente significativas en este reporte preliminar, con la diferencia de que con el esquema doble la frecuencia de administración fue menor y se evitó la exposición a los efectos colaterales de los aminoglicósidos.

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Publicado
2021-09-29
Cómo citar
Riofrio Celi, P., Ascanio, W., Mier Jiménez, J., & Cáceres Aucatoma, F. (2021). Comparación de antibióticoterapia en la apendicitis complicada en pediatría. Revista Médica-Científica CAMbios HECAM, 20(1), 21-25. https://doi.org/10.36015/cambios.v20.n1.2021.585
Sección
Estudio Original: Estudios Observacionales