<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272017000300371</article-id>
<article-id pub-id-type="doi">10.23938/assn.0045</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Incidencia de infección de localización quirúrgica en cirugía de colon y adecuación de la profilaxis antibiótica: estudio de cohortes prospectivo]]></article-title>
<article-title xml:lang="en"><![CDATA[Incidence of surgical site infection in colon surgery and antibiotic prophylaxis adequacy: prospective cohort study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Del Moral Luque]]></surname>
<given-names><![CDATA[J.A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonso García]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil Yonte]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Cebrián]]></surname>
<given-names><![CDATA[J.M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durán Poveda]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Caravaca]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Fundación Alcorcón Unidad de Medicina Preventiva ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Rey Juan Carlos Programa Internacional de Doctorado ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Fundación Alcorcón Unidad de Cirugía General ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Rey Juan Carlos Departamento de Medicina y Cirugía ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Rey Juan Carlos Departamento de Medicina Preventiva y Salud Pública ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>40</volume>
<numero>3</numero>
<fpage>371</fpage>
<lpage>377</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272017000300371&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272017000300371&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272017000300371&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento. La infección de localización quirúrgica (ILQ) tiene un considerable impacto clínico y económico a nivel hospitalario, por lo que se consideran prioritarios su prevención y seguimiento. El objetivo de este estudio fue la evaluación del cumplimiento del protocolo de profilaxis antibiótica en la cirugía de colon y el efecto de su inadecuación en la incidencia de ILQ.  Material y métodos. Se realizó un estudio de cohortes prospectivo desde julio de 2008 a julio de 2016. Se evaluó el grado de cumplimiento de la profilaxis antibiótica y las causas de incumplimiento en cirugía de colon: duración e inicio, elección, vía de administración y dosis de antibiótico. Se estudió la incidencia de ILQ después de un período máximo de incubación de 30 días. Para evaluar el efecto del incumplimiento de la profilaxis en la ILQ se usó el riesgo relativo (RR).  Resultados. El estudio incluyó 771 pacientes. La incidencia acumulada de ILQ fue del 5,8%, la mayoría (67%) infecciones incisionales superficiales. La etiología más frecuente de ILQ fue Escherichia coli (28%). La profilaxis antibiótica se administró en el 97,8% de los pacientes, con un cumplimiento global del protocolo del 91,9%. La causa principal de incumplimiento fue la elección del antibiótico (58,2%). No se encontró relación entre inadecuación de la profilaxis e incidencia de infección de localización quirúrgica (RR=0,5; IC95% 0,1-1,8).  Conclusiones. La tasa global de adecuación al protocolo de profilaxis antibiótica fue alta. No se encontró asociación significativa entre adecuación de la profilaxis e incidencia de ILQ en cirugía de colon.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background. Surgical site infection (SSI) has a considerable clinical and economic impact at the hospital level, so prevention and monitoring are considered a high priority. The objective of this study was to assess compliance with the protocol of antibiotic prophylaxis in colon surgery and the effect of its inadequacy for the incidence of SSI.  Methods. Prospective cohort study from July 2008 to July 2016. Compliance with antibiotic prophylaxis protocol and the causes of non-compliance were evaluated in colon surgery: duration and starting, choice, route of administration and dose of the antibiotic. The incidence of SSI was studied after a maximum incubation period of 30 days. Relative risk (RR) was used to evaluate the non-compliance causes of prophylaxis.  Results. The study included 771 patients. The cumulative incidence of SSI was 5.8% (n=45), of which 2/3 were superficial incisional infections. The most common cause of SSI was Escherichia coli (28%). Antibiotic prophylaxis was administered in 97.8% of patients, with an overall protocol compliance of 91.9%. The principle cause of non-compliance was the choice of antibiotic (58.2%). No relationship between the inadequacy of prophylaxis and incidence of surgical site infection was found (RR=0.5; CI95% 0.1-1.8).  Conclusions. The overall adequacy rate to antibiotic prophylaxis protocol was high. No significant association between the adequacy of prophylaxis and incidence of surgical site infection in colon surgery was found.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Profilaxis antibiótica]]></kwd>
<kwd lng="es"><![CDATA[Infección de localización quirúrgica]]></kwd>
<kwd lng="es"><![CDATA[Cirugía de colon]]></kwd>
<kwd lng="es"><![CDATA[Incidencia]]></kwd>
<kwd lng="es"><![CDATA[Vigilancia epidemiológica]]></kwd>
<kwd lng="en"><![CDATA[Antibiotic prophylaxis]]></kwd>
<kwd lng="en"><![CDATA[Surgical wound infection]]></kwd>
<kwd lng="en"><![CDATA[Colon surgery]]></kwd>
<kwd lng="en"><![CDATA[Incidence]]></kwd>
<kwd lng="en"><![CDATA[Epidemiological monitoring]]></kwd>
</kwd-group>
</article-meta>
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