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Profilaxis Antibiótica Quirúrgica (PAQ)

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About this activity

Revisa conceptos clave de PAQ

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Colombia

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Profilaxis Antibiótica Quirúrgica (PAQ)
 

Profilaxis Antibiótica Quirúrgica (PAQ)Online version

Revisa conceptos clave de PAQ

by J Noe Quejada Velez
1

¿Qué es la Profilaxis Antibiótica Quirúrgica (PAQ)?

2

¿Cuál es el objetivo principal de la PAQ?

3

Tiempo recomendado para administrarla en fármacos de vida media corta?

4

Qué fármaco se considera el estándar de oro para PAQ?

5

Dosis estándar de Cefazolina en adultos?

6

¿Cuándo redosificar la dosis intraoperatoria de Cefazolina?

7

Paradigma de la dosis única en PAQ significa?

8

¿Qué cirugías requieren PAQ en heridas Limpias-Contaminadas y Contaminadas?

Explicación

PAQ busca prevenir ISO con antibiótico previo a la incisión, no tratar infecciones ya presentes.

El objetivo es disminuir ISO, no curar infecciones ya existentes.

Para cefazolina y cefuroxima, administrar 60 minutos antes de la incisión.

Cefazolina es el estándar de oro por su espectro y penetración tisular.

Dosis típica es 2 g; dosis mayor (3 g) si obesidad.

Redosis si la duración supera dos veces la vida media del fármaco.

La PAQ suele ser de dosis única; prolongar >24 h no reduce ISO y aumenta riesgos.

Las cirugías tipo II y III exigen PAQ en heridas más contaminadas.

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