Application of guidelines on preoperative antibiotic prophylaxis in León, Nicaragua.

Background: To determine adherence to the guideline for preoperative antibiotic use in Nicaragua.

Methods: An observational study in the University Hospital of León, Nicaragua. All surgical patients in the departments of general surgery, orthopaedics, gynaecology and obstetrics, and paediatrics during a four-week period were included.

Complications during intravascular diagnostic manipulations in the Ehlers-Danlos syndrome.

A report is presented of complications during arteriography in a patient with the Ehlers-Danlos syndrome. This patient exhibited elements of all seven types of the Ehlers-Danlos syndrome, so that typing was not possible. Whenever possible, however, the Ehlers-Danlos syndrome should be typed.