Cross–sectional Study of Surgical Prophylactic Antibiotic Administration in Marzoeki Mahdi Hospital, Bogor, Indonesia

Abstract

Objective: This study was conducted to evaluate the prophylactic antibiotic administration in the surgical clinic of Dr. H. Marzoeki Mahdi Hospital, Bogor, Indonesia. Methods:The data were assessed from the medical records of all patients who underwent surgery from January to December 2013 retrospectively. Antibiotic prophylaxis was assessed based on the Scottish Intercollegiate Guidelines and the National Guidelines of Antibiotic Usage, which includes the type, time, and duration of prophylactic administration of antibiotics.Results: A total of 577 patients were included in this study, consisting of 202 men and 375 women. The most frequently performed surgery is a common surgery 347 (60.1%), followed by obstetric operations 176 (30.5%), and orthopedic surgery 54 (9.4%). In this study, all patients received prophylactic antibiotics before surgery. Cefotaxime (87.8%) was the most commonly used antibiotics for surgical prophylaxis. Of the 577 patients, only 1.1% of patients reported with surgical site infection (SSI). Conclusion:This study shows that adherence to the guidelines of surgical antibiotic prophylaxis is still very low. Therefore, efforts should be made to increase the compliance of using antibiotic prophylaxis in accordance with standard guidelines to improve the rational use of antibiotics.

Studi Penggunaan Antibiotik Berdasarkan ATC/DDD Pada Pasien Bedah Orthopedi Di RSUD Abdul Wahab Sjahranie Samarinda

“…Ceftriaxone dan cefotaxime juga telah digunakan sebagai antibiotik profilaksis di beberapa rumah sakit seluruh dunia. Administrasi ceftriaxone sebagai antibiotik profilaksis telah terbukti lebih efektif untuk mengurangi kejadian SSI (Site Surgical Infections), dimana dosis tunggal ceftriaxone secara signifikan mengurangi risiko SSI (Site Surgical Infections) dan penggunaannya telah terbukti menghemat biaya medis [9].…”

Antibiotic Prescription to Pediatric in Hospital Bengkulu, Indonesia: Atc/DDD Index

“…At the hospital northern European countries, the use of antibiotics has a range of 16.6-25% [2], in ICU at Sultan Qaboos University Hospital, a teaching hospital in Oman, antibiotics accounted for 12% of the total drugs prescribed [3]. A Study in the surgical clinic of Dr. H. Marzoeki Mahdi Hospital, Bogor, Indonesia showed all patients received prophylactic antibiotics before surgery and Cefotaxime (87.8%) was the most commonly used antibiotics for surgical prophylaxis [4]. Inappropriate antibiotic usage often leads to many problems such as; the resistance of antibiotics, negative effects on the ecological balance, side effects on patients, triggering of super infections and increase in treatment costs [5].…”