Evaluation of the Practice of Antibiotic Prophylaxis in a State Hospital

Orak, Yavuz; Akkus, Sultan; Orak, Filiz; Süner, Aynur

doi:10.5455/medscience.2015.04.8246

Cited by 2 publications

(2 citation statements)

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“…For proper antibiotic prophylaxis, guidelines state that an antibiotic should be administered within one hour before the surgical incision, the correct antimicrobial agent should be given, and the duration of usage should not exceed 24 hours [2]. However, when the literature was examined, it has been shown that compliance with the surgical antibiotic prophylaxis guidelines is frequently not closely followed [3-5]. Due to the overuse of antibiotics and other drugs, there is a current policy toward "rational drug use" in Turkey, as in other parts of the globe, and substantial successful progress has been achieved [6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Antibiotic Prophylaxis and Discharge Prescriptions in the General Surgery Department

Karaalı

Emiroğlu

Çalık

et al. 2019

Cureus

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Introduction Although there are international guidelines for surgical antibiotic prophylaxis (SP), the use of inappropriate SP is still a common problem. Most studies investigated SP applications in clean and clean-contaminated cases. However, antibiotics in the discharge prescriptions of these cases have not been adequately investigated. In this study, we aimed to examine the antibiotics in SP applications and discharged prescriptions together and to find out the causes of inappropriate use. Materials and methods We retrospectively evaluated the data of patients admitted to our general surgery wards between 2014 and 2015. Patients with clean or clean-contaminated wound category operations were included. The patients were evaluated in terms of convenience of SP (choice of antibiotics, compliance with an indication for SP, timing of the first dose, SP>24 hours, and discharge prescription). In addition, to interpret the results, a questionnaire has been performed for the surgeons in the same clinics. Results A total of 1205 patients with clean and clean-contaminated wound class operation were enrolled in this study. The total accuracy rate of SP was 7.1%. SP application with the correct indication and timing of the first dose was compatible with guidelines: 55.6% and 81.9%, respectively. SP was applied >24 hours at 60.2% and antibiotic prescribing carried out after discharge at 80.6% of patients. According to questionnaire results, the use of SP over 24 hours and the prescription of antibiotics during discharge were: drain usage, hyperthermia, leukocytosis, surgeons feeling of comfort, avoidance of patients, and their relatives' reactions. Conclusion The total accuracy rate of SP rate was low in the present study and in surgeons prescribing the SP after discharge. In light of the present study, we suggest that discharge prescriptions should also be reviewed in clinics who have a high inappropriate surgical antibiotic prophylaxis rate.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Antibiotic Prophylaxis and Discharge Prescriptions in the General Surgery Department

Karaalı

Emiroğlu

Çalık

et al. 2019

Cureus

View full text Add to dashboard Cite

show abstract

“…For proper antibiotic prophylaxis, guidelines state that an antibiotic should be administered within one hour before the surgical incision, the correct antimicrobial agent should be given, and the duration of usage should not exceed 24 hours [2]. However, when the literature was examined, it has been shown that compliance with the surgical antibiotic prophylaxis guidelines is frequently not closely followed [3][4][5]. Due to the overuse of antibiotics and other drugs, there is a current policy toward "rational drug use" in Turkey, as in other parts of the globe, and substantial successful progress has been achieved [6].…”

Section: Introductionmentioning

confidence: 99%

Correction

Karaalı¹,

Emiroğlu²,

Çalık³

et al. 2019

Cureus

View full text Add to dashboard Cite

Introduction Although there are international guidelines for surgical antibiotic prophylaxis (SP), the use of inappropriate SP is still a common problem. Most studies investigated SP applications in clean and clean-contaminated cases. However, antibiotics in the discharge prescriptions of these cases have not been adequately investigated. In this study, we aimed to examine the antibiotics in SP applications and discharged prescriptions together and to find out the causes of inappropriate use. Materials and methods We retrospectively evaluated the data of patients admitted to our general surgery wards between 2014 and 2015. Patients with clean or clean-contaminated wound category operations were included. The patients were evaluated in terms of convenience of SP (choice of antibiotics, compliance with an indication for SP, timing of the first dose, SP>24 hours, and discharge prescription). In addition, to interpret the results, a questionnaire has been performed for the surgeons in the same clinics. Results A total of 1205 patients with clean and clean-contaminated wound class operation were enrolled in this study. The total accuracy rate of SP was 8%. SP application with the correct indication and timing of the first dose was compatible with guidelines: 55.6% and 81.9%, respectively. SP was applied >24 hours at 60.2% and antibiotic prescribing carried out after discharge at 80.6% of patients. According to questionnaire results, the use of SP over 24 hours and the prescription of antibiotics during discharge were: drain usage, hyperthermia, leukocytosis, surgeons feeling of comfort, avoidance of patients, and their relatives' reactions.

show abstract

Evaluation of the Practice of Antibiotic Prophylaxis in a State Hospital

Abstract: In terms of antibiotic prophylaxis in surgical patients, incorrect application in hospitals is

Cited by 2 publications

References 11 publications

Evaluation of Antibiotic Prophylaxis and Discharge Prescriptions in the General Surgery Department

Evaluation of Antibiotic Prophylaxis and Discharge Prescriptions in the General Surgery Department

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