Prevention of surgical site infection <i>via</i> antibiotic administration according to guidelines after gynecological surgery

Toba, Mikayo; Moriwaki, Mutsuko; Oshima, Nobuyuki; Aiso, Yoshibumi; Shima, Mari; Nukui, Yoko; Obayashi, Shigeru; Fushimi, Kiyohide

doi:10.1111/jog.13714

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Therefore, to achieve minimization in the risk of infection and enhancement in healing, efforts should be made for improvement in malnourishment, hygiene, unsafe practices, and the treatment of anemia rather than prolonging the use of AMT. Antimicrobial prophylaxis was prescribed either as a single dose or for 24 hours where indicated [6,21]. Monitoring and evaluation of data on regular basis ensured motivation as well as accountability.…”

Section: Discussionmentioning

confidence: 99%

“…Another challenge was the injudicious use of antimicrobial therapy (AMT). The overuse of antimicrobials not only exponentiates the financial burden on the healthcare system and prolongs hospital stay but also, in parallel, compromises the general health and immunity of the human body and results in the emergence of resistant strains [6].…”

Section: Introductionmentioning

confidence: 99%

“…Quality is the foundation of healthcare in the modern world; developing countries are also realizing its importance and are therefore adopting standard management protocols in their healthcare systems [6][7]. Our department of obstetrics and gynecology developed departmental protocols in accordance with the international standards and implemented them stepwise from the third quarter of 2016 onwards.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Evidence-Based Transformation on Healthcare Practices at a Teaching Hospital

Wali¹,

Ishtiaq²,

Rahim³

et al. 2020

Cureus

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In this study, we aimed to compare the frequency of anemia, blood transfusions, and the use of antimicrobial therapy (AMT) before the implementation of standard protocols in obstetrics and gynecology with the data after one year of implementation at a teaching hospital. Methods In this retrospective observational study, the pre-intervention data (group A) were compared to the data after the implementation of standard protocols (group B). Data were retrieved from hospital electronic medical records and were entered and analyzed on SPSS Statistics version 24 (IBM, Armonk, NY). Results In obstetrics (n=829), anemia was observed in 43.1% vs. 26.8% (p<0.001) and transfusion rate in 5.4% vs. 0.6% (p<0.001) in the groups A and B respectively. In vaginal deliveries (VD), the use of AMT for >24 hours was 98% in group A vs. 9% in group B, and in cesarean deliveries (CD), it was 100% in group A vs. 54.5% in group B (p<0.001). The cost of AMT decreased by 78.4% in VD and by 51.1% in CD. In gynecology (n=221), the prevalence of anemia was 22.6% in group A vs. 17.9% in group B (p=NS). In minor procedures, the use of AMT for >24 hours was 76.7% vs. 8.4% (p<0.001), and in major procedures, it was 86.5% vs. 38% (p<0.001) between the two groups. The cost of AMT decreased by 79.5% in minor procedures and 26.4% in major procedures. Conclusion The implementation of quality standards can bring about significant improvements in clinical outcomes in a short period of time.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Impact of Evidence-Based Transformation on Healthcare Practices at a Teaching Hospital

Wali¹,

Ishtiaq²,

Rahim³

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…In addition, Oshikoya et al stated that most antimicrobials used by pediatric patients were underdosed (44.5%) or overdosed (31.5%) [22]. Toba et al also stated that due to the inappropriate antibiotic dose it is important to follow the dosing regimens according to the guidelines because this would be useful to reduce the complications associated with antibiotics, reduce antibiotic medicine costs and prevent resistant bacteria [60].…”

Section: Inappropriate Selection and Dosingmentioning

confidence: 99%

Review of the Appropriateness of Surgical Antimicrobial Prophylaxis

Ahmed

Almalki

Haseeb

et al. 2021

JPRI

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Aim: This review aims to describe the appropriateness of surgical antimicrobial prophylaxis during the last decade. Methodology: The review included a searching web of science for articles focused on “the appropriateness of surgical antimicrobial prophylaxis”. The searching process was conducted on 29 Nov 2020 and included original articles so the review articles were excluded. Results: The review included 57 articles; 38 articles were published after 2015 and the rest before 2015. Most of the articles that were included in the review showed a high rate of inappropriate surgical prophylaxis and showed inappropriate duration and time of the antibiotics used. Conclusion: It can be concluded that the rate of surgical prophylaxis inappropriateness was high and the main cause for this result was inappropriate timing and duration. Numerous interventions including educational interventions such as one-time seminars and online e-learning modules are needed to improve the adherence to the guidelines.

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Appropriateness of surgical antimicrobial prophylaxis in Japanese university hospitals

Morioka

Ohge

Nagao

et al. 2022

Journal of Hospital Infection

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Prevention of surgical site infection via antibiotic administration according to guidelines after gynecological surgery

Cited by 4 publications

References 11 publications

The Impact of Evidence-Based Transformation on Healthcare Practices at a Teaching Hospital

The Impact of Evidence-Based Transformation on Healthcare Practices at a Teaching Hospital

Review of the Appropriateness of Surgical Antimicrobial Prophylaxis

Appropriateness of surgical antimicrobial prophylaxis in Japanese university hospitals

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