Wrong Antibiotic Prophlaxis in Surgical Practice in a Public Hospital

doi:10.4328/jcam.3246

Cited by 1 publication

(4 citation statements)

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“…Several guidelines were presented for surgical clinical applications. Unfortunately, in spite of these guidelines, the inappropriate application of SP continues [3,[11][12]. In the present study, the total compliance rates of SP were lower than in other studies in our country (15.4%-19.7%, respectively) [9,13] as well as in Greece [14] and French [15] studies (36.3%-41.1%, respectively).…”

Section: Discussioncontrasting

confidence: 76%

“…In addition, the prescription of antibiotics at discharge was 80.6%. Urgancı et al had similar results for the prescriptions of antibiotics at discharge at a rate of 88.5% [3]. On the other hand, it was found to be higher than the studies of Bozkurt et al [9] and Choi et al [23] in which other surgical branches were also examined (17.4%-60.3%, respectively).…”

Section: Discussionmentioning

confidence: 70%

“…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%

“…However, certain studies on surgical antimicrobial prophylaxis report accuracy rates of less than 20% at all stages of appropriate prophylaxis [7][8][9]. While previous studies have investigated the surgical prophylaxis (SP) applications in our country [3,9], our study simultaneously evaluates SP administration, discharge prescriptions, and a questionnaire administered in the research and training hospital.…”

Section: Introductionmentioning

confidence: 99%

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Karaalı¹,

Emiroğlu²,

Çalık³

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 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.

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