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Clinical Practice Audit of Perioperative Antimicrobial Prophylaxis in a Tertiary Care Hospital: Do Routine Academic Activities Improve Adherence to Practice Guidelines?
- Source :
-
Reviews on recent clinical trials [Rev Recent Clin Trials] 2017; Vol. 12 (1), pp. 59-64. - Publication Year :
- 2017
-
Abstract
- Background: Antimicrobial prophylaxis should be used in circumstances where efficacy has been demonstrated and benefits outweigh the risk. Each hospital must have an antibiotic policy that is implementable and fully adhered to.<br />Methods: A prospective observational study was conducted in 209 patients, admitted to wards of various surgical departments including surgery, obstetrics & gynaecology (O&G), otorhinolaryngology (ENT) and orthopaedics. Relevant antimicrobial use data of each patient was collected in a customized Case Record Form (CRF) from day one until patient was discharged.<br />Results: Majority of the patients were young adults between 19-39 years of age. Preoperative antibiotics were given in 151 and postoperative antibiotics were prescribed in all. Third generation cephalosporins was the most frequently prescribed group. The selection of antibiotics by different departments varied greatly and many prescribed (n=85) two antibiotics for preoperative prophylaxis. Average duration of surgical prophylaxis was 6.25 days. In 90 patients, preoperative antibiotic was administered before 3 hours.<br />Conclusion: Despite routine interactive academic activities, pattern of antibiotic used was not as per guidelines suggested by competent authorities. Interventions are warranted to promote the development, dissemination and adoption of evidence based antibiotic policy. The policy should be simple, clear, noncontroversial, clinically relevant and implementable. The constant monitoring with periodic audit to ensure adherence is warranted.<br /> (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.)
- Subjects :
- Adult
Female
Guideline Adherence trends
Humans
India
Male
Middle Aged
Needs Assessment
Perioperative Care standards
Perioperative Care trends
Postoperative Complications prevention & control
Practice Patterns, Physicians'
Prospective Studies
Surgery Department, Hospital
Surgical Procedures, Operative methods
Tertiary Care Centers
Antibiotic Prophylaxis
Guideline Adherence standards
Medical Audit
Practice Guidelines as Topic
Surgical Procedures, Operative adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1876-1038
- Volume :
- 12
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Reviews on recent clinical trials
- Publication Type :
- Academic Journal
- Accession number :
- 27670801
- Full Text :
- https://doi.org/10.2174/1574887111666160926103104