Vol. 4 No. 02 (2020)
Original Article

Antibiotic Prophylaxis in Different Surgeries in an Academic Hospital

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  • Zohora Parvin,
  • Kamruddoza Hafizullah,
  • Sultana Yesmin,
  • Hawa Begum,
  • Fatima Jesmin

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Abstract

The prevention of infection in surgical patients undergoing operation is a major challenge. Inappropriate use of antimicrobials increases the cost thus causing economic burden on the patients which favours the emergence of resistance of bacteria although judicious antibiotic prophylaxis can reduce postoperative wound infections. A prospective study was done in various departments (Surgical allied) of Sher-E- Bangla Medical College Hospital, Barishal from Jan’ 2015 to June’ 2015. The study focused on pattern of prophylactic antibiotics in various surgeries in this hospital. A total one hundred (100) patients undergoing surgery admitted
under various department were included in this study. Pretested proforma including information on patients characteristics, choice of antimicrobials, their route, timing and total duration of prophylaxis were completed. The appropriateness of antimicrobial prophylaxis was assessed as per Standard Guidelines (ASHP, SIGN). The study reveals that third generation
cephalosporin were the most commonly prescribed antibiotic class. Although only 67% of cases required prophylaxis, it was utilized in 82% of procedures, showing unjustifiable in 15% of cases. Mean timing of antibiotic administration was 3.44 ± 1.02 hours before the surgical incision given and the patients were on postoperative antibiotics for a mean duration of 5 days
during their hospital stay. The study found that antibiotic prophylaxis in surgical cases was inappropriate regarding choice of antimicrobials, timing of administration, total duration of administration in most of the cases and it is intended to emphasize on adoption of evidence based guidelines for antimicrobial prophylaxis in surgical treatment.

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Published 20-09-2021

Keywords

  • Antimicrobial prophylaxis,
  • Surgery,
  • Surgical wound infection

How to Cite

1.
Parvin Z, Hafizullah K, Yesmin S, Begum H, Jesmin F. Antibiotic Prophylaxis in Different Surgeries in an Academic Hospital. Planet (Barisal) [Internet]. 2021 Sep. 20 [cited 2024 Apr. 29];4(02):8. Available from: https://bdjournals.org/index.php/planet/article/view/18

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