Evaluation of adherence to surgical prophylaxis guidelines and expenditure on antimicrobial agents used for surgical prophylaxis
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 10
Abstract
most common nosocomial infection. Aims: To evaluate adherence to surgical prophylaxis guidelines and expenditure because of non-adherence to guidelines regarding antimicrobial agents (AMA) used for surgical prophylaxis. Settings and Design: Prospective observational study in a tertiary care hospital. Methods and Material: A prospective, observational study was conducted in 600 surgical cases from General surgery, Obstetrics and Gynaecology and Orthopaedics departments in a tertiary care hospital. Data were collected from medical case sheets about AMA used for surgical prophylaxis with regards to dose, timing, frequency, duration and expenditure on AMA. Appropriateness of surgical prophylaxis was evaluated with National treatment guidelines-2016 and hospital antibiotic policy. Statistical analysis used: Microsoft excel 2013 Results: The Choice of antimicrobial agent was in adherence to guideline in 87.30%, 80.30% and 83.50% cases and total duration of surgical prophylaxis was in adherence to guidelines in only 15.74%, 16.16% and 0% cases in General surgery and Obstetrics and Gynaecology and Orthopaedics respectively. This non-adherence leads to additional expenditure on surgical prophylaxis which was Rs. 162.76 ± 168.50, Rs. 353.09 ± 140.00 and Rs. 130.06 ± 124.74 per patient for General surgery, Orthopaedics and Obstetrics and Gynaecology departments respectively. Conclusions: Prolonged duration of surgical prophylaxis and in some extend inapt choice causes increased costs for the health care system, emphasizing on continued surveillance of surgical prophylaxis practices.
Authors and Affiliations
Mahendra M. Gaikwad
Keywords
Related Articles
- EP ID EP528897
- DOI -
- Views 69
- Downloads 0
Cutaneous manifestations in patients with diabetes mellitus in a tertiary care hospital at Bihar, India: An Observational Study
Background: Almost all diabetic patients eventually develop skin complications from the long-term effects of diabetes mellitus on the microcirculation and on skin collagen. Cutaneous infections are more common in type 2...
Syphilitic aortic arch aneurysm involving left lung- surgical complication and its management
The aortic arch aneurysms presenting with symptoms only related to involvement of lung is not very uncommon. We present a case of syphilitic aortic arch aneurysm presenting with history of haemoptysis due to involvement...
Cataract Surgery by Phacoemulsification – Surgical and Visual Outcome with Foldable and Non-Foldable Lenses
This prospective comparative study included 300 matched patients of different grades of senile cataract. All of them willfully underwent phacoemulsification at the hands of a single experienced surgeon, performing with a...
Study of Serum Soluble Klotho in Egyptian Hemodialysis Patients
Preclinical studies demonstrated that klotho has cardio protective effect. One important biological function of Klotho is to maintain mineral homeostasis, which is both fibro blast growth factor-23 (FGF23)-dependent and...
Serum Lymphocyte Activating Factor of Tumor Necrosis Super family (BAFF) and a Proliferation Inducing Ligand (April): Correlation with Activity and Chronicity Indices in Egyptian Adolescent Lupus Patients with and Without Nephritis
Dysfunction of the B lymphocyte is considered to be involved in the pathogenesis of lupus nephritis (LN) intrarenal B cells have been found in several forms of inflammatory kidney disease. B lymphocyte stimulator signali...