Abstract

Objective Describe the compliance with Antibiotic Prophylaxis (AP) in selected surgical procedures in a community hospital during a 3.5 year period. Methods Descriptive study was carried out in a 75-bed public hospital in Western Qatar. The study included the patients underwent selected procedures who required antibiotic prophylaxis from Jan-2013 to June 2016. Data was collected by the infection control practitioner, from patient files to assess the compliance with timing, selection and dose and discontinuation of the antibiotic prophylactic as per policy, with a 100% compliance set as a program goal. The local infection control program mandates the monitoring of AP, feedback and staff education. Results Data on 2386 procedures was collected. The 46.5% of the procedures were performed by general surgery, with lower frequency for trauma (24.4%), Gyn-Obst (17.8%) and plastic surgeries (11.3%). The compliance with timing and selection and dose was 61.1% and 94.4% during the first quarter, after which was observed figures over 98%. The discontinuation had the lowest figures during the quarter 2 to 4, with increased compliance over 99% after the quarter seven. Conclusion Even when the compliance with antibiotic prophylaxis did not achieve the goals, especially for the timely administration, an increased adherence with guidelines was observed during the study period as a result of the strategy implemented by the infection control program.

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