Retrospective Study of Antibiotic Prophylaxis in Appendectomy in 6 Hospitals in Yemen
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 8
Abstract
Abstract: Surgical site infection (SSI) is a common source of Nosocomial infectionthatrepresents a significant adverse outcome of the health care system. It results in some additional postoperative days, added cost and spread of drug resistant bacteria. Among many processes that decrease SSI rates, the effect of preoperative administration of antibiotic prophylaxis (AP) has been demonstrated most extensively and evidence based guidelines are followed in many developed countries. This paper is intended to investigate the antibiotic prophylaxis pattern, the rate of SSI and the antibiotic used in 6hospitals in Yemen.In a retrospective study design involving 6 hospitals as shown in the 3 governorates in Yemen, Aden, Lahj&Dhala, representing a teaching hospital, rural hospitals and private clinics. Patients’ record files were collected for all patients who went under appendectomy during the period 2008 to 2015 in those hospitals. A total of 436 patient records were analysed, (Male 276 (63.30%) and female 160 (36.7%)). The data that was obtained from the files of all the selected cases in predesigned format to obtained specific indicators using Excel 2010 spread sheet for analysis. In a retrospect study in 6 hospitals, the medical records of 436 patients who went under appendectomy during the period 2008 to 2015 were examined to investigate the antibiotic prophylaxis pattern, the rate of SSI and the antibiotic used. There is no common pattern for neither in the selection nor in the use of antibiotics as a prophylactic measure. All hospitals gave treatment rather than prophylaxis. There is no evidence based guideline for the selection or use of antibiotic, over 22 types of antibiotics are used by different surgeons in the same hospital. All patients had long hospital stay, range 3 to 10 days. Algamhouriah which is the teaching hospital had the longest hospital stay. There was no difference in practice seen between rural or urban hospital nor between private and public hospital, there was a large difference in the cost of appendectomy in the private and the public sector.There is obvious need for a revision of therapeutic policy for all hospitals as a patient safety issue. Follow up of discharged patients is neglected which may indicate a higher infection rate. Keywords:Surgical site infection, appendectomy, antibiotic prophylaxis.
Authors and Affiliations
Zeyad A. Sallami
Keywords
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