A Critical Evaluation and Comparison of Antimicrobial Prophylaxis in Elective Surgeries Across three Hospitals

Autor: Yogesh Belagali, Alwar MC, Poornachandra Thejeswi, Ullal Sheetal D, Vani Bhagwath, Ashok Shenoy K, Mukta Chowta, Sahana D Acharya
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Journal of Clinical and Diagnostic Research, Vol 7, Iss 6, Pp 1073-1077 (2013)
Druh dokumentu: article
ISSN: 2249-782X
0973-709X
DOI: 10.7860/JCDR/2013/5362.3063
Popis: Objectives: 1. To evaluate and compare the pattern and rationality of prophylactic antimicrobial therapy in elective surgeries. 2. To evaluate and compare the adherence of hospitals to the standard guidelines on prophylactic antimicrobial therapy. Methodology: A total of 150 patients each from a government hospital (group I), medical college teaching hospital (group II), and corporate hospital attached to the institution (group III) who had undergone elective, non-complicated surgery were included. The number & types of antimicrobials used along with duration were noted. Rationality was assessed on the basis of Kunin’s criteria, ASHP guidelines & SIGN guidelines. Statistical analysis was done using appropriate tests. Results: Cephalosporins were the most commonly used antimicrobials in all three groups (52.6%,85.7% & 84.8% respectively) followed by nitroimidazoles. Antimicrobial prophylaxis was appropriate in only 14.1%, 23.3% & 32.9% cases in the three groups respectively (p
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