Evaluating the Use of Antibiotic Prophylaxis in Surgical Procedures: A Study Conducted at a Tertiary Care Teaching Hospital in Southern India

Year : 2024 | Volume :02 | Issue : 02 | Page : 7-17
By

Abhishek,

Shameem Abdurahiman. T,

Vanishree,

Kavya H. B,

Shivaraj D.R,

  1. Intern Department of Pharmacy,Sree Siddaganga College of Pharmacy, Tumakuru Karnataka India
  2. Intern Department of Pharmacy,Sree Siddaganga College of Pharmacy, Tumakuru Karnataka India
  3. Intern Department of Pharmacy,Sree Siddaganga College of Pharmacy, Tumakuru Karnataka India
  4. Assistant Professor Department of Pharmacy,Sree Siddaganga College of Pharmacy, Tumakuru Karnataka India
  5. Assistant Professor Department of Pharmacy,Sree Siddaganga College of Pharmacy, Tumakuru Karnataka India

Abstract

Background: Prophylactic antibiotics can reduce the frequency of postoperative wound infections. Well-designed trials have demonstrated that the appropriate administration of prophylactic antibiotics in surgeries can reduce postoperative infections to about one-half of the incidence in untreated patients.
Objectives: To examine surgeon’s adherence to the hospital’s antibiotic policy by comparing and assessing the usage of antibiotics as prophylactic before surgery.
Methods: A prospective observational study was carried out among inpatients in the hospital regarding surgical procedures, prophylactic antibiotics, and timing of antibiotic administration. These data were compared against the hospital’s antibiotic policy to verify adherence to the guidelines by the surgeons.
Results: This study included 203 participants. During the trial, There was a noticeable deviation from the hospital’s antibiotic policy which was mainly justified by the surgeons’ execution of evidence-based medicine. 74% of samples (150) complied with the recommendations for prophylactic antibiotic selection, while 53 (26%) did not. 72% (147) received prophylactic antibiotics promptly by the guidelines. By integrating the aforementioned criteria, it was observed that 69% (140) of the samples indicated surgeon’s adherence to the hospital antibiotic policy by administering prophylactic antibiotics during surgical procedures. With a 95% compliance rate, ceftriaxone was mostly used. The antibiotics with 100% noncompliance rates that are least commonly used are meropenem, cefoperazone, and amoxicillin.
Conclusion: The study indicates that surgeon compliance with the hospital antibiotic policy fell short of guideline recommendations. It emphasizes the importance of implementing evidence-based practices and adhering to guidelines to promote the rational use of antibiotics in surgical prophylaxis.

Keywords: Prophylactic antibiotic, hospital antibiotic guidelines, compliance, choice of antibiotic, and timing of antibiotic administration

[This article belongs to International Journal of Biomedical Innovations and Engineering(ijbie)]

How to cite this article: Abhishek, Shameem Abdurahiman. T, Vanishree, Kavya H. B, Shivaraj D.R. Evaluating the Use of Antibiotic Prophylaxis in Surgical Procedures: A Study Conducted at a Tertiary Care Teaching Hospital in Southern India. International Journal of Biomedical Innovations and Engineering. 2024; 02(02):7-17.
How to cite this URL: Abhishek, Shameem Abdurahiman. T, Vanishree, Kavya H. B, Shivaraj D.R. Evaluating the Use of Antibiotic Prophylaxis in Surgical Procedures: A Study Conducted at a Tertiary Care Teaching Hospital in Southern India. International Journal of Biomedical Innovations and Engineering. 2024; 02(02):7-17. Available from: https://journals.stmjournals.com/ijbie/article=2024/view=160073



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Regular Issue Subscription Original Research
Volume 02
Issue 02
Received July 3, 2024
Accepted July 29, 2024
Published July 30, 2024

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