Surgical antibiotic prophylaxis

Send This

Download

Comment

Favourite

more

Rating :

Rate It:

Embed :

twinkle rose on Jun 04, 2012 Says :

nice

MAHADI on Jun 19, 2009 Says :

good

Post a comment

Post Comment on Twitter Post Comment on SlideWorld

Comments:

Subscribe to follow-up comments

Notes

Hide Notes

Slide 1 :

Surgical Antibiotic Prophylaxis in a Turkish University Hospital (J. Chemotherapy, 2002;14 (4): 373-7) Prof.Dr.A.N.Yalcin* Prof.Dr.S.Serin Assoc.Prof.Dr. E.Gurses Assoc.Prof.Dr. M.Zencir

Slide 2 :

Materials and Methods Pamukkale University Hospital, Denizli, Turkey Study period: April 1st, 2001 and July 31st, 2001 Operations in general surgery, obstetrics and gynecology, orthopedics, pediatric surgery, otorhinolaryngology, plastic surgery, urology, neurosurgery, cardiothoracic surgery

Slide 3 :

Results A total of 897 operations performed in the study period. Operations: ? 70.7 % Clean surgery ? 25.3 % Clean-contaminated ? 2.8 % Contaminated ? 1.2 % Dirty

Slide 4 :

Results (2) A total of 98 % (n:879) of all patients received antibiotic prophylaxis. Timing of prophylaxis (anesthesia induction) was appropriate ( 100 %) in all procedures. Duration of prophylaxis is appropriate in only 47.7 % of all patients. Dosages: ? 35.3 % received only one dosage. ? 12.4 % received three dosages. ? 52.3 % received prophylaxis more than a day.

Slide 5 :

Results (3) Prophylactic Antibiotics: ? Sulbactam/ampicillin (SAM): 49.5% ? Cefepime: 34 % ? Cefazolin: 9.5 % All antibiotics were administered by intravenous route.

Slide 6 :

Antibiotic choices in surgical prophylaxis Obstetrics and gynecology (n:247) Cefepime (n:247) Otorhinolaryngology (n:154) SAM (n:130), Cefazolin (n:24) General surgery (n:153) SAM (n:98), Cefazolin (n:36), Others (n:19) Urology (n:104) SAM (n:56), Cefepime (n:21), Others (n:27) Orthopedics (n:94) SAM (n:53), Cefazolin (n:16), Others (n:25) Plastic surgery (n: 55) SAM (n:48), Cefazolin (n:7) Neurosurgery (n: 40) SAM (n: 24), Cefepime (n:11), Others (n:5) Pediatric surgery (n:22) SAM (n:22) Cardiothoracic surgery (n:10) SAM (n:4), Cefepime (n:3), Others (n:3)

Slide 7 :

Discussion Unnecessary surgical antibiotic prophylaxis is higher in our study when compared with other studies. Proper duration rate is vey low in the study. Although cefazolin is recommended in surgical antibiotic prophylaxis, it is the second prefered antibiotic during the study period.

Slide 8 :

Conclusion Antimicrobial prophylaxis in surgery is not adequate in our hospital. This situation could be improved by using standardized prophylactic antibiotic administration rules. More education on the subject is a necessity.

Slide 9 :

Thanks…. anyalcin@yahoo.com anyalcin@akdeniz.edu.tr

Surgical infection

Antibiotic and Latex...

Antibiotic Prophylax...

Surgical Excision of...

An Analysis of Thera...

Guidelines for Antib...

Free Powerpoint Templates

	anyalcin@yahoo.com 4 Years ago.



6634 Views, 1 favourite
PowerPoint Presentation on Surgical antibiotic prophylaxis or PowerPoint Presentation on
More By User Flag as inappropriate Select your reason for flagging this presentation as inappropriate. If needed, use the feedback form to let us know more details. Cancel