Key result
Surgical antibiotic prophylaxis was administered in 98% of 897 procedures, but the duration was optimal in only 47.7% and the choice of agent was inappropriate in most cases.
Observational (n=897)
No
Compliance with optimal choice, frequency, and duration of perioperative antibiotic prophylaxis was inadequate in this Turkish university hospital, highlighting a need for targeted education.
A prospective study was performed to assess the practice of antibiotic prophylaxis for surgical procedures in Pamukkale University Hospital, Denizli, Turkey. All surgical procedures performed between April 1 and July 31, 2001, were included. During the study period 897 operations were reviewed. 96% of all procedures were elective, 4% emergencies. Approximately 70.7% were clean surgery, 25.3% clean-contaminated, 2.8% contaminated, and 1.2% dirty. 98% of patients (879) received antibiotic prophylaxis. Although timing of prophylaxis was appropriate in all procedures, the duration of prophylaxis was optimal in only 47.7% of all cases. Sulbactam/ampicillin (SAM), cefazolin and cefepime were the most commonly used antibiotics during the study period. The results of our study suggest that the choice of prophylactic antimicrobial agent was inappropriate in most cases. In conclusion, we think that compliance regarding the optimal choice, frequency, and duration of perioperative antibiotic prophylaxis is not adequate in our hospital, and that more education on the subject is necessary.
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Yalçın et al. (2002) conducted an observational in Surgical procedures (n=897). Surgical antibiotic prophylaxis practice was evaluated on Optimal duration of antibiotic prophylaxis. Surgical antibiotic prophylaxis was administered in 98% of 897 procedures, but the duration was optimal in only 47.7% and the choice of agent was inappropriate in most cases.
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