Key result
All surgical patients received prophylactic antibiotics, with 53.6% receiving ceftriaxone alone and 41.4% receiving a combination of ceftriaxone and metronidazole, indicating inappropriate selection.
Cross-Sectional (n=384)
No
The study highlights inappropriate and inconsistent use of surgical antibiotic prophylaxis, particularly the overutilization of ceftriaxone and combination therapies, deviating from international guidelines.
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Inappropriate surgical prophylaxis selection persists; leaves open the impact of stewardship interventions on guideline adherence.
OBJECTIVE: The aim of this study was to assess utilization pattern of surgical antibiotic prophylaxis in surgical wards of Dil Chora Referral Hospital. RESULTS: Prophylactic antibiotics were given in all surgical procedures. More than half of the participants 206(53.6%) were given Ceftriaxone while combination of Ceftriaxone and Metronidazole were used for 159(41.4%) patients. The most common procedure (88.3%), appendectomy, was managed with combination of Ceftriaxone and Metronidazole while the remaining was on Ceftriaxone. Hernia repair, another common procedure seen in this ward, was majorly managed by combination of Ceftriaxone and Metronidazole (60.7%) while the rest were on ceftriaxone alone. In general, inconsistence in antibiotic selection for different types of surgical procedures was seen. The surgical prophylactic antibiotics should be prescribed according to the international guidelines.
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Henok Taye (2018) conducted a cross-sectional in Surgical procedures requiring antibiotic prophylaxis (n=384). Surgical antibiotic prophylaxis was evaluated on Proportion of patients receiving specific prophylactic antibiotics. All surgical patients received prophylactic antibiotics, with 53.6% receiving ceftriaxone alone and 41.4% receiving a combination of ceftriaxone and metronidazole, indicating inappropriate selection.
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