Key result
Compliance with national guidelines for antibiotic prophylaxis in gynecological surgeries was 85.5% for timing, 58.5% for antibiotic type, 51.5% for dose, and 37.5% for duration of treatment.
Why the study?
Proper antibiotic prophylaxis reduces postoperative infections, but inappropriate use increases resistant bacteria, hospital stay, costs, and adverse drug reactions.
Cross-Sectional (n=200)
No
Compliance with national guidelines for surgical antibiotic prophylaxis in this gynecology ward was suboptimal, particularly regarding the duration of continuous treatment and antibiotic dose.
Incomplete guideline adherence for prophylaxis duration and dosing in gynecology; leaves open stewardship implementation studies.
Proper use of antibiotic prophylaxis reduces the rate of postoperative infection, but the administration of inappropriate antibiotics increases the spread of antibiotic-resistant bacterial species as well as prolongs the hospital stay, imposes unnecessary costs, and drug reactions. The purpose of the present study was the investigation of the rate of compliance of antibiotic prophylaxis before surgery with national guidelines in the gynecology ward of Shahid Sadoughi Hospital in Yazd. The present study was a cross-sectional research that was performed in the gynecology ward of Shahid Sadoughi Hospital in Yazd, Iran. The records of 200 patients were reviewed randomly. Patients’ information was including personal information, type of surgery, type of prophylactic antibiotic, dose of antibiotic and time of administration. Finally, the compliance of antibiotic prophylaxis with national guidelines was compared and data analysis was performed using SPSS 22 software. The age mean of patients was 36.6 ±10.5 years. Out of 200 operations, 85 were hysterectomy, 65 cesarean, 30 curettage & abortion and 20 other gynecological operations. The present study showed that the highest compliance was related to the time of antibiotic administration.
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Sharifyazdi et al. (2022) conducted a cross-sectional in Gynecological surgery (n=200). Antibiotic prophylaxis was evaluated on Compliance of antibiotic prophylaxis with national guidelines. Compliance with national guidelines for antibiotic prophylaxis in gynecological surgeries was 85.5% for timing, 58.5% for antibiotic type, 51.5% for dose, and 37.5% for duration of treatment.
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