Adherence of Surgeons to Antimicrobial Prophylaxis Guidelines in a Tertiary General Hospital in a Rapidly Developing Country
Objectives. To assess the standard practice of care of surgeons regarding surgical antibiotic prophylaxis, to identify gaps, and to set recommendations. Methods. A retrospective analysis of data obtained from different surgical units in a single center in Qatar over a 3-month period in 2012. A total...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Advances in Pharmacological Sciences |
| Online Access: | http://dx.doi.org/10.1155/2013/842593 |
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| author | Ahmed Abdel-Aziz Ayman El-Menyar Hassan Al-Thani Ahmad Zarour Ashok Parchani Mohammad Asim Rasha El-Enany Haleema Al-Tamimi Rifat Latifi |
| author_facet | Ahmed Abdel-Aziz Ayman El-Menyar Hassan Al-Thani Ahmad Zarour Ashok Parchani Mohammad Asim Rasha El-Enany Haleema Al-Tamimi Rifat Latifi |
| author_sort | Ahmed Abdel-Aziz |
| collection | DOAJ |
| description | Objectives. To assess the standard practice of care of surgeons regarding surgical antibiotic prophylaxis, to identify gaps, and to set recommendations. Methods. A retrospective analysis of data obtained from different surgical units in a single center in Qatar over a 3-month period in 2012. A total of 101 patients who underwent surgery and followed regimes for surgical prophylaxis as per hospital guidelines were included in the study. Results. The overall use of antibiotic was 89%, whereas the current practice did not match the recommended hospital protocols in 53.5% of cases. Prolonged antibiotics use (59.3%) was the commonest reason for nonadherence followed by the use of an alternative antibiotic to that recommended in the protocol (31.5%) and no prophylaxis was used in 9.2% of cases. The rate of compliance was significantly higher among clean surgery than clean contaminated group (P=0.03). Forty-four percent of clean and 65% of clean-contaminated procedures showed noncompliance with the recommended surgical antimicrobial prophylaxis hospital guidelines. Conclusion. Lack of adherence to hospital protocols is not uncommon. This finding remains a challenge to encourage clinicians to follow hospital guidelines appropriately and to consistently apply the surgical antibiotic prophylaxis. The role of clinical pharmacist may facilitate this process across all surgical disciplines. |
| format | Article |
| id | doaj-art-fc131e208e704c6082cc657ad381a97f |
| institution | Kabale University |
| issn | 1687-6334 1687-6342 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Pharmacological Sciences |
| spelling | doaj-art-fc131e208e704c6082cc657ad381a97f2025-02-03T05:59:43ZengWileyAdvances in Pharmacological Sciences1687-63341687-63422013-01-01201310.1155/2013/842593842593Adherence of Surgeons to Antimicrobial Prophylaxis Guidelines in a Tertiary General Hospital in a Rapidly Developing CountryAhmed Abdel-Aziz0Ayman El-Menyar1Hassan Al-Thani2Ahmad Zarour3Ashok Parchani4Mohammad Asim5Rasha El-Enany6Haleema Al-Tamimi7Rifat Latifi8Section of Trauma Surgery, Department of Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, QatarClinical Research, Section of Trauma Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, QatarSection of Trauma Surgery, Department of Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, QatarSection of Trauma Surgery, Department of Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, QatarSection of Trauma Surgery, Department of Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, QatarClinical Research, Section of Trauma Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, QatarDepartment of Pharmacy, Hamad General Hospital (HGH), P.O. Box 3050, Doha, QatarDepartment of Pharmacy, Hamad General Hospital (HGH), P.O. Box 3050, Doha, QatarSection of Trauma Surgery, Department of Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, QatarObjectives. To assess the standard practice of care of surgeons regarding surgical antibiotic prophylaxis, to identify gaps, and to set recommendations. Methods. A retrospective analysis of data obtained from different surgical units in a single center in Qatar over a 3-month period in 2012. A total of 101 patients who underwent surgery and followed regimes for surgical prophylaxis as per hospital guidelines were included in the study. Results. The overall use of antibiotic was 89%, whereas the current practice did not match the recommended hospital protocols in 53.5% of cases. Prolonged antibiotics use (59.3%) was the commonest reason for nonadherence followed by the use of an alternative antibiotic to that recommended in the protocol (31.5%) and no prophylaxis was used in 9.2% of cases. The rate of compliance was significantly higher among clean surgery than clean contaminated group (P=0.03). Forty-four percent of clean and 65% of clean-contaminated procedures showed noncompliance with the recommended surgical antimicrobial prophylaxis hospital guidelines. Conclusion. Lack of adherence to hospital protocols is not uncommon. This finding remains a challenge to encourage clinicians to follow hospital guidelines appropriately and to consistently apply the surgical antibiotic prophylaxis. The role of clinical pharmacist may facilitate this process across all surgical disciplines.http://dx.doi.org/10.1155/2013/842593 |
| spellingShingle | Ahmed Abdel-Aziz Ayman El-Menyar Hassan Al-Thani Ahmad Zarour Ashok Parchani Mohammad Asim Rasha El-Enany Haleema Al-Tamimi Rifat Latifi Adherence of Surgeons to Antimicrobial Prophylaxis Guidelines in a Tertiary General Hospital in a Rapidly Developing Country Advances in Pharmacological Sciences |
| title | Adherence of Surgeons to Antimicrobial Prophylaxis Guidelines in a Tertiary General Hospital in a Rapidly Developing Country |
| title_full | Adherence of Surgeons to Antimicrobial Prophylaxis Guidelines in a Tertiary General Hospital in a Rapidly Developing Country |
| title_fullStr | Adherence of Surgeons to Antimicrobial Prophylaxis Guidelines in a Tertiary General Hospital in a Rapidly Developing Country |
| title_full_unstemmed | Adherence of Surgeons to Antimicrobial Prophylaxis Guidelines in a Tertiary General Hospital in a Rapidly Developing Country |
| title_short | Adherence of Surgeons to Antimicrobial Prophylaxis Guidelines in a Tertiary General Hospital in a Rapidly Developing Country |
| title_sort | adherence of surgeons to antimicrobial prophylaxis guidelines in a tertiary general hospital in a rapidly developing country |
| url | http://dx.doi.org/10.1155/2013/842593 |
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