The compliance of surgical prophylactic antibiotics with standard protocols in Imam Reza teaching hospital of Birjand, Iran

Background and Objectives: Taking unnecessary or inappropriate prophylactic antibiotics can cause infections with re- sistant organisms. The present study aimed to investigate administration prophylactic antibiotics in surgery ward and its compliance with standard protocol in Imam Reza teaching hospital of Birjand, Iran. Materials and Methods: This descriptive-analytical study was performed to evaluate the pattern of prophylactic antibiotics on patients who underwent surgical operations from October to December 2019. A checklist including demographic informa- tion, type of prophylactic antibiotics, dose and duration of using drug, type of surgery, and compliance with standard protocol was used. The validity and reliability of the checklist were evaluated and confirmed prior to the study. All eligible patients were enrolled and the information of the prescribed drugs in the surgical wards was compared with the Schwartz’s principles of surgery as standard protocol. Results: Out of a total of 300 patients, 187 (62.3%) were male. Among the patients, 155 (51.7%) cases underwent general surgery, 119 (39.6%) cases orthopedic surgery, and 26 (8.7%) cases neurosurgery. The most popular prescribed antibiotics were cefazolin (170 cases) and ceftriaxone + metronidazole (67 cases). Furthermore, the maximum antibiotic administrations were two days (127 cases) and one day (93 cases). More importantly, 67.7% and 92.3% of the patients were in compliance with the standard protocol in terms of the type and time of administration, respectively. Conclusion: Our results showed that duration and route of administrating antibiotics were consistent with the standard pro- tocol, but the type of drugs and indication did not match.

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Endoscopic assisted suturectomy for primary craniosynostosis in infancy

Journal of Clinical Review & Case Reports ◽

10.33140/jcrc/03/02/00007 ◽

2018 ◽

Vol 3 (2) ◽

Keyword(s):

Intracranial Pressure ◽

Minimally Invasive ◽

Hospital Stay ◽

Teaching Hospital ◽

Head Circumference ◽

Analytical Study ◽

Intracranial Volume ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Skull Shape

Background: Multiple procedures have been used for the treatment of craniosynostosis, ranging from simple suturectomy to extensive calvarial vault remodeling. The optimal timing for surgery is still controversial. The goal of therapy is to provide adequate intracranial volume, in addition to an aesthetically almost normal skull shape. Endoscopic synostosis repair described in 1998 by Jimenez and Baron [1]. This technique allows for a less invasive method that can result in excellent longstanding reconstruction of the cranial skeleton. This method is a minimally invasive approach that has less morbidity involved with traditional reconstruction techniques. Aim: Evaluation of early endoscopic suturectomy and its impact on both neurological functions and cosmetic appearance of infants up to 6 months of age suffering primary craniosynostosis. Methodology: This is a prospective analytical study of 50 patients with primary non syndromic craniosynostosis either single suture or multiple sutures, up to sixth months of age; with evident of skull shape deformity and or manifestations of increase intracranial pressure. from; October 2009 to October 2016 were managed byendoscopic assisted suturectomy the approach of Jimenez and Baron, in both Neurosurgery Department Shebin Elkom teaching hospital and Neurosurgery Department in Elsahel teaching hospital. Clinical and radiological follow up for six months postoperative. Results: This is a prospective analytical study of 50 patients with primary craniosynostosis, 28 patients are male and 22 patients are female. The age of patients range from one and half months to sixth months. The majority of cases presented with deformity alone 68%. Other clinical presentations as manifestations of increased intracranial pressure, fits, and delayed milestones plus deformity was 20%, 8%, and 4% respectively. Estimated blood loss, the mean loss was 56cc, minimum 30cc, and maximum was 100cc, with stander deviation ±18cc.The minimum hospital stay was one day and maximum was three days.There is significant change of head shape and head circumference postoperatively this observed by highly significant P value in head circumference (< 0.001). Conclusion: Endoscopic assisted suturectomy is minimally invasive approach with a very narrow range of complications, very limited need to blood transfusion and if it occurs, it is small volume in relation to total volume. Very short ICU and hospital stay also decrease the economic load.

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Prophylactic Antibiotics in Elective Orthopedic Surgery

Southern Medical Journal ◽

10.1097/00007611-197710001-00015 ◽

1977 ◽

Vol 70 (Supplement) ◽

pp. 50-54 ◽

Cited By ~ 31

Author(s):

ALAN PAVEL ◽

ROBERT L SMITH ◽

ANTHONY BALLARD ◽

IVAR J. LARSON

Keyword(s):

Orthopedic Surgery ◽

Prophylactic Antibiotics

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Early experience with laparoscopic surgical operations in Aminu Kano Teaching Hospital, Kano, Northwestern Nigeria

Archives of International Surgery ◽

10.4103/2278-9596.136688 ◽

2014 ◽

Vol 4 (1) ◽

pp. 1

Author(s):

AbdurrahmanA Sheshe ◽

Ismail Tsauni ◽

AhmedA Yakubu ◽

SaniU Alhassan

Keyword(s):

Teaching Hospital ◽

Early Experience ◽

Surgical Operations

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Knowledge of intramuscular injection among the nurses of a teaching hospital

Journal of Chitwan Medical College ◽

10.3126/jcmc.v10i1.28069 ◽

2020 ◽

Vol 10 (1) ◽

pp. 40-43

Author(s):

Soni Rani Sah ◽

Sreeja Maskey

Keyword(s):

Teaching Hospital ◽

Positive Reinforcement ◽

Intramuscular Injection ◽

College Teaching ◽

Sampling Technique ◽

Cross Sectional Study ◽

Staff Nurse ◽

Standard Protocol ◽

Cross Sectional ◽

General Wards

Background: Intramuscular injection (IM) is one of the most frequently use practices in nursing. Lack of knowledge can make the procedure ineffective resulting in lot of complications. The objective of the study was to find out the knowledge of IM injection among the nurses of Chitwan Medical College Teaching Hospital (CMCTH), Bharatpur, Chitwan. Methods: A descriptive, cross-sectional study design was used among 220 nurses of CMCTH who were selected by using non- probability purposive sampling technique. Self-administered questionnaires were used to collect the data. The data was analyzed using IBM SPSS version 20.0 and descriptive, inferential test was applied. Results: The age study findings revealed that 60% of respondents belonged to group 21 to 25 years and the mean age was 22.20±2.57 years, 72.3% respondents had completed Proficiency Certificate Level (PCL) Nursing, 90% of respondents were working as staff nurse, 57.3% of respondents were working in general wards, 48.2% of the respondents had hospital experience less than 12 months. Majority of the respondents (71.8%) had inadequate knowledge regarding IM injection. There was statistical significant association between respondents’ knowledge regarding IM injection and their age (p <0.001), professional designation (p <0.001), hospital experience (p=0.023), current ward experience (p= 0.026), positive reinforcement (p=0.031), standard protocol (p=0.045), and in-service education (p<0.001) . Conclusions: It is concluded that standard protocol and frequent in-service education should be provided to increase the level of knowledge regarding IM injection among nurses which will result in better practice and hence better patient satisfaction with no complications.

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