Antibiotics Use Patterns for Surgical Prophylaxis Site Infection in Different Surgical Wards of a Teaching Hospital in Ahvaz Iran,

ObjectivesTo determine (1) the incidence of surgical site infection (SSI) in patients undergoing soft tissue surgery at a veterinary teaching hospital and to study (2) and describe the main risk factors associated with SSI and (3) assess the economic impact of SSI.DesignProspective cohort study.SettingVeterinary teaching hospital.Participants184 dogs undergoing soft tissue surgery during a 12-month period (October 2013 to September 2014).Primary outcome measureSurgical site infection.ResultsOut of the 184 patients analysed, SSI was diagnosed in 16 (8.7 per cent) patients, 13 (81.3 per cent) were classified as superficial incisional infection, 2 (12.5 per cent) as deep incisional infection and 1 (6.3 per cent) as organ/space infection. The administration of steroidal anti-inflammatory drugs (P=0.028), preoperative hyperglycaemia (P=0.015), surgical times longer than 60 minutes (P=0.013), urinary catheterisation (P=0.037) and wrong use of the Elizabethan collar (P=0.025) were identified as risk factors. Total costs increased 74.4 per cent, with an increase in postsurgical costs of 142.2 per cent.ConclusionsThe incidence of SSI was higher than the incidence reported in other published studies, although they were within expected ranges when a surveillance system was implemented. This incidence correlated with an increase in costs. Additionally new important risk factors for its development were detected.

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Safety of administering cefazolin versus other antibiotics in penicillin-allergic patients for surgical prophylaxis at a major Canadian teaching hospital

Surgery ◽

10.1016/j.surg.2021.03.022 ◽

2021 ◽

Author(s):

Jennifer M. Grant ◽

Wendy H.C. Song ◽

Salomeh Shajari ◽

Raymond Mak ◽

Andrew T. Meikle ◽

...

Keyword(s):

Teaching Hospital ◽

Surgical Prophylaxis

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Risk factors for surgical site infection in a teaching hospital: a prospective study of 1,138 patients

Patient Preference and Adherence ◽

10.2147/ppa.s86153 ◽

2015 ◽

pp. 1171 ◽

Cited By ~ 6

Author(s):

Xia Guohua ◽

keping cheng ◽

Jiawei Li ◽

Qingfang Kong ◽

Changxian Wang ◽

...

Keyword(s):

Risk Factors ◽

Prospective Study ◽

Surgical Site Infection ◽

Teaching Hospital ◽

Site Infection ◽

A Prospective Study

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Association of β-Lactam Allergy Documentation and Prophylactic Antibiotic Use in Surgery: A National Cross-Sectional Study of Hospitalized Patients

Clinical Infectious Diseases ◽

10.1093/cid/ciaa1762 ◽

2020 ◽

Author(s):

Christie M Bertram ◽

Michael Postelnick ◽

Christian M Mancini ◽

Xiaoqing Fu ◽

Yuqing Zhang ◽

...

Keyword(s):

United States ◽

Adverse Events ◽

Prophylactic Antibiotic ◽

Antibiotic Use ◽

The United States ◽

Cross Sectional Study ◽

Site Infection ◽

Sectional Study ◽

Surgical Prophylaxis ◽

Cross Sectional

Abstract Alternative antibiotics for surgical prophylaxis are associated with increased adverse events and surgical site infection compared to cefazolin. In a sample of perioperative inpatients from 100 hospitals in the United States, cefazolin was 9-fold less likely to be used in patients with a documented β-lactam allergy whereas clindamycin was 45-fold more likely.

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Compliance of antibiotics used for surgical site infection prophylaxis among patients undergoing surgery in a Congolese teaching hospital

Infection Prevention in Practice ◽

10.1016/j.infpip.2020.100075 ◽

2020 ◽

Vol 2 (3) ◽

pp. 100075

Author(s):

Gabriel Kambale Bunduki ◽

Michel Paluku Mukululi ◽

Claude Kasereka Masumbuko ◽

Séverin Akinja Uwonda

Keyword(s):

Surgical Site Infection ◽

Teaching Hospital ◽

Infection Prophylaxis ◽

Site Infection

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Magnitude of Post Caesarean Section Surgical Site Infection and its Associated Factors among Mothers who Underwent Caesarean Section in Mizan Tepi University Teaching Hospital, South West Ethiopia, 2017

Journal of Nursing & Care ◽

10.4172/2167-1168.1000454 ◽

2018 ◽

Vol 07 (02) ◽

Cited By ~ 1

Author(s):

Aklilu Mamo Dacho ◽

Abiy Tadesse Angelo

Keyword(s):

Caesarean Section ◽

Surgical Site Infection ◽

Teaching Hospital ◽

Associated Factors ◽

University Teaching ◽

Site Infection ◽

South West ◽

South West Ethiopia

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Study of the Antibiotics Use Patterns in Inpatients of Trauma Centers in Iran during 2014–2015

Indian Journal of Forensic Medicine & Toxicology ◽

10.5958/0973-9130.2019.00128.2 ◽

2019 ◽

Vol 13 (2) ◽

pp. 261

Author(s):

Mehdi Mohammadi ◽

Kobra Etminani ◽

Behrang Chaboki ◽

Farhad Sarrafzadeh Kermani

Keyword(s):

Trauma Centers ◽

Use Patterns ◽

Antibiotics Use

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Application of Surgical Safety Checklist in Operating Theatre at Al-Kindy Teaching Hospital

AL-Kindy College Medical Journal ◽

10.47723/kcmj.v14i2.53 ◽

2019 ◽

Vol 14 (2) ◽

pp. 64-70

Author(s):

Laith N. Hindosh

Keyword(s):

Surgical Site Infection ◽

World Health Organization ◽

Teaching Hospital ◽

Low Income ◽

World Health ◽

Site Infection ◽

Simple Method ◽

Surgical Safety Checklist ◽

Surgical Safety ◽

Health Organization

Background: A core set of checks have been incorporated into World Health Organization (WHO) WHO surgical safety checklist. Lack of access to basic surgical care remains a major concern in low-income settings. Objective: We use a WHO surgical safety checklist items to improve team communication and cooperation to help in reduction of morbidity and mortality of surgical procedures. Methods: This is a prospective study involving 300 patients after applying the 19 items of the surgical safety checklist with different types of operations had been operated in the surgical theater at Al-Kindy Teaching Hospital during the period 1st of September 2016 until 1st of March 2017. We follow up the patients until 30 days after surgical intervention. Results: After applying the 19 items of surgical safety checklist, the risk of the surgical site infection, respiratory complications, retained gauze and risk of blood loss [14% , 4.6% , 1.3% , and 2% respectively] was comparable to the results of the World Health Organization. Using the pulse oximetry in 94 % and site marked in 65.3%. In 64.6% of patients received antibiotic prophylaxis in which just 4 % developed surgical site infection [SSI], while in extended regime 36.67% there is 10% developed SSI. No mortality reported during collection of the data. Conclusions: The surgical safety checklist is a simple method, and there is evidence for its effectiveness in reducing complications in clinical use. WHO recommends use of the checklist in all surgical operations and encourages clinicians to modify the list for different specialties and hospitals.

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