History: Various authors have demonstrated the usefulness of antibiotic prophylaxis in the prevention of infections at surgical sites. However, even with this information, studies have shown that the adequate use is only around 40% of the cases. Objective: To evaluate the impact of a control and training program on the use of prophylactic antibiotics in clean and clean-contaminated surgery. Location: Surgery and Trauma Services, Diego Paroissien Hospital, La Matanza. Design: Prospective study/retrospective observational, longitudinal. Population: Patients who underwent clean and clean-contaminated surgery in the hospital from August 2002 until November 2002. Methods: Two studies were conducted to determine the correct use of antibiotic prophylaxis in clean and clean-contaminated surgeries before and after the development of a control and training program regarding the use of antibiotics. Methods of evaluation: Identify the rate of proper antibiotic prophylaxis use. Statistic tests: OR, IC 95%, t-test. Results: The rate of correct use was 12.5% during the first period and raised to 80% after the implementation of the training program (OR: 28 IC 95% 6,2-126) (p<0.0001). The principle cause of inadequate use was: absence of preoperative dose (57%) and duration of antibiotics lasting longer than 24 hours (65%). The mean of cost of materials was $87 before and $27 after the intervention (p = 0.01) Conclusion: The training program produced a significant increase of the rate of correct prophylactic antibiotic use in clean and clean-contaminated surgery in the Hospital Paroissien. Furthermore, the program produced an important cost reduction.
|Translated title of the contribution||Use of prophylactic antibiotics in the surgical area. Impact of a training and control program|
|Number of pages||5|
|Journal||Prensa Medica Argentina|
|State||Published - Sep 2005|
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