Determining the degree of compliance of Antibiotic prophylaxis before surgery with national guidelines in the gynecology ward of Shahid Sadoughi Hospital in Yazd

Mohammad Sharifyazdi, Faezeh Heidari, Fatemesadat Mousavi Ahmadabadi, Zohre Akhondimeybodi, S. Mousavi, Tahereh Fallah, Mahdie Hamidfar, S. Shahcheraghi
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Abstract

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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亚兹德Shahid Sadoughi医院妇科病房术前抗生素预防符合国家指南的程度
正确使用抗生素预防可以降低术后感染率,但使用不适当的抗生素会增加抗生素耐药性细菌的传播,延长住院时间,增加不必要的费用,并引起药物反应。本研究的目的是调查亚兹德Shahid Sadoughi医院妇科病房手术前抗生素预防符合国家指南的比率。本研究是在伊朗亚兹德Shahid Sadoughi医院妇科病房进行的横断面研究。对200例患者的记录进行了随机回顾。患者的信息包括个人信息、手术类型、预防性抗生素类型、抗生素剂量和给药时间。最后,比较抗生素预防与国家指导方针的依从性,并使用SPSS 22软件进行数据分析。患者的平均年龄为36.6±10.5岁。在200例手术中,85例为子宫切除术,65例为剖宫产术,30例为刮宫流产术,20例为其他妇科手术。本研究表明,最高依从性与抗生素给药时间有关。
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