Emanuel Rivera, William H Titley, Emmanuel López, Antonio Otero
{"title":"骨科患者围手术期抗生素的适当使用:质量评估研究。","authors":"Emanuel Rivera, William H Titley, Emmanuel López, Antonio Otero","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The Centers for Disease Control and Prevention (CDC) estimate that\nnearly 500,000 surgical site infections (SSIs) occur annually.[3] SSIs remain\na substantial cause of morbidity and mortality among hospitalized patients.\nFor this reason, we developed a quality assessment study with a\nperioperative antibiotic protocol that included antibiotic type, weight dependent\ndose, and intraoperative re-dosing regime for the proper administration of prophylaxis antibiotics\nprior to orthopedic surgery. We restricted our study to knee replacement\nand hip replacement surgeries. All records from September 2014 to June\n2015 were taken into consideration (78 cases). Before February 2015\n(protocol implementation date), only 33% or 13 of 39 cases were correctly\ndosed. After protocol establishment: 44 % or 17 of 39 cases were correctly\ndosed. Although our p-value suggests no statistical significance, there was\nan increasing trend of adequate antibiotic administration. In conclusion,\nwe need to educate more our nursing staff and implement monthly audits\nof our cases to improve our mistakes and ensure that this aspect of practice\nwill remain in the forefront of perioperative orthopedic surgery care.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adequate Administration of Perioperative Antibiotics in Orthopedic Patients: Quality Assessment Study.\",\"authors\":\"Emanuel Rivera, William H Titley, Emmanuel López, Antonio Otero\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The Centers for Disease Control and Prevention (CDC) estimate that\\nnearly 500,000 surgical site infections (SSIs) occur annually.[3] SSIs remain\\na substantial cause of morbidity and mortality among hospitalized patients.\\nFor this reason, we developed a quality assessment study with a\\nperioperative antibiotic protocol that included antibiotic type, weight dependent\\ndose, and intraoperative re-dosing regime for the proper administration of prophylaxis antibiotics\\nprior to orthopedic surgery. We restricted our study to knee replacement\\nand hip replacement surgeries. All records from September 2014 to June\\n2015 were taken into consideration (78 cases). Before February 2015\\n(protocol implementation date), only 33% or 13 of 39 cases were correctly\\ndosed. After protocol establishment: 44 % or 17 of 39 cases were correctly\\ndosed. Although our p-value suggests no statistical significance, there was\\nan increasing trend of adequate antibiotic administration. In conclusion,\\nwe need to educate more our nursing staff and implement monthly audits\\nof our cases to improve our mistakes and ensure that this aspect of practice\\nwill remain in the forefront of perioperative orthopedic surgery care.</p>\",\"PeriodicalId\":75610,\"journal\":{\"name\":\"Boletin de la Asociacion Medica de Puerto Rico\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Boletin de la Asociacion Medica de Puerto Rico\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Boletin de la Asociacion Medica de Puerto Rico","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Adequate Administration of Perioperative Antibiotics in Orthopedic Patients: Quality Assessment Study.
The Centers for Disease Control and Prevention (CDC) estimate that
nearly 500,000 surgical site infections (SSIs) occur annually.[3] SSIs remain
a substantial cause of morbidity and mortality among hospitalized patients.
For this reason, we developed a quality assessment study with a
perioperative antibiotic protocol that included antibiotic type, weight dependent
dose, and intraoperative re-dosing regime for the proper administration of prophylaxis antibiotics
prior to orthopedic surgery. We restricted our study to knee replacement
and hip replacement surgeries. All records from September 2014 to June
2015 were taken into consideration (78 cases). Before February 2015
(protocol implementation date), only 33% or 13 of 39 cases were correctly
dosed. After protocol establishment: 44 % or 17 of 39 cases were correctly
dosed. Although our p-value suggests no statistical significance, there was
an increasing trend of adequate antibiotic administration. In conclusion,
we need to educate more our nursing staff and implement monthly audits
of our cases to improve our mistakes and ensure that this aspect of practice
will remain in the forefront of perioperative orthopedic surgery care.