Aim: Antibiotic prophylaxis is one of the basic practices for preventing surgical site infections. For rational surgical prophylaxis, the right antibiotic should be given in the right dose with the right timing. In this study, it was aimed to examine the compatibility of antibiotic use for surgical prophylaxis in our hospital with the surgical antibiotic prophylaxis guideline of our hospital. Method: The study included adult patients from eight different surgical clinics operated between the 1st of May and the 20th of September 2019 in Adana City Training and Research Hospital. The prophylactic antibiotics administered to these patients were retrospectively examined considering content, timing, dose, and duration of use and were evaluated regarding compliance with our hospital's surgical prophylaxis guideline. Results: A total of 480 patients, 48.54% 233/480 female and 51.46% 247/480 male, were included in the study. The mean age was 42.96±16.58 years. The mean operation time was 104.66±52.98 minutes. Prophylaxis complied with surgical prophylaxis guidelines in 35.9% (172/480) of patients; It was done inappropriately in 64.16% (308/480) of them. The reasons for non-compliance with the surgical prophylaxis guideline were 30.6% prolonged prophylaxis, 19.2% not given when prophylaxis was needed, 12.5% not given additional dose in surgeries lasting longer than four hours, 11% of antibiotics starting 24 hours before incision, 11% after incision. Inappropriate antibiotic selection was 8.1%. Conclusion: In this study; the most common reason for non-compliance with the surgical prophylaxis guideline was the unnecessary continuation of antibiotics in the postoperative period. Incorrect antibiotic selection and inconsistencies in the timing of administration were less common. It was seen that convincing activities were needed in terms of the fact that full compliance with the surgical prophylaxis guideline, especially the abandonment of the prolonged prophylaxis attitude, is important for both safe surgery and rational antibiotic use.
Amaç: Antibiyotik profilaksisi, cerrahi alan enfeksiyonlarını önlenmeye yönelik temel uygulamalardan birisidir. Akılcı cerrahi profilaksi için doğru antibiyotik, doğru zamanlama ile doğru dozda verilmelidir. Bu çalışmada, hastanemizdeki cerrahi profilaksi amacıyla antibiyotik kullanımının, hastanemiz cerrahi antibiyotik profilaksi rehberine uygunluğunun incelenmesi amaçlanmıştır. Yöntem: Adana Şehir Eğitim ve Araştırma Hastanesi’nde 01.05.2019-20.10.2019 tarihleri arasında, sekiz farklı cerrahi klinikte ameliyat edilmiş olan erişkin hastalar çalışmaya dahil edildi. Bu hastalara uygulanan profilaktik antibiyotikler, içerik, uygulanma zamanlaması, doz ve kullanım süresi bakımından retrospektif olarak incelenerek, hastanemizin cerrahi profilaksi rehberine uygunluğu açısından değerlendirildi. Bulgular: Çalışmaya 233’ü (%48.54) kadın, 247’si (%51.46) erkek olmak üzere 480 hasta dahil edildi. Yaş ortalaması 42.96±16.58 yıldı. Operasyon süresi ortalama 104.66±52.98 dakikaydı. Profilaksi, hastaların %35.9’unda (172/480) cerrahi profilaksi rehberine uygun; %64.16’sında (308/480) uygun olmayan şekilde yapılmıştı. Cerrahi profilaksi rehberine uyumsuzluk nedenlerinin %24.4’ünü uzamış profilaksi, %19.2’sini profilaksi gerekirken verilmemesi, %12.5’ini dört saatten uzun süren ameliyatlarda ek doz verilmemesi, %11’ini antibiyotiğin insizyondan 24 saat önce başlanmış olması, %11’ini insizyondan önce yapılmayıp ameliyat sonrası yapılması, %8.1’ini içerik olarak yanlış antibiyotik seçimi oluşturmaktaydı. Sonuç: Bu çalışmada; cerrahi profilaksi rehberine uyumsuzluk nedenleri arasında en çok gözlenen ameliyat sonrası dönemde gereksiz olarak antibiyotiğe devam edilmesiydi. İçerik olarak yanlış antibiyotik seçimi ve uygulama zamanlaması ile ilgili uyumsuzluklar daha az orandaydı. Uzamış profilaksi tutumundan vazgeçilmesi başta olmak üzere, cerrahi profilaksi rehberine tam uyum sağlanmasının, hem güvenli cerrahi hem de akılcı antibiyotik kullanımı açısından önemli olduğuna ikna edici faaliyetlere ihtiyaç duyulduğu görüldü.
Primary Language | Turkish |
---|---|
Subjects | Health Care Administration |
Journal Section | Articles |
Authors | |
Publication Date | April 30, 2022 |
Submission Date | April 1, 2021 |
Acceptance Date | October 5, 2021 |
Published in Issue | Year 2022 Volume: 15 Issue: 1 |
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
Publishing in three issues per year (April - August - December), it is a multisectoral refereed scientific journal. In addition to research articles, scientific articles such as reviews, case reports and letters to the editor are published in the journal. Our journal, which has been published via e-mail since its inception, has been published both online and in print. Following the Participation Agreement signed with TÜBİTAK-ULAKBİM Dergi Park in April 2015, it has started to accept and evaluate online publications.
Mersin University Journal of Health Sciences have been indexed by Turkey Citation Index since November 16, 2011.
Mersin University Journal of Health Sciences have been indexed by ULAKBIM Medical Database from the first issue of 2016.
Mersin University Journal of Health Sciences have been indexed by DOAJ since October 02, 2019.
Article Publishing Charge Policy: Our journal has adopted an open access policy and there is no fee for article application, evaluation, and publication in our journal. All the articles published in our journal can be accessed from the Archive free of charge.
This work is licensed with Attribution-NonCommercial 4.0 International.