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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
biochemistry, genetics and molecular biology
Adherence of surgeons to antimicrobial prophylaxis guidelines in a tertiary general hospital in a rapidly developing country
Advances in Pharmacological Sciences, Volume 2013, Article 842593, Year 2013
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Description
Objectives. To assess the standard practice of care of surgeons regarding surgical antibiotic prophylaxis, to identify gaps, and to set recommendations. Methods. A retrospective analysis of data obtained from different surgical units in a single center in Qatar over a 3-month period in 2012. A total of 101 patients who underwent surgery and followed regimes for surgical prophylaxis as per hospital guidelines were included in the study. Results. The overall use of antibiotic was 89%, whereas the current practice did not match the recommended hospital protocols in 53.5% of cases. Prolonged antibiotics use (59.3%) was the commonest reason for nonadherence followed by the use of an alternative antibiotic to that recommended in the protocol (31.5%) and no prophylaxis was used in 9.2% of cases. The rate of compliance was significantly higher among clean surgery than clean contaminated group (P = 0.03). Forty-four percent of clean and 65% of clean-contaminated procedures showed noncompliance with the recommended surgical antimicrobial prophylaxis hospital guidelines. Conclusion. Lack of adherence to hospital protocols is not uncommon. This finding remains a challenge to encourage clinicians to follow hospital guidelines appropriately and to consistently apply the surgical antibiotic prophylaxis. The role of clinical pharmacist may facilitate this process across all surgical disciplines. © 2013 Ahmed Abdel-Aziz et al.
Authors & Co-Authors
Abdel-Aziz, Ahmed
Qatar, Doha
Hamad General Hospital
El-Menyar, Ayman Ahmed
Qatar, Doha
Hamad General Hospital
Qatar, Doha
Weill Cornell Medicine-qatar
Egypt, Cairo
Ahmed Maher's Teaching Hospital
Al-Thani, Hassan Ali Saoud
Qatar, Doha
Hamad General Hospital
Zarour, Ahmad M.
Qatar, Doha
Hamad General Hospital
Parchani, Ashok
Qatar, Doha
Hamad General Hospital
Asim, Mohammad
Qatar, Doha
Hamad General Hospital
El-Enany, Rasha
Qatar, Doha
Hamad General Hospital
Al-Tamimi, Haleema
Qatar, Doha
Hamad General Hospital
Latifi, Rifat
Qatar, Doha
Hamad General Hospital
United States, Tucson
The University of Arizona
Statistics
Citations: 64
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1155/2013/842593
ISSN:
16876334
e-ISSN:
16876342
Research Areas
Health System And Policy
Study Design
Cohort Study