Editor-in-Chief
Hatice Kübra Elçioğlu
Vice Editors
Levent Kabasakal
Esra Tatar
Online ISSN
2630-6344
Publisher
Marmara University
Frequency
Bimonthly (Six issues / year)
Abbreviation
J.Res.Pharm.
Former Name
Marmara Pharmaceutical Journal
Marmara Pharmaceutical Journal
2011 , Vol 15 , Issue 2
Evaluation of preoperative antibiotic prophylaxis use in a teaching and research hospital in İstanbul
Marmara Üniversitesi Eczacılık Fakültesi, Klinik Eczacılık Bilim Dalı, İstanbul, Türkiye
DOI :
10.12991/201115434
Our study was performed in a teaching and research hospital in Istanbul between the dates 01.10.2009-
31.12.2009 with the aim of evaluating the use of surgical prophylaxis. Preoperative antibiotic prophylaxis (PAP) administered
to 406 patients operated during the study was evaluated in terms of age, gender, selection of patient and
antibiotics, wound classification, duration of hospital stay, American Society of Anesthesiologists (ASA) score, presence
of diabetes, hepatic and renal insufficiency and history of allergy. The patients were classified as emergent or
elective according to their state of being. Only by taking elective surgical operations into consideration, evaluation
was done through surgical prophylaxis guideline that was prepared by the hospital infection committee. It was seen
that the most frequently used antibiotic in PAP is cefazolin. PAP use was found to be compatible with the local guideline
in 211 elective cases (51.97%). In 126 patients (31.03%), prophylaxis time was longer than that was recommended
in the guideline. In 10 (2.46%) patients, selections of antibiotics were different from the guideline. Unnecessary
antibiotic prophylaxis in the absence of risk factors and different dose of antibiotic were observed in 59 cases
(14.5%). It is well known that the inappropriate surgical prophylaxis can cause irrational antibiotic use and economic
burden. In order to increase the quality of PAP applications, medical staff should be informed via educations by a
multi-disciplinary group including clinical pharmacists who have competence in pharmacodynamic and pharmacokinetic
characteristics of medications and rational drug use. Hospitals must prepare and regularly update their own
PAP guides according to the evidence based literature.
Keywords :
Surgery, prophylaxis, antibiotic, clinical pharmacist, cefazoline