Antibiotic use and abuse in clean and clean-contaminated operations
Other Title(s)
الاستخدام الصحيح و السيء للمضادات الحيوية في لعمليات الجراحية النظيفة و النظيفة-القابلة للتلوث
Joint Authors
al-Muhanna, Jasim Muhammad
al-Janabi, Fadil Abbas
Kazim, Ahmad Jawad
Source
Issue
Vol. 12, Issue 2 (31 Dec. 2009), pp.30-40, 11 p.
Publisher
University of Kufa Faculty of Medicine
Publication Date
2009-12-31
Country of Publication
Iraq
No. of Pages
11
Main Subjects
Topics
Abstract EN
Background : A prophylactic antibiotic regimen may not be successful the drug is not effective against all potential pathogens or if the agent does not come in contact with susceptible pathogen at the site of infection.
Aim Of The Study : the aim of this study is to evaluate the patients and procedures for which antibiotics were prescribed as prophylactic manner.
Method: Intravenous cefotaxime sodium as a prophylaxis was used in 49 patients (65.3 %) were underwent elective and emergency clean-contaminated operations.
Were given three doses prophylaxis antibiotics, first dose before induction of anesthesia (30-60 Minutes) and subsequent two doses given at 8 hours interval post operatively, those patients were group(A) in the study, while group(B) 26 patients (34.6 %) clean operations not receiving antibiotics and 75 patients group (C) those treated by systemic therapeutic antibiotics.
Postoperative hospital stay of all patients was not more than five days.
Evidence of wound infection was observed 2 weeks postoperatively in surgical outpatient department in study and control groups.
Results : In group (A) six patients (12.24 %) have grade III surgical site infection treated by surgical intervention and antibiotics administration according to culture and sensitivity ,in group (B) one patient (3.48 %) develop grade I surgical site infection and one patient (3.48 %) developed grade III surgical site infection, in group (C) treated by systemic antibiotics regardless the type of surgical operations whether clean or clean-contaminated, six patients (8 %) develop grade I surgical site infection while 26 patients 34.6 % developed grade III surgical site infection.
Conclusion : Choosing third generation cephalosporin (one gram cefotaxime) as a prophylactic antibiotic for clean-contaminated operations, because its available ,less expensive, broad spectrum also act against anaerobic infections and more reliable method to prevent surgical site infections.
American Psychological Association (APA)
al-Muhanna, Jasim Muhammad& al-Janabi, Fadil Abbas& Kazim, Ahmad Jawad. 2009. Antibiotic use and abuse in clean and clean-contaminated operations. Kufa Medical Journal،Vol. 12, no. 2, pp.30-40.
https://search.emarefa.net/detail/BIM-327029
Modern Language Association (MLA)
al-Muhanna, Jasim Muhammad…[et al.]. Antibiotic use and abuse in clean and clean-contaminated operations. Kufa Medical Journal Vol. 12, no. 2 (2009), pp.30-40.
https://search.emarefa.net/detail/BIM-327029
American Medical Association (AMA)
al-Muhanna, Jasim Muhammad& al-Janabi, Fadil Abbas& Kazim, Ahmad Jawad. Antibiotic use and abuse in clean and clean-contaminated operations. Kufa Medical Journal. 2009. Vol. 12, no. 2, pp.30-40.
https://search.emarefa.net/detail/BIM-327029
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 40
Record ID
BIM-327029