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- Open Access
Quality of surgical antibiotic prophylaxis using E-prescrption conditioning
BMC Proceedings volume 5, Article number: O44 (2011)
Introduction / objectives
Hospital da Luz is a paper-free hospital. Antibiotic prescription is made electronically and is automatically conditioned by both context and duration. We aimed to assess the pattern of use of antibiotics in surgical prophylaxis in a general hospital.
Prophylactic antibiotic prescriptions for patients undergoing surgery in January 2011 were extracted from the medical records. Variables collected included: surgical procedure, prophylactic antibiotic prescribed (ATC code), surgery classification (clean, clean contaminated, contaminated and dirty), and prophylaxis duration. A descriptive statistical analysis and cross-tabulations (chi-square) were performed.
611 prophylactic antibiotics were initiated for patients with an average age of 49.6 years (SD=16.6), (60.6% females). Surgeries were classified as: clean (39.1%), clean contaminated (29.4%), contaminated (2.1%) and dirty (1.2%). Most prescribed antibiotics were: first-generation cephalosporins (83.6%), second-generation cephalosporins (8.0%), imidazole derivatives (4.6%) and quinolones (1.8%). Antibiotic administration was exclusively intraoperative in 50.8% of the cases. 34.5% of the prescriptions were extended for 24 hours, 12.4% for 48 hours and 2.3% for more than 48 hours. Statistical association between surgery classification and treatment duration was found (chi-square p=0.010). Quinolones were prescribed only in urological surgery and imidazoles were prescribed only in colorectal surgery.
Antibiotic prophylaxis using e-prescription conditioning resulted on adequate compliance with guidelines, although opportunities for improvement were found.
Disclosure of interest
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This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Rodrigues, J., Duarte, A., Palos, C. et al. Quality of surgical antibiotic prophylaxis using E-prescrption conditioning. BMC Proc 5 (Suppl 6), O44 (2011). https://doi.org/10.1186/1753-6561-5-S6-O44
- Statistical Association
- Antibiotic Prophylaxis