Pattern of Antibiotic Administration in Elective Surgeries in Medical-Educational Hospital

Abstract

Background: Antibiotics are common used drugs in surgery ward. Antibiotics are used in surgery ward for prophylaxis, empiric therapy and proven infections. Irrational use of antibiotics and their excessive administration increase the resistance of bacterial species in nosocomial infections and cause dangerous complications. The aim of present study was to evaluate the pattern of antibiotic administration in elective patients whom admitted to surgery ward of educational hospital.

Materials and Methods: In a descriptive-analytical study, 596 patients who admitted electively to surgery ward of Imam Khomeini hospital of Urmia University of Medical Science during autumn 2020, were included the study. Demographic characteristics of patients, pattern of antibiotic use and the relationship between antibiotic use and clinical and laboratory symptoms were assessed.

Results: In neck surgery, 94.3% of patients received antibiotics(Cefazolin (86.6%)), abdominal surgery, 96.1% of patients received antibiotics(Cefazolin (43.3%) and Ampibactam (Ampicillin+Sulbactam)(39%)); In pelvic surgery, 96.1% of patients received antibiotics(Metronidazole (44.5%) and Cefazolin (35.5%)); In thoracic surgery, 91.8% of patients received antibiotics(was Cefazolin (75.5%)) ; In skin mass excision surgeries, 92% of patients received antibiotics (Cefazolin (80%) ) In limb surgery, 90% of patients received antibiotics after surgery and also Cefazolin (70%) was the most commonly prescribed antibiotics.

Conclusion: Patterns of overuse of antibiotics were observed in preoperative prophylaxis and experimental postoperative treatment.