Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-06-02T12:08:07.641Z Has data issue: false hasContentIssue false
  • English
  • Français

Adherence to American Society of Health-System Pharmacists Surgical Antibiotic Prophylaxis Guidelines in Iran

Published online by Cambridge University Press:  21 June 2016

Mehrdad Askarian ,
Ali Reza Moraweji ,
Hossein Mirkhani ,
Soha Namazi  and
Harrison Weed
Mehrdad Askarian*
Affiliation:
Departments of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Ali Reza Moraweji
Affiliation:
Departments of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Hossein Mirkhani
Affiliation:
Pharmacology, Shiraz University of Medical Sciences, Shiraz, Iran
Soha Namazi
Affiliation:
Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran
Harrison Weed
Affiliation:
Division of General Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio
*
Shiraz University of Medical Sciences, PO Box 71345-1737, Shiraz, Iran (askariam@sums.ac.ir)
Get access Rights & Permissions [Opens in a new window]

Abstract

We assessed the appropriateness of surgical antibiotic prophylaxis in 6 teaching hospitals in Shiraz, Iran, using the American Society of Health-System Pharmacists guideline as a reference. We reviewed the medical records of 1,000 patients who underwent 1 of 9 different surgical procedures (1 procedure per patient). The proportion of procedures in which there was compliance with all guideline recommendations was 0.3%. The most common mistakes were overuse and misuse of antibiotics.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 27 , Issue 8 , August 2006 , pp. 876 - 878
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Devlin, JW, Kanji, S, Janning, SW, Rybak, MJ. Antimicrobial prophylaxis in surgery. In: Dipir, JT, Talbert, RL, Yee, GC, Matzke, GR, Wells, BG, Posey, LM, eds. Pharmacotherapy, A Physiological Approach. 5th ed. New York: McGraw-Hill; 2002:2111–2122.Google Scholar
2. Mangram, AJ, Horan, TC, Pearson, ML, Silver, LH, Jarvis, WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 1999; 20: 250–280.Google Scholar
3. Wong, ES. Surgical site infection. In: Mayhall, CG, ed. Hospital Epidemiology and Infection Control. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 1999:189–210.Google Scholar
4. Askarian, M, Gooran, NR. National nosocomial infection surveillance system based study in Iran: additional hospital stay attributable to nosocomial infections. Am J Infect Control 2003; 31:465–468.Google Scholar
5. Chambers, HF. Antimicrobial agents: general considerations. In: Hardman, JG, Limbird, LE, eds. Goodman & Gilman's The Pharmacological Basis of Therapeutics. 10th ed. New York: McGraw-Hill; 2001:1143–1170.Google Scholar
6. Yalcin, AN, Serin, S, Erbeg, H, Tomatir, E, Oner, O, Turgut, H. Increased costs due to inappropriate surgical antibiotic prophylaxis in a university hospital. J Hosp Infect 2002; 52:228–229.Google Scholar
7. Sasse, A, Mertens, R, Sion, JP, et al. Surgical prophylaxis in Belgian hospitals: estimate of costs and potential savings. J Antimicrob Chemother 1998; 41:267–272.Google Scholar
8. American Society of Health-System Pharmacists (ASHP). ASHP therapeutic guidelines on antimicrobial prophylaxis in surgery. Am J Health Syst Pharm 1999;56:1839–1888.Google Scholar
9. Al-Ghamdi, S, Gedebou, M, Bilal, NE. Nosocomial infections and misuse of antibiotics in a provincial community hospital, Saudi Arabia. J Hosp Infect 2002; 50:115–121.Google Scholar
10. Hu, S, Liu, X, Peng, Y. Assessment of antibiotic prescription in hospitalised patients at a Chinese university hospital. J Infect 2003; 46:161–163.Google Scholar
11. Vaisbrud, V, Raveh, D, Schlesinger, Y, Yinnon, AM. Surveillance of antimicrobial prophylaxis for surgical procedures. Infect Control Hosp Epidemiol 1999; 20:610–613.Google Scholar
12. Silver, A, Eichorn, A, Kral, J, et al. Timeliness and use of antibiotic prophylaxis in selected inpatient surgical procedures. Am J Surg 1996; 171: 548–552.Google Scholar
13. Martin, C, Pourriat, JL. Quality of perioperative antibiotic administration by French anaesthetists. J Hosp Infect 1998; 40:47–53.Google Scholar
14. Heineck, I, Ferreira, MBC, Schenkel, EP. Prescribing practice for antibiotic prophylaxis for 3 commonly performed surgeries in a teaching hospital in Brazil. Am J Infect Control 1999; 27:296–300.Google Scholar
15. Thomas, M, Govil, S, Moses, BV, Joseph, A. Monitoring of antibiotic use in a primary and a tertiary care hospital. J Clin Epidemiol 1996; 49:251–254.Google Scholar
16. Martelli, A, Mattioli, F. A retrospective study showing the misuse of prophylactic antibiotics in patients undergoing appendectomy and cholecystectomy. Curr Ther Res Clin Exp 2000; 61:534–539.Google Scholar
17. Harbarth, S, Samore, MH, Lichtenberg, D, Carmeli, Y, Bostone, MA. Is prolonged antibiotic prophylaxis after major surgery associated with an increased risk of nosocomial bloodstream infection? J Am Coll Surg 2000; 190:503–504.Google Scholar
18. Widdison, AL, Pope, NR, Brown, EM. Survey of guidelines for antimicrobial prophylaxis in surgery. J Hosp Infect 1993; 25:199–205.Google Scholar