Evaluation of the practice of prophylactic antibiotic use in open gastro-intestinal surgeries at Bugando Medical Centre-Mwanza.
Material type:
Item type | Current library | Status | Barcode | |
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UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | Not for loan | 20240925155908.0 |
Abstract:
Appropriate prophylactic antibiotic use is necessary to prevent occurrence of surgical site infection while inappropriate use of prophylactic antibiotics results in multidrug resistant bacteria, high hospital cost and unnecessary prolonged hospital stay.
Objective: To assess the practice of prophylactic antibiotic use and associated factors in open gastroenterology surgeries at BMC
Design: A cross-section study design was used. The information was obtained directly at the surgical procedure within the hospital premises. The project duration was two months
Results: All patients received preoperative antibiotics and all received combination of ceftriaxone and metronidazole and all of them received within one hour before skin incision. 3.77% patients received intraoperative antibiotics and almost all patients received postoperative antibiotics 98.11%, majority 88.68% received for more or equal to five days. Most of Patients 96.23% were given a combination of ceftriaxone and metronidazole. The study participants were followed on the outcome post-surgery, 81.13% were discharged, 16.98% were still in the ward, 1.89% died and only 1.89% developed SSI.
Conclusion: From this study it has been concluded that the practice of prophylactic antibiotic use both pre-operatively, per-operatively and post-operatively is good which on the other hand has led to reduced incidence of SSI.
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