TY  - BOOK
AU  - 	Joseph Shugha Nhandi	
AU  - Kayo Hamasaki
TI  - 	The Pattern of Antibacterial Use in Surgical Ward at Sumve Designated District Hospital, Kwimba Mwanza
PY  - 0000///  ©272021///
CY  - Mwanza, Tanzania: 
PB  -  Catholic University of Health and Allied Sciences [CUHAS - Bugando] : 
KW  -  
N2  - Abstract:

Background: Antibacterial in surgical wards are used as a brief course before an operation begins in order to reduce the occurrence of surgical site infections (SSIs). Appropriate antibacterial use is crucial for better clinical outcomes, misuse has resulted in a growing burden of antibacterial resistance. The aim of the study to assess the pattern of antibacterial use in surgical wards at Sumve Designated District Hospital (SDDH). 

Methods: The study was hospital based retrospective study design from October 2019 to September 2020 at SDDH. The collection tool was adopted from strengthening pharmaceutical system. 

Results: The 186 files revealed a total of 115 (61.8%) patients were categorized for treatment and 71 (38.2%) for prophylaxis. There were 136 (73.1%) patients given antibacterial, with an average of 1.9 antibacterial per patient. For prophylaxis, 44 (68%) patients given antibacterial for single day, and 37 (32%) given for more than one day with a mean of 2.96% days. A total of 235 antibacterial were used by all patients, of which amplicillin/cloxacillin 71(30.2%) was most used. For prophylaxis, ampicillin was the most given for single day and amplicillin/cloxacillin was mostly administered for more than one day. Penicillin (51.9%) of 235 antibacterial was the most used antibacterial class. 

Conclusion: The main aim for antibacterial use among patients was treatment, few given for prophylaxis. The antibacterial for prophylaxis was extended, which is contrary to guidelines. Antibacterial combinations up to four antibacterial per patient observed, this was one of the irrational uses. There was no sensitivity test for antibacterial in the surgical ward.

ER  -