Antibiotico-profilaxia em cirurgias ortopedicas : resultado da implantação de um protocolo

AUTOR(ES)
DATA DE PUBLICAÇÃO

2000

RESUMO

The inappropriateness of surgical antibiotic prophylaxis has been extensively reported, documenting wrong dosing, for toa long, and with toa broad a spectmm of antimicrobial activity. To describe a multidisciplinary experience in implanting a protocol for prophylactic antibiotic prescription in the orthopedic department of a general hospital. A consensus protocol was developed. Prophylactic antibiotics were dispensed only with a proper fonn, and the phannacist provided for each surgery the antibiotic kit assuring that the patient received the correct intra - and postoperative doses of the indicated antibiotic. AlI surgeries in three study periods were evaluated (pre protocol, early post-protocol, and a late post-protocol) and compared. Cost of the prophylactic antibiotics was determined before and after the implemented protocol. Two hundred and ninety nine surgeries were evaluated. Forty percent of the patients were male, and the mean age of all the patients was 52.5 :t 25.7 years. More than 95% of the surgeries were elective and clean. The frequency of the appropriateness of the antibiotic prophylaxis according to the agreed protocol for the three study was evaluated. The number of times there were items in each patient s prescription which disagreed with the established protocol ("error") showed a significant shift. In the pre-protocol period, only 3.3% of the surgeries with antibiotic prophylaxis had no "errors", but this value reached 50.0% in the late post-protocol period (p <.0001). Combining educational and restrictive interventions can markedly improve the surgical antibiotic prophylaxis.

ASSUNTO(S)

antibioticos medicamentos

ACESSO AO ARTIGO

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