STEWARDSHIP PROGRAMS NO CENTRO CIRÚRGICO: identificando as demandas de uma instituição do Sul do Brasil
Stewardship programs on the surgicenter: identifying the demands of an institution of south Brazil
DOI:
https://doi.org/10.17058/rips.v7i2.18146Keywords:
Gestão de Antimicrobianos , Antibioticoprofilaxia, Centro Cirúrgico HospitalarAbstract
Objective: The purpose of this study was to verify the adequacy of the antimicrobial prophylaxis realized at an operating toom of Rio Grande do Sul. Methods: transversal, observational and retrospective study where secondary data of patients submitted to surgical procedures were analyzed. The therapeutic scheme and moment of administration were characterized, as well as the demographic information of the patients. Results: 54 procedures were analyzed, of which 51 patients received Cephazolin and were mostly heart surgeries. There was variation in the doses administered and 16 patients received the prophylaxis within 30 minutes before the incision. 52 patients used postoperative prophylaxis, of which 48 received Cephalothin as antimicrobial and 35 extended the prophylaxis for 2 days. It was also observed inconsistency of the posology prescribed. It was verified the incorrect filling of the electronic medical record of some patients and absence of data. Conclusion: the prophylaxis of preoperative was appropriate to the institutional protocol for the selection of the antibiotic. There was inconsistence regarding the moment and dose, as well as the posology and days of use of the extended prophylaxis.
Downloads
References
Ventola CL. The Antibiotic Resistance Crisis - Part 1: Causes and Threats. P&T. 2015;40(4):277–83.
Teillant A, Gandra S, Barter D, Morgan DJ, Laxminarayan R. Potential burden of antibiotic resistance on surgery and cancer chemotherapy antibiotic prophylaxis in the USA: A literature review and modelling study. Lancet Infect Dis. 2015;15(12):1429–37. Disponível em: http://dx.doi.org/10.1016/S1473-3099(15)00270-4
Dik J-WH, Friedrich AW, Nathwani D, Sinha B. Combating the complex global challenge of antimicrobial resistance: what can Antimicrobial Stewardship contribute? Infect Dis Rep [Internet]. 2017 Mar 30;9(1):247– 8. Disponível em: https://doi.org/10.4081/idr.2017.7158
Gebrim CFL, Dos Santos JCC, Barreto RASS, Barbosa MA, Do Prado MA. Indicadores de processo para prevenção da infecção do sítio cirúrgico sob a ótica da segurança do paciente. Enfermería Glob. 2016;15(44):264. Disponível em: https://doi.org/10.6018/eglobal.15.4.223751
Halawi E, Assefa T, Hussen S. Pattern of antibiotics use, incidence and predictors of surgical site infections in a Tertiary Care Teaching Hospital. BMC Res Notes [Internet]. 2018;11(1):1–6. Disponível em: https://doi.org/10.1186/s13104-018-3643-8
Gonçalves MLM, da Silva MJS, Torres RM. Antibioticoprofilaxia e tratamento de infecção do sítio cirúrgico na artroplastia de quadril. Rev Bras Farm Hosp Serv Saúde. 2014;5(3):18–22.
Gebrim CFL, Rodrigues JG, Queiroz MNR, Barreto RASS, Palos MAP. Análise da profilaxia antimicrobiana para a prevenção da infecção do sítio cirúrgico em um hospital do centro-oeste brasileiro. Cienc Y Enferm XX. 2014;(2):103–15.
Labi AK, Obeng-Nkrumah N, Owusu E, Bjerrum S, Bediako-Bowan A, Sunkwa-Mills G, et al. Multi-centre point-prevalence survey of hospital- acquired infections in Ghana. Journal of Hospital Infection. 2018;1–9. Disponível em: https://doi.org/10.1016/j.jhin.2018.04.019
Al-Kenani NS, Alsultan AS, Alosfoor MA, Bahkali MI, Al-Mohrej OA. Incidence and Predictors of Surgical Site Infections Following Foot and Ankle Surgery. J Musculoskelet Surg Res. 2017;1:6–9.
Fitz-henry J. The ASA classification and peri-operative risk. Ann R Coll Surg Engl. 2011;(93):185–7.
Del Moral Luque JA, Alonso García M, Gil Yonte P, Fernández Cebrián JM, Durán Proveda M, Rodríguez Caravaca G. Incidence of surgical site infection in colon surgery and antibiotic prophylaxis adequacy: prospective cohort study. An Sist Sanit Navar. 2017 Nov 17;40(3):371–7. Disponível em: DOI: 10.23938/ASSN.0045
Talaam RC, Abungana MM, Ooko PB. An antibiotic audit of the surgica department at a rural hospital in Western Kenya. Pan Afr Med J. 2018;29:219.
Antonioli P, Formaglio A, Gamberoni D, Bertoni L, Perrone P, Stefanati A, et al. Hospital discharge in patients at risk of surgical site infection: antimicrobial stewardship at Ferrara University Hospital, Italy. J Prev Med Hyg. 2018;59(2):E139–44. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6069401/
Broom J, Broom A, Kirby E, Post JJ. Improvisation versus guideline concordance in surgical antibiotic prophylaxis: a qualitative study. Infection. 2018;46(4):541–8. Disponível em: http://dx.doi.org/10.1007/s15010-018-1156-y
Downloads
Published
How to Cite
Issue
Section
License
A submissão de originais para este periódico implica na transferência, pelos autores, dos direitos de publicação impressa e digital. Os direitos autorais para os artigos publicados são do autor, com direitos do periódico sobre a primeira publicação. Os autores somente poderão utilizar os mesmos resultados em outras publicações indicando claramente este periódico como o meio da publicação original. Em virtude de sermos um periódico de acesso aberto, permite-se o uso gratuito dos artigos em aplicações educacionais e científicas desde que citada a fonte conforme a licença CC-BY da Creative Commons.
