संज्ञानश्वासन और निदान शोध जर्नल
खुला एक्सेस

अमूर्त

Timing of Prophylactic Antibiotic Administration in Elective Surgical Patients at Jimma University Teaching Hospital: South West Ethiopia

Hunduma Jisha

Study objective: To evaluate the timing of prophylactic antibiotic administration in elective surgical patients, and anesthetists’ opinion regarding this issue. Design: Prospective, facility based cross-sectional study was employed. Setting: Jimma university teaching hospital (JUTH) Patient: Elective surgical patients and anesthesia professional of the hospital. Measurement: Data were collected prospectively from all elective surgical patients (except emergency, obstetric cases) and interred in predesigned forms as per existing protocol in JUTH from February 01 to March 30, 2014. The time of antibiotic prophylactic administration in respect to incision time was analyzed and descriptive result was presented as percentages of total responses. Main results: Prophylactic antibiotics was given before skin incision for 107 (79.9%) patients and 27 (20.1%) after skin incision. However; only 75 (56%) patients were get administered within proper time (60minutes) and the mean time of preoperative administration was 66+24 minutes. Prophylactic antibiotic medication was continued for >24 hours in 95% cases and re-dosing were not given for six surgical procedures which lasted >3 hours. Out of 26, only 71% anesthetists could mention the recommended time of antibiotic prophylaxis administration. About 21(80.8%) of anesthetists agreed that its surgeon’s responsibility for preoperative antibiotic selection and shared with nurses for preoperative administration. Anesthetists assume that they are responsible for confirmation of pre-incision administration and repeat administration during prolonged surgery. They indicated training was inadequate and deemed necessary in 77% of participants. Conclusion: The timing of prophylactic antibiotic administration was below the standard of practice. Hospital administration and infection control officer should work to improve compliance in accordance with published evidence-based guidelines.