Abstract:The high intensity of postdischarge surveillance can in part explain the differences observed. To allow for meaningful benchmarking comparison, in addition to intrinsic patient risk, data on the intensity of postdischarge surveillance should be included in published reports.
“…According to Moro et al . (), the intensity of postdischarge surveillance may in part explain the observed difference in SSI rate.…”
Section: Discussionmentioning
confidence: 95%
“…The locally calculated procedure‐specific operating time cut point over 75th percentile is advised to used instead (Moro et al . , Prospero et al . , Vilar‐Compte et al .…”
Section: Discussionmentioning
confidence: 99%
“…In general surgery (including mastectomies), the use of surgical drains for longer than five postoperative days increased SSI risk (Moro et al . ). The use of surgical drains increased pain and prolongs hospital stay after mastectomy and lumpectomy, but no difference in SSI rate was reported (Jain et al .…”
In breast surgery careful assessment, documentation and adherence to aseptic practices are important with all patients. Patients with heavy weight need special attention. The need for antimicrobial prophylaxis in re-operations and the need of surgical drains in lumpectomies are important to consider carefully.
“…According to Moro et al . (), the intensity of postdischarge surveillance may in part explain the observed difference in SSI rate.…”
Section: Discussionmentioning
confidence: 95%
“…The locally calculated procedure‐specific operating time cut point over 75th percentile is advised to used instead (Moro et al . , Prospero et al . , Vilar‐Compte et al .…”
Section: Discussionmentioning
confidence: 99%
“…In general surgery (including mastectomies), the use of surgical drains for longer than five postoperative days increased SSI risk (Moro et al . ). The use of surgical drains increased pain and prolongs hospital stay after mastectomy and lumpectomy, but no difference in SSI rate was reported (Jain et al .…”
In breast surgery careful assessment, documentation and adherence to aseptic practices are important with all patients. Patients with heavy weight need special attention. The need for antimicrobial prophylaxis in re-operations and the need of surgical drains in lumpectomies are important to consider carefully.
“…1,2 There are only a small number of cases of respiratory tract infection after digestive tract surgery, but they are serious and have resistant bacteria, 3 Furthermore, because they would become a reservoir of hospital infection, their prevention is very important. However, there have been extremely few reports of measures that have resulted in a signifi cant decrease in respiratory tract infections after surgery.…”
Section: Discussionmentioning
confidence: 99%
“…1,2 However, although cases of respiratory infection after surgery are not frequent, these cases are very severe and refractory, which makes prognosis after surgery very diffi cult. Methicilli n-resistant Staphylococcus aureus (MRSA) and multiple-drug-resistant Pseudomonas aeruginosa (MDRP) are often isolated from the patient's airways.…”
Background
Surgical antibiotic prophylaxis (SAP) decreases the incidence of surgical site infections. However, inappropriate use of prophylactic antibiotics may lead to antibiotic resistance, prolonged hospital stay and adverse drug reactions.
Aim
This prospective study aimed to assess the concordance of prophylactic antibiotic administration for thoracic operations in Iran with American Society of Health‐System Pharmacists (ASHP) guidelines.
Methods
The appropriateness of SAP administration in 222 thoracic operations was assessed in a respiratory referral centre over a period of 4 months. Demographic, clinical and SAP data were recorded from patient files. ASHP guidelines were used to evaluate the appropriateness of prophylactic antibiotic administration.
Results
Cefazolin was correctly prescribed for approximately 70% of patients who required antibiotic prophylaxis. SAP was administered at the correct time (within 60 min before surgery) for 71.6% of surgeries. Intraoperative doses were correctly given in 27.7% of prolonged procedures. In 86.7% of surgeries, antibiotic administration was continued for more than 24 h after surgery (based on a physician's opinion or recent microbiological cultures).
Conclusion
The results suggest a relatively low rate of consistency between SAP administration and ASHP guidelines in Iran. A long duration of antibiotic administration after operations is an important finding, which should be considered and re‐evaluated by thoracic surgeons in Iran.
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