The Impact of the Implementation of a Surgical Antibiotic Use Guideline in the Practice of Antibiotic Use in the Department of Surgery, Philippine General Hospital

Lapitan, Marie Carmela; Buckley, Brian S; Saguil, Esther; Berba, Regina; Alejandria, Marissa M.; Fernandez, Zoe Caitlin Z.

doi:10.47895/amp.v55i1.2965

Cited by 1 publication

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“…The rate of SSI in this study is comparable with those in published literature, which ranges between 0-2%. [13][14][15][16][17][18] In this study, no statistically significant difference was found in the rates of SSI between patients given postoperative antibiotics and those that were not. This is consistent with the increasing clinical evidence suggesting that antibiotics are not necessary to prevent postoperative wound infection.…”

Section: Discussionmentioning

confidence: 82%

“…Notably in a local study conducted at the Philippine General Hospital (PGH), published in 2021, that surveyed the use of antibiotics before and after the implementation and dissemination of the PGH surgical antibiotic use guideline, for thyroid surgeries, it was shown that there was no change in compliance to non-use of antibiotics, 0% for both pre and post implementation surveys. 16 Based on the criteria for defining SSIs from the National Healthcare Safety Network Guidelines for Surgical Site Infection Events 1 , the rate of SSI for this study is 1.9% (one patient), noted on the seventh postoperative day. This patient had a purulent discharge from the surgical site, which resolved after treatment with topical silver sulfadiazine.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Incidence of Surgical Site Infections after Transcervical Thyroidectomy in Patients Given Antibiotics versus those without Antibiotics in a Government Hospital in the Philippines

2023

Acta Med Philipp

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Background and Objectives. Surgical site infection (SSI) makes up the largest single group of postoperative infective complications. For surgeries classified as clean surgeries of the head and neck, such as a thyroidectomy, the routine administration of antimicrobial prophylaxis is not recommended. Despite this, extended usage of antibiotics is common in developing countries. This study evaluated the need for antibiotics in elective transcervical thyroidectomy for the prevention of SSI in a tertiary government hospital in a developing country.Methods. This is a retrospective cohort study that included patients who have undergone elective transcervical thyroidectomy at the Department of Otolaryngology -Head and Neck Surgery (ORL-HNS) of the University of the Philippines -Philippine General (UP-PGH) Hospital from August 1, 2020 to June 30, 2022. Data collection was conducted through review of both in-patient and out-patient records.Results. The data of 58 patients were analyzed. The mean (±SD) age was 42.5±14.5 years, with approximately 2:27 male to female ratio. Of the 58 patients, 26 were given postoperative antibiotics while 32 did not receive postoperative antibiotics. None of the 58 were noted to have SSI on the 3rd postoperative day. Only 54 patients completed the 7-day follow-up of the study and their data were further analyzed. One patient had SSI. There was no significant difference between the presence and absence of postoperative antibiotics in relation to . Conclusion.This study shows that in patients undergoing transcervical thyroidectomies, there is no significant difference in the occurrence of SSI among patients who received and did not receive postoperative antibiotics. Therefore, there is no need to administer postoperative antibiotics, as long as a sterile surgical technique is ensured.

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