A preliminary audit of practice--antibacterial prophylaxis in general surgery in an Indian hospital setting

Indian J Physiol Pharmacol. 1994 Jul;38(3):207-10.

Abstract

As a major proportion of antibacterials used in hospital practice are for surgical prophylaxis, an audit of practice in relation to antibacterial prophylaxis in general surgery was undertaken over a four week period in a teaching hospital to assess the extent to which principles governing surgical antibacterial prophylaxis were practised and to provide a feedback to the clinicians. The extent of use of anti-bacterial agents in surgical prophylaxis was 90%. The timing of administration was more than 2 h before surgery in 21% of the cases. Intravenous route was used in 97% of the cases. The duration of prophylaxis was more than 72 h in 48% of cases. Cefazolin was the most frequently prescribed either alone or in combination with metronidazole. The study indicated inappropriateness in the timing and duration of administration of surgical antibacterial prophylaxis.

Publication types

  • Clinical Trial

MeSH terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use*
  • Bacterial Infections / prevention & control*
  • Cefazolin / administration & dosage
  • Cefazolin / pharmacology
  • Cefazolin / therapeutic use
  • Drug Therapy, Combination
  • Hospitals, Teaching
  • Humans
  • India
  • Infection Control*
  • Injections, Intravenous
  • Metronidazole / administration & dosage
  • Metronidazole / pharmacology
  • Metronidazole / therapeutic use
  • Rats
  • Surgical Wound Infection / prevention & control*

Substances

  • Anti-Bacterial Agents
  • Metronidazole
  • Cefazolin