Compliance with Antibiotic Prophylaxis in Obstetric and Gynecological Surgeries in Two Peruvian Hospitals
Introduction: Surgical site infections (SSI) can be as high in gynecology and obstetrics surgeries compared to other areas. Antimicrobial prophylaxis is an effective tool in the prevention of SSIs; however, it is often not adequately administered, so this study aimed to understand the compliance and...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/12/5/808 |
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| author | Kovy Arteaga-Livias Vicky Panduro-Correa Jorge L. Maguiña Jorge Osada Ali A. Rabaan Kiara Lijarza-Ushinahua Joshuan J. Barboza Walter Gomez-Gonzales Alfonso J. Rodriguez-Morales |
| author_facet | Kovy Arteaga-Livias Vicky Panduro-Correa Jorge L. Maguiña Jorge Osada Ali A. Rabaan Kiara Lijarza-Ushinahua Joshuan J. Barboza Walter Gomez-Gonzales Alfonso J. Rodriguez-Morales |
| author_sort | Kovy Arteaga-Livias |
| collection | DOAJ |
| description | Introduction: Surgical site infections (SSI) can be as high in gynecology and obstetrics surgeries compared to other areas. Antimicrobial prophylaxis is an effective tool in the prevention of SSIs; however, it is often not adequately administered, so this study aimed to understand the compliance and factors associated with the use of the clinical practice guidelines for antibiotic prophylaxis in gynecological surgeries in two hospitals in the city of Huanuco, Peru. Methods: An analytical cross-sectional study of all gynecologic surgeries performed during 2019 was performed. Compliance was determined based on the antibiotic chosen, dose, administration time, redosing, and prophylaxis duration. Age, hospital of origin, presence of comorbidities, surgery performed, as well as its duration, types of surgery, and anesthesia were considered as related factors. Results: We collected 529 medical records of patients undergoing gynecological surgery with a median age of 33 years. The prophylactic antibiotic was correctly indicated in 55.5% of cases, and the dose was correct in 31.2%. Total compliance with the five variables evaluated was only 3.9%. Cefazolin was the most commonly used antibiotic. Conclusion: Low compliance with the institutional clinical practice guidelines for antibiotic prophylaxis was identified, showing that antimicrobial prophylaxis in the hospitals studied was inadequate. |
| first_indexed | 2024-03-11T04:00:16Z |
| format | Article |
| id | doaj.art-118865bb816a4db396b38f9816a43242 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-11T04:00:16Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-118865bb816a4db396b38f9816a432422023-11-18T00:11:32ZengMDPI AGAntibiotics2079-63822023-04-0112580810.3390/antibiotics12050808Compliance with Antibiotic Prophylaxis in Obstetric and Gynecological Surgeries in Two Peruvian HospitalsKovy Arteaga-Livias0Vicky Panduro-Correa1Jorge L. Maguiña2Jorge Osada3Ali A. Rabaan4Kiara Lijarza-Ushinahua5Joshuan J. Barboza6Walter Gomez-Gonzales7Alfonso J. Rodriguez-Morales8Maestría en Epidemiologia Clinica y Bioestadistica, Universidad Científica del Sur, Lima 15014, PeruFacultad de Medicina, Universidad Nacional Hermilio Valdizán, Huánuco 10000, PeruMaestría en Epidemiologia Clinica y Bioestadistica, Universidad Científica del Sur, Lima 15014, PeruMaestría en Epidemiologia Clinica y Bioestadistica, Universidad Científica del Sur, Lima 15014, PeruMolecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi ArabiaFacultad de Medicina, Universidad Nacional Hermilio Valdizán, Huánuco 10000, PeruVicerrectorado de Investigación, Universidad Norbert Wiener, Lima 15046, PeruEscuela de Medicina-Filial Ica, Universidad Privada San Juan Bautista, Ica 11001, PeruMaestría en Epidemiologia Clinica y Bioestadistica, Universidad Científica del Sur, Lima 15014, PeruIntroduction: Surgical site infections (SSI) can be as high in gynecology and obstetrics surgeries compared to other areas. Antimicrobial prophylaxis is an effective tool in the prevention of SSIs; however, it is often not adequately administered, so this study aimed to understand the compliance and factors associated with the use of the clinical practice guidelines for antibiotic prophylaxis in gynecological surgeries in two hospitals in the city of Huanuco, Peru. Methods: An analytical cross-sectional study of all gynecologic surgeries performed during 2019 was performed. Compliance was determined based on the antibiotic chosen, dose, administration time, redosing, and prophylaxis duration. Age, hospital of origin, presence of comorbidities, surgery performed, as well as its duration, types of surgery, and anesthesia were considered as related factors. Results: We collected 529 medical records of patients undergoing gynecological surgery with a median age of 33 years. The prophylactic antibiotic was correctly indicated in 55.5% of cases, and the dose was correct in 31.2%. Total compliance with the five variables evaluated was only 3.9%. Cefazolin was the most commonly used antibiotic. Conclusion: Low compliance with the institutional clinical practice guidelines for antibiotic prophylaxis was identified, showing that antimicrobial prophylaxis in the hospitals studied was inadequate.https://www.mdpi.com/2079-6382/12/5/808complianceantibioticssurgical site infectionsprophylaxisgynecologic surgeries |
| spellingShingle | Kovy Arteaga-Livias Vicky Panduro-Correa Jorge L. Maguiña Jorge Osada Ali A. Rabaan Kiara Lijarza-Ushinahua Joshuan J. Barboza Walter Gomez-Gonzales Alfonso J. Rodriguez-Morales Compliance with Antibiotic Prophylaxis in Obstetric and Gynecological Surgeries in Two Peruvian Hospitals Antibiotics compliance antibiotics surgical site infections prophylaxis gynecologic surgeries |
| title | Compliance with Antibiotic Prophylaxis in Obstetric and Gynecological Surgeries in Two Peruvian Hospitals |
| title_full | Compliance with Antibiotic Prophylaxis in Obstetric and Gynecological Surgeries in Two Peruvian Hospitals |
| title_fullStr | Compliance with Antibiotic Prophylaxis in Obstetric and Gynecological Surgeries in Two Peruvian Hospitals |
| title_full_unstemmed | Compliance with Antibiotic Prophylaxis in Obstetric and Gynecological Surgeries in Two Peruvian Hospitals |
| title_short | Compliance with Antibiotic Prophylaxis in Obstetric and Gynecological Surgeries in Two Peruvian Hospitals |
| title_sort | compliance with antibiotic prophylaxis in obstetric and gynecological surgeries in two peruvian hospitals |
| topic | compliance antibiotics surgical site infections prophylaxis gynecologic surgeries |
| url | https://www.mdpi.com/2079-6382/12/5/808 |
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