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Adv Pharmacol Sci. 2013;2013:842593. doi: 10.1155/2013/842593. Epub 2013 Dec 23.

Adherence of surgeons to antimicrobial prophylaxis guidelines in a tertiary general hospital in a rapidly developing country.

Author information

1
Section of Trauma Surgery, Department of Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, Qatar.
2
Clinical Research, Section of Trauma Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, Qatar ; Clinical Medicine, Weill Cornell Medical School, P.O. Box 24144, Doha, Qatar ; Department of Medicine, Ahmed Maher Teaching Hospital, Cairo, Egypt.
3
Clinical Research, Section of Trauma Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, Qatar.
4
Department of Pharmacy, Hamad General Hospital (HGH), P.O. Box 3050, Doha, Qatar.
5
Section of Trauma Surgery, Department of Surgery, Hamad General Hospital (HGH), P.O. Box 3050, Doha, Qatar ; Department of Surgery, University of Arizona, P.O. Box 245005, Tucson, AZ, USA.

Abstract

OBJECTIVES:

To assess the standard practice of care of surgeons regarding surgical antibiotic prophylaxis, to identify gaps, and to set recommendations.

METHODS:

A retrospective analysis of data obtained from different surgical units in a single center in Qatar over a 3-month period in 2012. A total of 101 patients who underwent surgery and followed regimes for surgical prophylaxis as per hospital guidelines were included in the study.

RESULTS:

The overall use of antibiotic was 89%, whereas the current practice did not match the recommended hospital protocols in 53.5% of cases. Prolonged antibiotics use (59.3%) was the commonest reason for nonadherence followed by the use of an alternative antibiotic to that recommended in the protocol (31.5%) and no prophylaxis was used in 9.2% of cases. The rate of compliance was significantly higher among clean surgery than clean contaminated group (P = 0.03). Forty-four percent of clean and 65% of clean-contaminated procedures showed noncompliance with the recommended surgical antimicrobial prophylaxis hospital guidelines.

CONCLUSION:

Lack of adherence to hospital protocols is not uncommon. This finding remains a challenge to encourage clinicians to follow hospital guidelines appropriately and to consistently apply the surgical antibiotic prophylaxis. The role of clinical pharmacist may facilitate this process across all surgical disciplines.

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