Preliminary evaluations of cross-sectional study on the antibiotic use according to Altemeier classification of surgical cleanliness at Viet Duc Hospital, November 2005
- Author:
Nguyet Thi Khanh Cao
;
Phuong Thi Lan Tran
- Publication Type:Journal Article
- Keywords:
surgical cleanliness;
antibiotic use
- MeSH:
Drug Resistance;
Bacterial;
- From:Journal of Surgery
2007;57(3):33-47
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Background: Reasonably and safe antibiotic uses not only benefit patients, but also limit the development of antibiotic-resistant bacteria. Objectives: To total up all antibiotics and their brand names used at Viet Duc Hospital; To describe and preliminarily evaluate the uses of antibiotics according to Altemeier classification. Subjects and method: The cross-sectional study was caried out on all patients at 11 clinical departments, who were treated by antibotics. Review medical records for information of antibiotic use and some related factors (pre-operative and post-operative diagnoses, kind of operations, type of operation according to Altemeier classification). Results and Conclusion: There were 9 classes of antibiotics with 25 antibiotics and 31 bran names used in Viet Duc Hospital. Antibiotics of beta-lactam class and imidazol were most commonly used. The rate of antibiotic prophylaxis was low, although clean wounds have been used many strong antibiotics such as cephalosporin III. In infected wounds, combination of Cefotaxom + Flagyl was used more common, but it notes that the situation of production ESBLs by bacteria was rather high in hospital settings. Microbiological tests weren\u2019t applied widely for infected operations.
