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  • 标题:Implementing an Antimicrobial Stewardship Programme to Improve Adherence to a Perioperative Prophylaxis Guideline
  • 本地全文:下载
  • 作者:Nehad J. Ahmed ; Ziyad S. Almalki ; Abdullah A. Alfaifi
  • 期刊名称:Healthcare
  • 电子版ISSN:2227-9032
  • 出版年度:2022
  • 卷号:10
  • 期号:3
  • DOI:10.3390/healthcare10030464
  • 语种:English
  • 出版社:MDPI Publishing
  • 摘要:Perioperative antimicrobial prophylaxis is effective in reducing the rate of surgical site infections (SSIs); however, non-adherence to surgical antimicrobial prophylaxis protocols can lead to several negative outcomes. We performed a before-and-after intervention study with the aim of improving the process outcome, including adherence to guidelines. Another objective of this study was to investigate improvement in patient outcomes as a result of adherence to a surgical antimicrobial prophylaxis programme. The indicators of improved patient outcomes were a reduction in overall SSI rate and the decreased cost of antibiotics. SSI rate was calculated as a percentage by dividing the number of SSIs by the total number of surgeries and then multiplying the value obtained by 100%. The interventions implemented in the surgical antimicrobial prophylaxis programme included establishment of a guideline, educational sessions, and a monthly revision of prescriptions. Our findings show that implementation of the interventions resulted in reduced antibiotic consumption, a considerable decrease in the cost of prophylaxis, and a decrease in the incidence of SSIs.
  • 关键词:enantimicrobial stewardshipsurgical site infectionsurgical antimicrobial prophylaxis
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