Audit of Prophylactic Antibiotic Use in Orthopaedic Surgery in Mulago Hospital
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Date
2012Author
Kigera, JWM
Turyakira, C
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Background: Prophylactic antibiotics are entrenched in implant
orthopaedic surgery. We conducted a study to determine the use
of prophylactic antibiotics in clean implant orthopaedic surgery in
Mulago hospital.
Methods: We prospectively recruited patients undergoing ORIF,
Athroplasty and Foot and Ankle surgery. We obtained information
on antibiotic use and observed surgeries to determine the timing of
administration.
Results: Antibiotics were not used in 17.3% of patients and over half
of the patients received the antibiotic after the skin incision had been
made. The antibiotics were administered about 11 minutes from
incision.
Conclusion: Majority of patients either did not receive antibiotics
or received them after the skin incision had been made. The use of
a third generation cephalosporin may be associated with increased
complications and drug resistance. Antibiotic prophylaxis is in variance
with literature and may result in adverse outcomes.
URI
http://profiles.uonbi.ac.ke/jameskigera/publications/audit-prophylactic-antibiotic-use-orthopaedic-surgery-mulago-hospitalhttp://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/47273
Citation
h e ANNALS of AFRICAN SURGERY • Volume 9 • January 2012Publisher
College of Health Sciences, University of Nairobi
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- Faculty of Health Sciences (FHS) [10377]
- Journal Articles [329]