Antibiotic Prescription Patterns In The Management Of Open Fractures In Mulago Hospital
![Thumbnail](/bitstream/handle/11295/47281/FULL%20TEXT.pdf.jpg?sequence=9&isAllowed=y)
View/ Open
Date
2012Author
Kigera, JWM
Shamim, M
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Background: Open fractures are contaminated and may result in infection. The use of
antibiotics has greatly reduced the risk of infection. We conducted a study in a large teaching
hospital to evaluate the use of antibiotics in the management of open fractures.
Methods: A prospective study of adult patients with open fractures was conducted. Details of
antibiotic use were extracted from the patient charts while details of the injury were determined
by interviewing patients. Data was analysed using SPSS v 11.5.
Results: Majority of the patients were involved in road traffic accidents and were mainly
pedestrians. Only about half of the patients had antibiotics started while in the accident and
emergency department and only about half of the patients received tetanus toxoid prophylaxis.
Conclusion and Recommendations: The antibiotic prescription patterns are at variance with
recommendations in literature. There is need to adopt hospital guidelines in the use of
antibiotics and also the use of checklists to ensure patients receive all necessary medications
before leaving the accident and emergency setting
Citation
East and Central Journal of Surgery 2012 March/April; vol 17(1)Publisher
College of Health Sciences, University of Nairobi
Collections
- Faculty of Health Sciences (FHS) [10387]