التفاصيل البيبلوغرافية
| العنوان: |
Successful control program to implement the appropriate antibiotic prophylaxis for cesarean section |
| المؤلفون: |
Fonseca,Silvia Nunes Szente, Sofia,Maria Helena, Quintana,Silvana, Nogueira,Fernanda Dos Santos, Levin,Anna S. |
| المصدر: |
Revista do Instituto de Medicina Tropical de São Paulo v.50 n.2 2008 |
| بيانات النشر: |
Instituto de Medicina Tropical |
| سنة النشر: |
2008 |
| المجموعة: |
SciELO Brazil (Scientific Electronic Library Online) |
| مصطلحات موضوعية: |
Antimicrobial prophylaxis, Cesarean section, Compliance, Cefazolin, Surgical site infection |
| الوصف: |
OBJECTIVE: Describe implementation of a successful program to reduce doses (cefazolin 2 to 1 g) used for antimicrobial prophylaxis. METHODS: Evaluation of an intervention program to reduce prophylactic antimicrobial doses. The intervention included weekly staff discussions, automatic dispensation of 1g-vial of cefazolin by the pharmacy unless expressly requested by surgeon and increase in post-discharge surveillance as a strategy to reassure surgeons of the safety of the reduction. In the pre and post intervention periods, a prospective study of antimicrobial consumption and surgical site infections were measured. RESULTS: There were 5,164 and 5,204 deliveries in 2001-2002 and 2003-2004, respectively; 1,524 (29.5%) and 1,363 (26%) were cesarean sections. There was a 45% decrease in cefazolin vials used on average per cesarean section (2.29 to 1.25). Patients evaluated increased from 16% to 67% and the SSI rates in both periods were 3.34% to 2.42%, respectively. CONCLUSION: An ample intervention, including administrative and educational measures, led to high compliance with dose reduction and saved more than US$4,000 in cefazolin, considered important because government reimbursement in Brazil for cesarean section is $80. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
text/html |
| اللغة: |
English |
| الإتاحة: |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652008000200003Test |
| رقم الانضمام: |
edsbas.2D81A78C |
| قاعدة البيانات: |
BASE |
