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Effects of an Educational Module in Rationalizing Surgical Prophylaxis

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Abstract

Assessment of current antibiotic prescribing patterns is an important step towards appropriate use of antimicrobial agents. This study was planned to know the surgical prophylaxis practices and the influence of educational intervention. In this educational interventional study, only clean and clean-contaminated surgeries were included. Preinterventional study was done by collecting data regarding the use of surgical prophylaxis in the Department of Surgery. After analyzing the preinterventional data, educational intervention was done. A pretest questionnaire was given to all the surgeons to assess knowledge and practice of surgical prophylaxis in our institute. The questionnaire was designed to collect information regarding the use of prophylactic antibiotic, its duration, time of administration, and prevention of surgical site infections (SSI). In our study, third-generation cephalosporin was used in maximum cases in preinterventional analysis and prophylaxis was continued for 3–5 days. Surgeon’s decision in selecting a prophylactic agent was based on information taken from departmental colleagues or drug companies. Two or more doses of antibiotic were used even when duration of surgery did not exceed more than two and half hours. Definite improvement was seen after the education where single antibiotic was used as prophylactic drug and the first dose of antibiotic was administered 30 to 60 min before incision. This shows that educational intervention makes a change in antibiotic prescribing habit. Hence, there is an urgent need for adoption of specific guidelines to ensure standardization of surgical antibiotic prophylaxis practices in hospitals.

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Conflict of Interest

The authors declare that they have no competing interests.

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Authors and Affiliations

  1. Department of Microbiology, NKP Salve Institute of Medical Sciences, Wana Dongri, Hingna, Nagpur, 440019, India

    Neena Nagdeo & V. R. Thombare

  2. Department of Surgery, NKP Salve Institute of Medical Sciences, Nagpur, India

    R. Sonarkar & M. Akhtar

  3. NKP Salve Institute of Medical Sciences, Nagpur, India

    S. Dasgupta

Authors
  1. Neena Nagdeo
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  2. R. Sonarkar
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  3. V. R. Thombare
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  4. M. Akhtar
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  5. S. Dasgupta
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Corresponding author

Correspondence to Neena Nagdeo.

Additional information

This project is a part of ICMR ASPIC Programme: Antimicrobial Stewardship, Prevention and Infection Control conducted by CMC Vellore, India. Our Institute is one of the participating centers in this study.

Appendices

Annexure –I Proforma

figure a

Annexure –II Pre &Post Test Questionnaire

figure b

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Nagdeo, N., Sonarkar, R., Thombare, V.R. et al. Effects of an Educational Module in Rationalizing Surgical Prophylaxis. Indian J Surg 77, 290–296 (2015). https://doi.org/10.1007/s12262-015-1297-5

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  • DOI: https://doi.org/10.1007/s12262-015-1297-5

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