The Implementation Of A Surgical Antibiotic Prophylaxis Program: The Pivotal Contribution Of The Hospital Pharmacy.

dc.creatorPrado, Maria Aparecida M B
dc.creatorLima, Maria Patelli J S
dc.creatorGomes, Irene da Rocha H
dc.creatorBergsten-Mendes, Gun
dc.date2002-Feb
dc.date2015-11-27T12:49:26Z
dc.date2015-11-27T12:49:26Z
dc.date.accessioned2018-03-29T00:56:48Z
dc.date.available2018-03-29T00:56:48Z
dc.identifierAmerican Journal Of Infection Control. v. 30, n. 1, p. 49-56, 2002-Feb.
dc.identifier0196-6553
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/11852418
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/195221
dc.identifier11852418
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1295454
dc.descriptionAlthough surgical site infection rates have decreased with the prophylactic use of antibiotics, the inappropriateness of surgical antibiotic prophylaxis is still a worldwide problem. Various strategies have been used to address this problem. This study describes the implementation of a perioperative antibiotic prophylaxis protocol that emphasizes the contribution of the pharmacist. A descriptive study design was used to evaluate the impact of the protocol on the appropriateness of prophylaxis in a private university hospital. The surgical antibiotic prophylaxis of all surgeries was evaluated for 1 month before and 1 month after the implementation of the protocol. The appropriateness of the indication for prophylaxis rose from 56.4% to 100% and that of the postoperative maintenance prophylactic antibiotics rose from 21.9% to 95.7%. The cost of the perioperative antibiotic prophylaxis per surgery decreased 40.5%. The implementation of a cost-effective perioperative antibiotic prophylaxis protocol was the result of a multidisciplinary effort. The hospital pharmacist participated in education activities as part of the discussion groups on the perioperative antibiotic prophylaxis protocol that involved all participants and in managerial actions that optimized the process of ordering, dispensing, administering, and documenting the perioperative antibiotic prophylaxis.
dc.description30
dc.description49-56
dc.languageeng
dc.relationAmerican Journal Of Infection Control
dc.relationAm J Infect Control
dc.rightsfechado
dc.rights
dc.sourcePubMed
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 And Over
dc.subjectAntibiotic Prophylaxis
dc.subjectClinical Protocols
dc.subjectEvaluation Studies As Topic
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPerioperative Care
dc.subjectPharmacy Service, Hospital
dc.subjectPostoperative Complications
dc.titleThe Implementation Of A Surgical Antibiotic Prophylaxis Program: The Pivotal Contribution Of The Hospital Pharmacy.
dc.typeArtículos de revistas


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