Antibiotics Prophylaxis Practice in Arthroplasty Surgeries.

Area of Science:

• Orthopedic Surgery
• Infectious Disease Prevention
• Surgical Site Infections

Background:

• Surgical site infections are severe complications in orthopedic surgery, increasing morbidity and mortality.
• Antibiotic prophylaxis is a key strategy for preventing these infections.
• Practices of antibiotic prophylaxis in arthroplasty surgeries require assessment.

Purpose of the Study:

• To evaluate the current practices of antibiotic prophylaxis in arthroplasty surgeries.
• To identify areas for improvement in antibiotic administration and documentation.

Main Methods:

• Retrospective analysis of 171 elective joint replacement patients.
• Assessment of antibiotic plan documentation, choice, dose, and dosage timing.
• Comparison of compliance based on operation type and documentation quality.

Main Results:

• 100% received preoperative and 94.7% received postoperative antibiotics.
• 19.3% lacked postoperative antibiotic instructions; 4% missed doses.
• 26.3% experienced delayed antibiotic administration due to various factors.

Conclusions:

• Gaps in postoperative antibiotic documentation and dosage timing were identified.
• Surgical safety checklists improved preoperative antibiotic administration.
• Improved staff awareness and interprofessional participation are essential for optimal antibiotic prophylaxis.