在贝宁南部五家医院的胃肠道手术中实践抗生素预防
Dessièdé Ariane Fiogbe1,2, Angèle Modupè Dohou1,2, Carine Laurence Yehouenou1,2,3
1Clinical Pharmacy and Pharmacoepidemiology research group (CLIP), Louvain Drug Research Institute (LDRI), Université catholique de Louvain, Brussels, Belgium.
在贝宁的手术抗生素预防 (SAP) 合规性.
科学领域:
- 手术感染预防手术感染预防.
- 抗微生物药物管理管理
- 在外科手术护理方面的全球健康差异.
背景情况:
- 贝宁缺乏手术抗生素预防 (SAP) 的当地指南.
- 在预防手术部位感染 (SSI) 方面,SAP至关重要.
- 现有的国际指南 (世卫组织,ASHP,SFAR) 用作比较.
研究的目的:
- 审计在贝宁的胃肠道外科手术中遵守SAP实践.
- 评估遵守国际SAP指南的情况.
主要方法:
- 在四个月内从五家医院收集前性数据.
- 评估SAP使用五个标准:指示,选择,剂量,时间和持续时间.
- 与世卫组织,ASHP和SFAR指南对68项程序进行实践比较.
主要成果:
- 在所有评估的指南中,SAP的整体合规程度非常低 (0.0%至2.9%).
- 坚持适用性很高 (69.1%至95.6%),但抗生素选择,剂量,时间和持续时间显示出显著的偏差.
- 抗生素选择合规度在2.9% (WHO/ASHP) 到4.4% (SFAR) 之间.
结论:
- 在贝宁的胃肠道外科手术中,目前的SAP合规性非常低.
- 实施SAP指南需要显著改进,根据当地流行病学量身定制.
- 迫切需要特定于环境的SAP协议来减少SSI.
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