Retrospective study of perioperative antibiotic prophylaxis of pediatric patients in a tertiary care hospital
Huma Saleem,, Almas Iqbal, Noshin Akram
Back ground: In these troubled days of antibiotic resistance, it is imperative that clinicians use antibiotics judiciously to prevent infection in patients and to avoid community wide resistance that threatens public health. Its use is, when indicated, choice of antibiotic keeping in view the sensitivity, correct dose, frequency, route and duration. Misuse of antibiotics when not indicated puts patients at risk with no clinical benefit.
Aim: To assess the use of antibiotics ( choice for type of surgery, dose, timing, re-dosing and duration of antibiotic) in perioperative time period for surgical prophylaxis of pediatric patients.
Methods: It is a retrospective study of one year from 1st June 2018- 31st May 2019. Data is collected of paediatric patients (≤18 years) undergoing surgery under general anaesthesia from their perioperative record, and Anaesthesia record chart.
Results: In 225 cases antibiotic was given, the most frequently used antibiotic is Cefuroxime 41.8% (94/225). The other antibiotics used are: Cephazolin (31.6%), Coamoxiclav (19.6%), Ceftriaxone (4%), and all others 3.1% (Ciprofloxacin, Metronidazole, Meropenem and Piptaz). All antibiotics are given intravenously.
Conclusion: As an additional support measure to health care practitioners, it is made available on intranet and on the computer desktop of each operating theatre, to further improve its awareness and utility.
Keywords: Study of antibiotic, type of surgery, general anaesthesia