RESEARCH ON THE SITUATION OF USE OF PROPHYLACTIC ANTIBIOTICS IN SURGERY IN THE DEPARTMENT OF PEDIATRICS, CAN THO CHILDREN'S HOSPITAL

Ngoc Xuan Quynh Phan1,, Thi Ngoc Thuy Thai 1, Thi Kim Chau Doan 1, Vu Quynh Ta 2, Doan Phu Quoc Phan 3, Quoc Tuong Tran 1, Thi Linh Tuyen Nguyen1
1 Can Tho University of Medicine and Pharmacy
2 Can Tho Children's Hospital
3 Can Tho University

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Abstract

Backgrounds: Can Tho City Children's Hospital has been applying antibiotics for surgical prophylaxis for a long time but there has not been an official document guiding the use of antibiotics. On that basis, recognizing the urgency of studying the situation of antibiotic use for surgical prophylaxis in the Surgical Department, this article examines patient characteristics, characteristics of drug use and results of medical record recording for prophylactic antibiotics in the Surgical Department. Objectives: To survey patient characteristics, characteristics of antibiotic use for surgical prophylaxis and errors  in recording the use of prophylactic antibiotics in medical records at the Department of Surgery, Can Tho City Children's Hospital. Materials and methods:   cross-sectional descriptive study on 763 medical records of surgical patients at the surgical department of Can Tho City Children's Hospital from 9/2022 to 3/2023. Data is collected and processed by Excel 2016 software. Results: 763 medical records were included in the study. The median age was 6 years; males accounted for 60.94%;. Prophylactic antibiotic use in surgery and procedures accounted for 48.23%. There are 6 antibiotics used prophylactically. Cefoperazone is the most used at 72.55%. The number of properly recorded medical records for prophylactic antibiotics accounted for 74.71 percent. Conclusion: The rate of prophylactic antibiotic use in surgery and procedures is relatively low (48.23%). The error rate in medical record recording on prophylactic antibiotic use is relatively high (25.29%). Prophylactic antibiotics were concentrated only on intravenous cefoperazone (72.55%).

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