ĐÁNH GIÁ TÌNH HÌNH NHIỄM KHUẨN VẾT MỔ VÀ SỬ DỤNG KHÁNG SINH DỰ PHÒNG TẠI CÁC KHOA NGOẠI, BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC HUẾ NĂM 2020

Abstract

Background: Surgical site infections increase antibiotic overuse and antibiotic resistance, that is a serious medical problem. Objectives: To evaluate the situation of surgical site infection and the use of prophylactic antibiotics in the surgical departments, Hue University of Medicine and Pharmacy Hospital in 2020. Materials and methods: A cross-sectional descriptive studies on 126 patients that were surgical cases after 48 hours at the Department of Trauma-orthopedic-thoracic, Department of Neurology-urology and Department of Gastrointestinal surgery at Hue University Hospital. Results: The incidence of surgical wound infection in general was 6.3%. The rate of surgical wound infection was highest in the department of trauma-orthopedic-thoracic (8.5%), followed by gastroenterology (6.6%), urology (6.4%) and it’s lowest in the department of neurosurgery (3.3%). Bacterial pathogens that cause surgical site infections were isolated include Staphylococci, E. coli, Acinetobacter baumannii, Staphylococcus aureus. The proportion of patients who were used prophylactic antibiotics accounts for 74.5%. The use of prophylactic antibiotics should choose the type of antibiotic according to the common pathogenic bacteria species, their resistance properties... which have been studied recently at a medical facility or a certain location, but should not be used according to a general guideline. Conclusions: The rate of surgical site infection in Hue University Hospital is average and the use of prophylactic antibiotics before surgery is quite high.