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Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2010, vol. 16, book 3
Subject Collection: Medicine
Page: 83 - 89
DOI: 10.5272/jimab.1632010_83
Online date: March 23, 2011
SURGICAL PERSONNEL’ ADHERENCE TO ANTIBIOTIC POLICIES
Emma Keuleyan1, G. Kirov2, M. Kondarev2, I. Lozev2, D. Vezeva3, S. Toujarov4, N. Smilov4
1.) Department of Clinical Microbiology, 2.) Clinic of Surgery, 3.) Clinic of Anesthesia and Resuscitation, 4.) Department of Urology
Medical Institute – Ministry of the Interior, Sofia, Bulgaria
ABSTRACT:
- Objectives. This work aimed at studying the adherence of personnel of the Surgery clinic of our institute to antibiotic policies in place.
- Methods. Antimicrobial resistance surveillance of the alert resistant microorganisms (Staphylococcus aureus (MRSA), Enterobacteriaceae (ESBL-producing), Pseudomonas aeruginosa, MDR); Antibiotic consumption calculation (ABC calc, D. Monnet); Audits of antibiotic prescriptions, and Inquiries – were performed.
- Objectives. This work aimed at studying the adherence of personnel of the Surgery clinic of our institute to antibiotic policies in place.
- Methods. Antimicrobial resistance surveillance of the alert resistant microorganisms (Staphylococcus aureus (MRSA), Enterobacteriaceae (ESBL-producing), Pseudomonas aeruginosa, MDR); Antibiotic consumption calculation (ABC calc, D. Monnet); Audits of antibiotic prescriptions, and Inquiries – were performed.
- Results. Current antibiotic policies in the Surgery clinic (50-bed) were prepared, discussed and introduced in 2003. Since then, five 3-month audits of antibiotic prescriptions took place. During the last four years (2006-2009), the problem resistant organisms were: MRSA, 10-36 %; ESBL-producing Enterobacteriaceae, 14-23 %; MDR P. aeruginosa, 30-47 % and carbapenem-resistant, 0-35 %. Antibiotic consumption was between 47.9 and 61.9 DDD/100 bed-day, and first generation cephalosporins were the top used antibiotics (29.5-35.2 DDD/100 bed-day). Two inquiries (2007 and 2009) revealed: - a good compliance with the policies, with the exception of the duration of antibiotic prophylaxis, - and a comprehensive knowledge on antibiotics and antibiotic resistance.
- Conclusion. With one exception (the duration of antibiotic prophylaxis) this study revealed good adherence to antibiotic policies, as well as professional attitudes towards the rational use of antibiotics.
Key words: antibiotic stewardship, surgery, audit, inquiry, Bulgaria.
Page: 83-89; FULL TEXT PDF (492 KB) Abstract
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