Abstract :
Background: Evaluation of antibiotic use as a preventive measure, ensuring adequate use, and identification of potential areas for surgical care practice improvement are its goals.
Materials and Methods: Patients over 18 who were hospitalised to the surgical department and got antibiotics both before and after surgery were the focus of a cross-sectional study that involved 326 inpatients at a tertiary care hospital in Bangalore. Data were gathered using a specially designed form based on patient case histories and prescription records. Next, Excel and SPSS, a statistical analysis program, were used to process the data.
Results: 22.78% of the 326 surgical patients in this study were between the ages of 48 and 57, and 62.27% of the patients were men. The majority of antibiotic prescriptions (59.82%), specifically ceftriaxone (69.13%), were cephalosporins, and co-morbidities were present in 68.40% of patients. In oncology surgeries, the rate of surgical site infections (SSIs) was 50%; gastroenterology surgeries were the most prevalent, with a rate of 21.6%. The lowest infection rates were linked to the administration of antibiotics one hour prior to surgery. The rates of SSIs were significantly greater for lengthy procedures (62.71%) than for short surgeries (0.78%).
Conclusion: It is clear that the use of antibiotics was deemed suitable. Broad-spectrum antibiotic prescription rates have clearly increased, which could lead to the emergence of bacterial resistance. On the other hand, unfavourable antibiotic use and medical expenses can be reduced by developing guidelines for antibiotic prescription and using the right medications for the conditions at hand.
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