Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in Brazil

Detalhes bibliográficos
Autor(a) principal: Santos, Denise Ramos dos
Data de Publicação: 2021
Outros Autores: Costa, Milene Rangel da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/17299
Resumo: The aim of this study was to assess the adequacy of physicians' practice patterns regarding the use of perioperative antibiotic prophylaxis for gynecological surgeries in an academic hospital specialized in gynecology located at Rio de Janeiro city, Brazil. This is a retrospective study assessing all gynecological surgeries performed over one year. Appropriateness of antibiotic prophylaxis was determined according to criteria adapted from evidence-based guidelines. Clinical practice regarding the use of perioperative antibiotic prophylaxis was considered appropriate for 58.4% of 416 surgeries. The non-indicated use of antimicrobial prophylaxis was the main factor determining the low percentage of overall adequacy. Three variables were independently associated with inappropriate administration of perioperative antibiotics: patients age, breast surgeries and longer procedures. Antibiotic prophylaxis compliance to published recommendations is low. Women undergoing gynecological surgery are exposed to unnecessary risks associated to non-indicated use of antibiotic prophylaxis. Strategies aimed to improve compliance to evidence-based guidelines are necessary.
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spelling Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in BrazilEvaluación de la profilaxis antibiótica perioperatoria para cirugías ginecológicas en un hospital académico de BrasilAvaliação da profilaxia antibiótica perioperatória para cirurgias ginecológicas em um hospital universitário no BrasilAntibioticoprofilaxiaProcedimentos cirúrgicos em ginecologiaPadrões de prática médica.Profilaxis antibióticaProcedimientos quirúrgicos ginecológicosPautas de la práctica en medicina.Antibiotic prophylaxisGynecologic surgical proceduresPractice patterns, physicians'.The aim of this study was to assess the adequacy of physicians' practice patterns regarding the use of perioperative antibiotic prophylaxis for gynecological surgeries in an academic hospital specialized in gynecology located at Rio de Janeiro city, Brazil. This is a retrospective study assessing all gynecological surgeries performed over one year. Appropriateness of antibiotic prophylaxis was determined according to criteria adapted from evidence-based guidelines. Clinical practice regarding the use of perioperative antibiotic prophylaxis was considered appropriate for 58.4% of 416 surgeries. The non-indicated use of antimicrobial prophylaxis was the main factor determining the low percentage of overall adequacy. Three variables were independently associated with inappropriate administration of perioperative antibiotics: patients age, breast surgeries and longer procedures. Antibiotic prophylaxis compliance to published recommendations is low. Women undergoing gynecological surgery are exposed to unnecessary risks associated to non-indicated use of antibiotic prophylaxis. Strategies aimed to improve compliance to evidence-based guidelines are necessary.El objetivo de este estudio fue evaluar la adecuación de los patrones de práctica de los médicos con respecto al uso de profilaxis antibiótica perioperatoria para cirugías ginecológicas en un hospital académico especializado en ginecología ubicado en la ciudad de Río de Janeiro, Brasil. Se trata de un estudio retrospectivo que evalúa todas las cirugías ginecológicas realizadas durante un año. La idoneidad de la profilaxis antimicrobiana se determinó de acuerdo con criterios adaptados de las guías basadas en evidencia. La práctica clínica sobre el uso de profilaxis antibiótica perioperatoria se consideró apropiada para el 58,4% de 416 cirugías. El uso no indicado de profilaxis antimicrobiana fue el principal factor determinante del bajo porcentaje de adecuación global. Tres variables se asociaron de forma independiente con la administración inadecuada de antibióticos perioperatorios: edad de las pacientes, cirugías de mama y procedimientos más prolongados. El cumplimiento de la profilaxis antibiótica con las recomendaciones publicadas es bajo. Las mujeres sometidas a cirugía ginecológica están expuestas a riesgos innecesarios asociados al uso no indicado de profilaxis antibiótica. Son necesarias estrategias destinadas a mejorar el cumplimiento de las pautas basadas en la evidencia.O objetivo deste estudo foi avaliar a adequação da prática clínica quanto ao uso de profilaxia antimicrobiana em cirurgias ginecológicas em um hospital universitário especializado em ginecologia localizado na cidade do Rio de Janeiro, Brasil. Este é um estudo retrospectivo que avaliou todas as cirurgias ginecológicas realizadas ao longo de um ano. A adequação da profilaxia antimicrobiana foi determinada de acordo com critérios adaptados de diretrizes clínicas nacionais e internacionais. As condutas médicas quanto ao uso de profilaxia antimicrobiana foram consideradas adequadas em 58,4% de 416 cirurgias. O uso não indicado de profilaxia antimicrobiana foi o principal fator determinante do baixo percentual de adequação geral. Três variáveis foram independentemente associadas à administração perioperatória inadequada de antimicrobianos: idade da paciente, cirurgias mamárias e procedimentos de maior duração. Conclui-se que a profilaxia antimicrobiana praticada no hospital diverge das recomendações disponíveis. Mulheres submetidas às cirurgias ginecológicas estão expostas a riscos desnecessários associados ao uso não indicado da profilaxia antimicrobiana. Estratégias de promoção da adesão dos profissionais a diretrizes baseadas em evidências são necessárias.Research, Society and Development2021-07-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1729910.33448/rsd-v10i8.17299Research, Society and Development; Vol. 10 No. 8; e30810817299Research, Society and Development; Vol. 10 Núm. 8; e30810817299Research, Society and Development; v. 10 n. 8; e308108172992525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/17299/15522Copyright (c) 2021 Denise Ramos dos Santos; Milene Rangel da Costahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Denise Ramos dos Costa, Milene Rangel da 2021-08-21T18:46:59Zoai:ojs.pkp.sfu.ca:article/17299Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:37:40.244876Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in Brazil
Evaluación de la profilaxis antibiótica perioperatoria para cirugías ginecológicas en un hospital académico de Brasil
Avaliação da profilaxia antibiótica perioperatória para cirurgias ginecológicas em um hospital universitário no Brasil
title Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in Brazil
spellingShingle Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in Brazil
Santos, Denise Ramos dos
Antibioticoprofilaxia
Procedimentos cirúrgicos em ginecologia
Padrões de prática médica.
Profilaxis antibiótica
Procedimientos quirúrgicos ginecológicos
Pautas de la práctica en medicina.
Antibiotic prophylaxis
Gynecologic surgical procedures
Practice patterns, physicians'.
title_short Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in Brazil
title_full Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in Brazil
title_fullStr Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in Brazil
title_full_unstemmed Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in Brazil
title_sort Assessment of perioperative antibiotic prophylaxis for gynecological surgeries at an academic hospital in Brazil
author Santos, Denise Ramos dos
author_facet Santos, Denise Ramos dos
Costa, Milene Rangel da
author_role author
author2 Costa, Milene Rangel da
author2_role author
dc.contributor.author.fl_str_mv Santos, Denise Ramos dos
Costa, Milene Rangel da
dc.subject.por.fl_str_mv Antibioticoprofilaxia
Procedimentos cirúrgicos em ginecologia
Padrões de prática médica.
Profilaxis antibiótica
Procedimientos quirúrgicos ginecológicos
Pautas de la práctica en medicina.
Antibiotic prophylaxis
Gynecologic surgical procedures
Practice patterns, physicians'.
topic Antibioticoprofilaxia
Procedimentos cirúrgicos em ginecologia
Padrões de prática médica.
Profilaxis antibiótica
Procedimientos quirúrgicos ginecológicos
Pautas de la práctica en medicina.
Antibiotic prophylaxis
Gynecologic surgical procedures
Practice patterns, physicians'.
description The aim of this study was to assess the adequacy of physicians' practice patterns regarding the use of perioperative antibiotic prophylaxis for gynecological surgeries in an academic hospital specialized in gynecology located at Rio de Janeiro city, Brazil. This is a retrospective study assessing all gynecological surgeries performed over one year. Appropriateness of antibiotic prophylaxis was determined according to criteria adapted from evidence-based guidelines. Clinical practice regarding the use of perioperative antibiotic prophylaxis was considered appropriate for 58.4% of 416 surgeries. The non-indicated use of antimicrobial prophylaxis was the main factor determining the low percentage of overall adequacy. Three variables were independently associated with inappropriate administration of perioperative antibiotics: patients age, breast surgeries and longer procedures. Antibiotic prophylaxis compliance to published recommendations is low. Women undergoing gynecological surgery are exposed to unnecessary risks associated to non-indicated use of antibiotic prophylaxis. Strategies aimed to improve compliance to evidence-based guidelines are necessary.
publishDate 2021
dc.date.none.fl_str_mv 2021-07-13
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/17299
10.33448/rsd-v10i8.17299
url https://rsdjournal.org/index.php/rsd/article/view/17299
identifier_str_mv 10.33448/rsd-v10i8.17299
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/17299/15522
dc.rights.driver.fl_str_mv Copyright (c) 2021 Denise Ramos dos Santos; Milene Rangel da Costa
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Denise Ramos dos Santos; Milene Rangel da Costa
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 8; e30810817299
Research, Society and Development; Vol. 10 Núm. 8; e30810817299
Research, Society and Development; v. 10 n. 8; e30810817299
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
_version_ 1797052681882173440

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