A new antibiotic stewardship program approach is effective on inappropriate surgical prophylaxis and discharge prescription

• DOI: 10.3855/jidc.11734
• Publication Date: 2019-12-03T20:15:00Z
• Authors: Cem Karaali; Mustafa Emiroglu; Sabri Atalay; Ismail Sert; Ayberk Dursun; Sukran Kose; Gokhan Akbulut; Cengiz Aydın
• Keywords: Discontinuation; Antibiotic Stewardship; Antimicrobial Stewardship

This study aims to evaluate the efficacy of a new antimicrobial stewardship program (ASP) on surgical antibiotic prophylaxis (SP) and antibiotics in discharge prescriptions used as continuation SP.The included elective patients with clean clean-contaminated wounds. The accuracy assigned SP was evaluated according international guidelines. Primary outcome measures comprised appropriateness prophylactic indication, correct timing initial dose, discontinuation within 24 hours, prescription at discharge. A secondary measure determine whether effect ASP sustained long-term.The total compliance rate for all stages increased from 8% 52.1% after intervention (p < 0.05). When analyzed individual components, it found that although did not change first dose rates, affect rates hours discharge, statistical significance In addition, continued increase its effectiveness throughout 3rd year.Based findings our study, seems clear modified introduced general surgery clinic can be effectively simply; this increases time.