PHÂN TÍCH THỰC TRẠNG SỬ DỤNG KHÁNG SINH TRONG DỰ PHÒNG PHẪU THUẬT TIM MẠCH TẠI TRUNG TÂM TIM MẠCH BỆNH VIỆN E NĂM 2022

Abstract

Objective: Analyze the current situation of antibiotic use at the Heart Center of Hospital E in 2022. Method: Cross-sectional description. Results: The proportion of patients using antibiotics before surgery accounted for 22.9%. The antibiotic used most often before surgery is Cefoperazone + sulbactam, accounting for 48.6%. The most commonly used antibiotic before skin incision is Cefazolin, accounting for 72.9%. 100% of patients in the study sample used antibiotics before skin incision by intravenous injection at doses that did not comply with the Guidelines. 100% of patients in the study sample received antibiotics before skin incision within <120 minutes. The most common antibiotics used for patients immediately after surgical wound closure and lasting >48 hours are Cefazolin, accounting for 36.9% of total prescriptions, followed by Cefoperazone + sulbactam with 35.9% of the total prescriptions. Of the 102 patients who used antibiotics immediately after closing the incision and lasting >48 hours, 61.8% of patients had antibiotics changed after surgery. 57.6% of patients in the study sample used antibiotics after surgery for about 7 - 14 days. Only 6 patients in the research group used antibiotics more than 28 days after surgery, accounting for 5.1%.