THỰC TRẠNG SỬ DỤNG KHÁNG SINH DỰ PHÒNG PHẪU THUẬT Ở TRẺ EM TẠI BỆNH VIỆN SẢN NHI NGHỆ AN

Abstract

Objective: Survey on the use of antibiotic prophylaxis in pediatric surgery at Nghe An Obstetrics and Pediatrics Hospital in 2023. Subjects and methods: Patients received clean surgical intervention and clean-contaminated surgery according to the standards of the Ministry of Health, designed to describe and analyze retrospectively on 387 medical records of patients at the Department of General Surgery and Orthopedics. Results: The median age is 45 months old. Men account for 84.8%. Classification of clean surgery accounts for 68.7%, clean surgery accounts for 31.3%. Surgery time takes place under 2 hours accounting for 92.0%, from 2 hours to 4 hours accounting for 7.0%, and lasting over 4 hours accounting for 1.0%. No patient was recorded with surgical wound infection. The cephalosporin group is the most used, accounting for 98.72%. The rate of using single regimen is 97.68%, of which cafalothin is the most used, accounting for 86.30%. The time of using prophylactic antibiotics before surgery is from 30 minutes to 60 minutes, which is 85.27%. In 99.74% of cases, drugs were administered intravenously. There were no cases of additional doses of prophylactic antibiotics during surgery. The majority of prophylactic antibiotic use lasts longer than 24 hours after surgery, accounting for 91.73%. Conclusion: Antibiotic program in surgical surgery at Nghe An Obstetrics and Pediatrics Hospital successfully minimize post-op infections.