Audit of prophylactic antibiotic use in orthopaedic surgery in Mulago Hospital

Background: Prophylactic antibiotics are entrenched in implant orthopaedic surgery. We conducted a study to determine the use of prophylactic antibiotics in clean implant orthopaedic surgery in Mulago hospital. Methods: We prospectively recruited patients undergoing ORIF, Athroplasty and Foot and An...

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Bibliographic Details
Published inThe annals of African surgery Vol. 9; no. 1
Main Authors Kigera JWM, Turyakira C
Format Journal Article
LanguageEnglish
Published Surgical Society of Kenya 01.01.2012
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Summary:Background: Prophylactic antibiotics are entrenched in implant orthopaedic surgery. We conducted a study to determine the use of prophylactic antibiotics in clean implant orthopaedic surgery in Mulago hospital. Methods: We prospectively recruited patients undergoing ORIF, Athroplasty and Foot and Ankle surgery. We obtained information on antibiotic use and observed surgeries to determine the timing of administration. Results: Antibiotics were not used in 17.3% of patients and over half of the patients received the antibiotic after the skin incision had been made. The antibiotics were administered about 11 minutes from incision. Conclusion: Majority of patients either did not receive antibiotics or received them after the skin incision had been made. The use of a third generation cephalosporin may be associated with increased complications and drug resistance. Antibiotic prophylaxis is in vari-ance with literature and may result in adverse outcomes.
ISSN:1999-9674
2523-0816