Thực trạng tuân thủ quy định sử dụng kháng sinh dự phòng trong phẫu thuật của nhân viên y tế tại bệnh viện thành phố Thủ Đức, thành phố Hồ Chí Minh, năm 2021=Optimizing surgical antibiotic prophylaxis compliance of medical staff at Thu Duc city hospital, Ho Chi Minh city in 2021

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Tác giả: Đức Dũng Lê, Võ Minh Hoàng Nguyễn, Xuân Chi Nguyễn, Trí Thanh Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.194-201

Bộ sưu tập: Metadata

ID: 477604

Thêm vào giỏ

Mô tả thực trạng tuân thủ quy định sử dụng kháng sinh dự phòng (KSDP) trong phẫu thuật và một số yếu tố liên quan tại Bệnh viện thành phố (BV TP) Thủ Đức năm 2021. Phương pháp: Thiết kế nghiên cứu cắt ngang mô tả, thực hiện khảo sát 270 hồ sơ bệnh án (HSBA) của người bệnh (NB) có chỉ định phẫu thuật và đã được thực hiện phẫu thuật thuộc loại phẫu thuật sạch, sạch-nhiễm, từ tháng 1-6/2021, tại các khoa thuộc khối Ngoại của BV. Kết quả: Tỷ lệ tuân thủ cả 05 tiêu chí sử dụng KSDP là 17,0%, mặc dù hầu hết trường hợp có chỉ định, đường dùng và liều hợp lý (lần lượt là 92,2%
95,5% và 85,9%), nhưng chọn loại KSDP phù hợp thấp với 77% và đặc biệt là tuân thủ thời gian sử dụng chỉ 17,8%. Tuân thủ quy định tốt hơn ở NB>
60 tuổi, loại vết thương sạch-nhiễm, hình thức mổ cấp cứu, thời gian nằm viện trước mổ >
1 ngày và sau mổ <
5 ngày. Kết luận: Tăng cường quản lý kháng sinh (QLKS) tại BV rất cần thiết trong giai đoạn hiện nay, trong đó chú trọng giám sát việc sử dụng kháng sinh, tập huấn cho bác sĩ về sử dụng kháng sinh hợp lý, an toàn, hiệu quả.This study aimed to assess the status and associated factors effecting the compliance with regulations on surgical antibiotics prophylaxis at Thu Duc city hospital in 2021. Methods: A descriptive cross-sectional study was conducted among 270 medical records of patients who had had surgery indications and underwent clean, clean-contaminated procedures at Surgical departments of the hospital from January to June 2021. Results: The rate of compliance with all five criteria on the use of prophylactic antibiotics at the hospital was only 17%. While most cases had appropriate indications, route of administration and dosage (the rates were 92.2%, 95.5% and 85.9%, respectively), the appropriate antibiotics election rate was only 77%. Moreover, the proportion of compliance with medication regimens was significantly low at 17.8%. The adherence rate was higher in patients who were over 60 years old, had clean-contaminated surgery, emergency surgery and length of hospital stay more than one day before and ive days after surgery. Conclusions: Improving the antibiotic management program at the hospital is very necessary for the current period, focusing on monitoring the use of antibiotics and training doctors on rational, safe and effective antibiotic use.

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