Abstract :
Background: Antibiotics are most commonly used prophylactically in a surgical set up. Avoidance of infection helps in early wound healing. Various guidelines are available for the use of antibiotics for surgical prophylaxis. Indiscriminate use of wide spectrum, newer antibiotics has lead to the problem of antibiotic resistance. Our aim was to evaluate the gap between the guidelines and the choice of antibiotics in a tertiary care hospital located in the sub Himalayan area.
Materials and Methods: Data of all the patients who underwent surgery was analysed.
Results: Record sheets of total 746 cases were included in the study. 376 (50.4%) patients were males and 370 (49.6%) were females. Maximum numbers of patients were from age group 36-45 years. Mean age SD of patients was 40.57 17.46.
572 (76.6%) patients stayed in hospital for 2 to 10 days, 138(18.5%) for 11 to 20 days, 24(3.3%) for 21 to 30 days, 6(.8%) for 31 to 40 days and 6 (.8%) for>40 days.
274 (36.6%) patients suffered from Hepatobiliary diseases, appendicitis was in 99 (13.3%), gastro-intestinal diseases in 98 (12.2%), hernias in 93 (12.47%), urinary system diseases in 30 (4.21%), male genital system diseases in 28 (3.75%), breast diseases 27 (3.62%), rectal and peri-anal diseases in 25 (3.35%), spinal diseases 16 (2.12%), brain diseases 14 (1.88%) other diseases in 43 (5.76%). Commonest antibiotic used was cefuroxime.
Conclusions: The hepatobiliary disease was the commonest reason to undergo surgery.
Keyword :
Surgical prophylaxis, Rational use of antibiotics.