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Cost and efficacy of perioperative antibiotic prophylaxis in a State Hospital in turkey

Sozen, Hamdi ; Cetinkaya, Mehmet ; Sahan, Murat ; Caylak, Selmin Dirgen ; Hazer, Derya Burcu LU orcid ; Canbek, Umut ; Koca, Yavuz Savas and Baldemir, Ercan (2013) In Acta Medica Mediterranea 29(3). p.455-460
Abstract

Objective: The objective of this study was to evaluate the applications and procedures of perioperative antibiotic prophylaxis (PAP) in terms of their cost and efficacy in a state hospital in Turkey. Setting: A 372-bed, state hospital in Isparta, Turkey. Method:The investigation was performed between May and August 2011 in six surgical wards. All of the surgical procedures were followed up and antibiotic use was assessed using ATC-DDD system. Results: Of a total of 364 patients examined, 340 (93.4%) were evaluated. Whereas 80.3% of the patients examined revealed PAP indication, 19.7% of them showed no indication for PAP. In 74.4% of the patients undergoing PAP procedures, PAP duration was above 24 hours. The mean PAP duration was found... (More)

Objective: The objective of this study was to evaluate the applications and procedures of perioperative antibiotic prophylaxis (PAP) in terms of their cost and efficacy in a state hospital in Turkey. Setting: A 372-bed, state hospital in Isparta, Turkey. Method:The investigation was performed between May and August 2011 in six surgical wards. All of the surgical procedures were followed up and antibiotic use was assessed using ATC-DDD system. Results: Of a total of 364 patients examined, 340 (93.4%) were evaluated. Whereas 80.3% of the patients examined revealed PAP indication, 19.7% of them showed no indication for PAP. In 74.4% of the patients undergoing PAP procedures, PAP duration was above 24 hours. The mean PAP duration was found to be 3.3 ± 2.7 days. The most intensely used antibiotic was cefazolin (194,2 DDD/100 operation). The amount of antibiotics consumed per operation was 2.67 DDD. The mean cost of PAP application per patient was 14.4 Euros. Conclusion: The frequency of antimicrobial use in PAP was found to be very high in our hospital. PAP applications extended into the postoperative period. This tendency, increases operation costs for each patient as well poses a risk for postoperative infections.

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author
; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
ATC-DDD system, Cost, Efficacy, Perioperative antimicrobial prophylaxis, Surgery, Turkey
in
Acta Medica Mediterranea
volume
29
issue
3
pages
455 - 460
publisher
A. CARBONE Editore
external identifiers
  • scopus:84885985678
ISSN
0393-6384
language
English
LU publication?
no
id
1a6f2df8-3abe-4903-8d35-592644831884
date added to LUP
2025-05-11 22:33:27
date last changed
2025-05-13 03:16:29
@article{1a6f2df8-3abe-4903-8d35-592644831884,
  abstract     = {{<p>Objective: The objective of this study was to evaluate the applications and procedures of perioperative antibiotic prophylaxis (PAP) in terms of their cost and efficacy in a state hospital in Turkey. Setting: A 372-bed, state hospital in Isparta, Turkey. Method:The investigation was performed between May and August 2011 in six surgical wards. All of the surgical procedures were followed up and antibiotic use was assessed using ATC-DDD system. Results: Of a total of 364 patients examined, 340 (93.4%) were evaluated. Whereas 80.3% of the patients examined revealed PAP indication, 19.7% of them showed no indication for PAP. In 74.4% of the patients undergoing PAP procedures, PAP duration was above 24 hours. The mean PAP duration was found to be 3.3 ± 2.7 days. The most intensely used antibiotic was cefazolin (194,2 DDD/100 operation). The amount of antibiotics consumed per operation was 2.67 DDD. The mean cost of PAP application per patient was 14.4 Euros. Conclusion: The frequency of antimicrobial use in PAP was found to be very high in our hospital. PAP applications extended into the postoperative period. This tendency, increases operation costs for each patient as well poses a risk for postoperative infections.</p>}},
  author       = {{Sozen, Hamdi and Cetinkaya, Mehmet and Sahan, Murat and Caylak, Selmin Dirgen and Hazer, Derya Burcu and Canbek, Umut and Koca, Yavuz Savas and Baldemir, Ercan}},
  issn         = {{0393-6384}},
  keywords     = {{ATC-DDD system; Cost; Efficacy; Perioperative antimicrobial prophylaxis; Surgery; Turkey}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{455--460}},
  publisher    = {{A. CARBONE Editore}},
  series       = {{Acta Medica Mediterranea}},
  title        = {{Cost and efficacy of perioperative antibiotic prophylaxis in a State Hospital in turkey}},
  volume       = {{29}},
  year         = {{2013}},
}