Visual Data Presentation based on information obtained from “Survey and evaluation of antibiotic prophylaxis usage in surgery wards of tertiary level institution before and after the implementation of clinical guidelines”, by Sohil Ahmed Khan, Padma G. M. Rao, Anand Rao, Gabriel Rodrigues Department of Pharmacy Practice, Manipal College of Pharmaceutical Sciences and *Department of Surgery, Kasturba Medical College, Manipal - 576104,, Karnataka, India.

Presented by Melissa A. MooreJo-Anne CookeAngie Beaty

HCS 438University of Phoenix Online

      

Figure 1: Antibiotic Prophylaxis and Surgical-Site Infections, Pre-Recommendation Period and Post-Recommendation Period Source: Khan, S., Rao, P., Rao, A., & Rodrigues, G. (2006, June). Survey and evaluation of antibiotic prophylaxis usage in surgery wards of tertiary level institution before and after the implementation of clinical guidelines. Indian Journal of Surgery, 68(3), 150-156. Retrieved April 16, 2009, from Academic Search Complete database.

Evaluation Time-Period

# of Cases Evaluated

# of Surgical Site Infections

Percentage 

Pre-RecommendationPeriod

222 21 9.45%

Post-Recommendation Period

56 0 0

Total 278 21 7.55%

Figure 3: Summary of number of infections in the pre-recommendation phase of the prospective study of each surgical classification (clean, or clean-contaminated) and the number of cases of infection identified in each class. Source: Khan, S., Rao, P., Rao, A., & Rodrigues, G. (2006, June). Survey and evaluation of antibiotic prophylaxis usage in surgery wards of tertiary level institution before and after the implementation of clinical guidelines. Indian Journal of Surgery, 68(3), 150-156. Retrieved April 16, 2009, from Academic Search Complete database.

Figure 4: Post-Recommendation Phase (total of 56 cases) divided by class; 32 (57.14%) cases fell into the clean class and 24 cases (42.85%) fell into the clean-contaminated class. There were no surgical-site infections. Source: Khan, S., Rao, P., Rao, A., & Rodrigues, G. (2006, June). Survey and evaluation of antibiotic prophylaxis usage in surgery wards of tertiary level institution before and after the implementation of clinical guidelines. Indian Journal of Surgery, 68(3), 150-156. Retrieved April 16, 2009, from Academic Search Complete database.

Implications for Decisions Making

•How to Prevent Surgical Infections • Skin Preparation -Hair Removal -Shower with antiseptic soap•Antibiotics given 1 hour before surgery •Operating room at reasonable temperature•Wound/Bandage Care•For Diabetics normal blood glucose level•Watch for signs of infections•Making sure proper sterile technique is followed in Operating room•Limit amount of traffic in Operating room during surgery

Tips for reducing the risk of infection:

• No washing area for 24 hours• Follow your doctor's instructions exactly• Check signs for infection • Change the dressing• Do not rub or scrub• No exposure to sunlight• Understanding special instruction • Ask questions to be sure you know what to expect

Implications for Decisions Making

ReferenceKhan, S., Rao, P., Rao, A., & Rodrigues, G. (2006, June). Survey and

evaluation of antibiotic prophylaxis usage in surgery wards of

tertiary level Institution before and after the implementation of

clinical guidelines. Indian Journal of Surgery, 68(3), 150-156. Retrieved

April 16, 2009, from Academic Search Complete database.

wound infections http://dermnetnz.org/bacterial/wound-infection.html