Acquired Error in using Antibiotic for Surgery Patients in Iraqi Hospitals
The use of antibiotics (AB) in surgery focused in either treating established infection or to prevent suspected post-operative infection. Inappropriate use of antibiotic for treatment of patients with common infections is a major problem worldwide, with great implications with regards to cost of tre...
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College of Pharmacy University of Baghdad
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doaj-72ecb5e23dc84cd0a890ec5aac681b012020-11-25T00:37:12ZengCollege of Pharmacy University of BaghdadIraqi Journal of Pharmaceutical Sciences2521-35121683-35972017-03-01202102106484Acquired Error in using Antibiotic for Surgery Patients in Iraqi HospitalsFadya Y. AlhamdaniThe use of antibiotics (AB) in surgery focused in either treating established infection or to prevent suspected post-operative infection. Inappropriate use of antibiotic for treatment of patients with common infections is a major problem worldwide, with great implications with regards to cost of treatment and development of resistance to the antimicrobial agent. Moreover, antibiotics may often be dispensed without a clear clinical indication. This study was conducted to estimate the medication errors in using antibiotic for surgery patients which may effect their wound healing. A 260 patients with clean-contaminated and contaminated surgery were included from two teaching hospitals, 160 patient from Medical city hospital and 100 from Al-kadhimiya hospital, 86% were female and 32% were male, their age range was 40 +/- 15. The study shows that there are medication errors related to different causes: firstly, medical team error which include the nurse (70.9%) and the physician which include 1) delay in patient follow up after operation(5.9%) , 2) changing the AB without doing culture and sensitivity test (48.8%), and incomplete prescription order(13.1%). second: ordering error which include: 1) the absent of original source of AB (44.5%), 2) Error in availability of the chosen AB (74.8%), and third: error related to the patient itself include 1) socioeconomic situation (14.5%), 2) educational state (54.3%), finally error related to increase cost in dispensing more than one AB needed (80.1%), although the healing was (63.6 %), delay in response (25%) and complicated wound infection (5%), significant results were arrange nurse error and poor drug availability. In conclusion: medication errors are still common problem in our hospitals, which are mostly related to medical team and the pharmacists should give more effort to avoid these errors. Key wards: Acquired error, Antibiotic, Surgery patients.http://bijps.uobaghdad.edu.iq/index.php/bijps/article/view/484 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fadya Y. Alhamdani |
spellingShingle |
Fadya Y. Alhamdani Acquired Error in using Antibiotic for Surgery Patients in Iraqi Hospitals Iraqi Journal of Pharmaceutical Sciences |
author_facet |
Fadya Y. Alhamdani |
author_sort |
Fadya Y. Alhamdani |
title |
Acquired Error in using Antibiotic for Surgery Patients in Iraqi Hospitals |
title_short |
Acquired Error in using Antibiotic for Surgery Patients in Iraqi Hospitals |
title_full |
Acquired Error in using Antibiotic for Surgery Patients in Iraqi Hospitals |
title_fullStr |
Acquired Error in using Antibiotic for Surgery Patients in Iraqi Hospitals |
title_full_unstemmed |
Acquired Error in using Antibiotic for Surgery Patients in Iraqi Hospitals |
title_sort |
acquired error in using antibiotic for surgery patients in iraqi hospitals |
publisher |
College of Pharmacy University of Baghdad |
series |
Iraqi Journal of Pharmaceutical Sciences |
issn |
2521-3512 1683-3597 |
publishDate |
2017-03-01 |
description |
The use of antibiotics (AB) in surgery focused in either treating established infection or to prevent suspected post-operative infection. Inappropriate use of antibiotic for treatment of patients with common infections is a major problem worldwide, with great implications with regards to cost of treatment and development of resistance to the antimicrobial agent. Moreover, antibiotics may often be dispensed without a clear clinical indication. This study was conducted to estimate the medication errors in using antibiotic for surgery patients which may effect their wound healing. A 260 patients with clean-contaminated and contaminated surgery were included from two teaching hospitals, 160 patient from Medical city hospital and 100 from Al-kadhimiya hospital, 86% were female and 32% were male, their age range was 40 +/- 15. The study shows that there are medication errors related to different causes: firstly, medical team error which include the nurse (70.9%) and the physician which include 1) delay in patient follow up after operation(5.9%) , 2) changing the AB without doing culture and sensitivity test (48.8%), and incomplete prescription order(13.1%). second: ordering error which include: 1) the absent of original source of AB (44.5%), 2) Error in availability of the chosen AB (74.8%), and third: error related to the patient itself include 1) socioeconomic situation (14.5%), 2) educational state (54.3%), finally error related to increase cost in dispensing more than one AB needed (80.1%), although the healing was (63.6 %), delay in response (25%) and complicated wound infection (5%), significant results were arrange nurse error and poor drug availability. In conclusion: medication errors are still common problem in our hospitals, which are mostly related to medical team and the pharmacists should give more effort to avoid these errors.
Key wards: Acquired error, Antibiotic, Surgery patients. |
url |
http://bijps.uobaghdad.edu.iq/index.php/bijps/article/view/484 |
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