Quality of antibiotic prescribing for prophylaxis in General Surgery: Results from 15 General Surgery Departments in 10 Countries

摘要

The aim of this study was to check the quality of antibiotic prescribing for perio-perative prophylaxis in General Surgery, and to trace out changes that must be made to improve it. 15 General Surgery Departments from 10 countries participated in the study. The participating countries were: Greece, Serbia, Croatia, Italy, Denmark, Hungary, Slovenia, Montenegro, Turkey and Oman. The conformance to the guidelines and the quality of antibiotic prescribing for perioperative prophylaxis were checked by use of the same detailed questionnaire in each country. The quality of antibiotic prescribing for perioperative prophylaxis was not satisfactory. The most common errors were prolongation of prophylaxis for more than 24 hours and the use of 3rd generation cephalosporins, amikacin and ciprofloxacin. A coordinated European action is required in order to improve the quality and establish a successful and evidence-based perioperative prophylaxis in General Surgery.