26. THỰC TRẠNG TUÂN THỦ QUY ĐỊNH SỬ DỤNG KHÁNG SINH DỰ PHÒNG TRONG PHẪU THUẬT CỦA NHÂN VIÊN Y TẾ TẠI BỆNH VIỆN THÀNH PHỐ THỦ ĐỨC, THÀNH PHỐ HỒ CHÍ MINH, NĂM 2021

Abstract

Objects: This study aimed to assess the status and associated factors effecting the compliance with
regulations on surgical antibiotics prophylaxis at Thu Duc city hospital in 2021.
Methods: A descriptive cross-sectional study was conducted among 270 medical records of patients
who had had surgery indications and underwent clean, clean-contaminated procedures at Surgical
departments of the hospital from January to June 2021.
Results: The rate of compliance with all five criteria on the use of prophylactic antibiotics at the
hospital was only 17%. While most cases had appropriate indications, route of administration and
dosage (the rates were 92.2%, 95.5% and 85.9%, respectively), the appropriate antibiotics election rate
was only 77%. Moreover, the proportion of compliance with medication regimens was significantly
low at 17.8%. The adherence rate was higher in patients who were over 60 years old, had cleancontaminated surgery, emergency surgery and length of hospital stay more than one day before and
ive days after surgery.
Conclusions: Improving the antibiotic management program at the hospital is very necessary for the
current period, focusing on monitoring the use of antibiotics and training doctors on rational, safe
and effective antibiotic use.