Practice Of Antibioprophylaxy In Scheduled Surgery At The Regional Hospital (RH) Of Maradi, Niger
Maikassoua Mamane1* , Abdoulaye MamanBachir2 , Adakal Ousseini2 , Kimso Oumou4 , Mounkaila S. Ibrahim5 , Mohamed Rouga5 , M. S. Chaibou6
1. Anesthesia Resuscitation And Emergency Department, Faculty Of Health Sciences, Dan Dicko Dankoulodo University Of Maradi, Niger
2. Surgery And Surgical Specialities Department, Faculty Of Health Séance, Dan Dicko Dankoulodo University of Maradi,
3. Surgery And Surgical Specialities Department, Faculty Of Health Séance, Dan Dicko Dankoulodo University of Maradi,
4. Medical Oncology Department, Maradi Referral Hospital,
5. Surgery Department, Regional Hospital Of Maradi,
6. Anesthesia Resuscitation And Emergency Department, Faculty Of Health Sciences, Abdou Moumouni University of Niamey, Niger
Article history:
Received: 27 July, 2021
Accepted: 31 July, 2021
Available Online: 09 March, 2022
Corresponding Author: Dr Maikassoua Mamane
Maikassoua Mamane, Abdoulaye Maman Bachir, Adakal Ousseini, Kimso Oumou, Mounkaila S. Ibrahim, Mohamed Rouga, M. S. Chaibou are awarded with Frederick Sanger Research Award- 2022 in Antibiotic Prophylaxis
Keywords
Evaluation, preoperative antibiotic prophylaxis, regional hospital, Maradi Abstract Purpose: The preoperative antibiotic prophylaxis is to prevent infection of the surgical wound. Although its principles follow specific guidelines, inappropriate practice is often observed. The aim of this study is to evaluate antibiotic prophylaxis practices in the operating room of the RH of Maradi (Niger). Methodology: This was a prospective and descriptive study done over a period of 12 months; from the 1st of January to December 31, 2020. We studied patients admitted to the operating rooms for Surgical Wound Classification (SWC) Altemeier I and II scheduled surgeries. Ph ton 145 Results: We collected 286 patients of which 68.53% were male with a mean age of 27.1 years. Patients were ASA I and II (American Society of Anesthesia classification). Abdominal, genito-urinary and orthopedic surgeries were the most performed. 96.15% of patients received antibiotic prophylaxis. Six patients were already on antibiotics and five patients received none. Ceftriaxone was the most widely used drug. The delay between administration and incision was 30 min or more in only 6.18% of patients. More than half of our patients had received the antibiotic less than 30 min before the incision (57.81%). Postoperative complications were infectious in 60% of cases, 80% of which were surgical site infections. Infectious complications occurred in patients who received their 1st round of antibiotics after incision and the rest within 15 min which preceded the incision. Conclusion: Strict and rigorous respect of preoperative antibiotic prophylaxis protocols in the operating room is a daily challenge, while the fight against nosocomial infections and bacterial resistance remains a major concern.
Citation:
Maikassoua Mamane, Abdoulaye MamanBachir, Adakal Ousseini, Kimso Oumou, Mounkaila S. Ibrahim, Mohamed Rouga, M. S. Chaibou, 2022. Practice Of Antibioprophylaxy In Scheduled Surgery At The Regional Hospital (RH) Of Maradi, Niger. Journal of Surgery. Photon 117, 144-151
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