Compliance with National guidelines for antibiotic prophylaxis use in surgery: A case study in Thu Duc City Hospital, South of Vietnam

Objectives: To evaluate compliance with national guidelines for surgical antibiotic prophylaxis use (SAP) at a general hospital in southern Vietnam and explore the impact of patient and surgery demographics on compliance.

Methods: A cross-sectional study using quantitative methods was used. A total of 270 medical records (MRs) of patients who underwent clean or clean-contaminated surgeries between January 1, 2021, and June 30, 2021, at Thu Duc City Hospital were selected by systematic random sampling. A range of data was collected, which included patient demographics, surgery type, and antibiotic selection, as well as appropriate timing, route of administration, and duration of prophylaxis for each surgical procedure. Evaluating compliance based on the national practice standards for SAP. Data were entered by Epidata 3.0 and analyzed by SPSS 22.0 software.

Results: Of the 270 cases included in the study, the overall compliance rate of SAP use was only 17.0%. Inadequate timing of SAP administration (17.8%) was the major cause of non-compliance, follow by inappropriate antibiotic selection (77.0%). Furthermore, patient and surgery characteristics were found to play a significant role in compliance with guidelines, with gender, surgery type, wound infection condition, and pre-operative hospital stay all having notable correlations.

Conclusion: In conclusion, the overall compliance rate of SAP use was lower than expected, and there was a significant difference among specific types of surgeries. There is a relationship between surgery type, wound infection classification, and length of pre-operative hospital stay with SAP use compliance (p < .01). To improve compliance with national guidelines for SAP use, appropriate timing, and antibiotic selection should be emphasized. Further efforts are still needed to improve the standards of antiseptic surgery in Vietnam.

File download

Related article

• The care needs of dementia patients in Nam Dong District, Thua Thien Hue Province: An observational study using the Camberwell Assessment of Need for the Elderly questionnaire
• Preventive Measures Against Monkeypox: A Scoping Review
• How KoboToolbox versus Unipark platform are selected in data survey to detect child maltreatment in Vietnam: A discussion paper
• Respiratory function of workers at some wood factories in Bac Tu Liem district, 2022
• Mental health of people with and without disabilities in Vietnam during the COVID-19 pandemic
• Cause-specific mortality in A6 death registration system: results from a population-based study in Hanoi 2017, Vietnam
• Stress situation and associated factors among nursre in clinical departments at Sa Dec General Hospital, Dong Thap province, in 2021
• Short-term effects of air pollution on respiratory hospitalizations in Ha Nam, during 2018-2020
• Quality of life of type 2 diabetes outpatients and the associated factors: A cross-sectional study at Ha Dong General Hospital in 2020
• Perception of patient safety and associated factors among health staff: A cross-sectional study in some hospitals in Vietnam
• Applying tools to support human resource management in HIV/AIDS prevention and control in 7 provinces: Initial results on the appropriateness and scalability
• Stress of the mothers in caring for children with developmental disabilities and some related factors
• Stress among nurses and associated factors during the COVID-19 pandemic in Hanoi, Vietnam, in 2022
• Drinking water quality and associated factors at water supply stations in Quang Ngai Province in 2022
• Association between retinol intake and risk of gastric cancer: a case-control study in a Korean population
• Compliance with National guidelines for antibiotic prophylaxis use in surgery: A case study in Thu Duc City Hospital, South of Vietnam
• Economic, Social, and Mental Health Difficulties Among High School Students in Hanoi During the COVID-19 Lockdown Period