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- W1985453089 abstract "The inappropriate prescription of prophylactic antibiotics favors selection of resistantbacteria. We aimed to characterize the inappropriate prescription of prophylacticantibiotics; their indication, selected spectrum, dose and duration of prophylaxisin an university hospital in Goiania, Brazil. We also aimed to propose adjustmentsin the requirements for prescription, according to the literature. Through structuredquestionnaire the specialty in which the antibiotic was prescribed, type of surgery,indications, spectrum of action, dose and specified duration were evaluated. 203surgical procedures were evaluated (64% clean surgery, 30% clean-contaminatedand 6% contaminated). Cefazolin was the antibiotic most used (92%). Inappropriateprescribing was found in 75% of cases, from those 77% were due to the excessiveduration of administration of the antimicrobial agent. In 18% of surgeries there wasno indication of prophylaxis and in 9% suboptimal doses of antimicrobial were used.The estimated additional cost of requirements not indicated and excessive durationwas equivalent to US$ 800.00. We recognize the need for a joint working committeebetween surgical and hospital infection control teams, enabling reduction of costsand avoiding selection of resistant bacterial strains, among other adverse effects." @default.
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- W1985453089 date "2009-11-12" @default.
- W1985453089 modified "2023-09-25" @default.
- W1985453089 title "AVALIAÇÃO DA ANTIBIOTICOPROFILAXIA CIRÚRGICA EM HOSPITAL UNIVERSITÁRIO" @default.
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- W1985453089 doi "https://doi.org/10.5216/rpt.v38i3.8124" @default.
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