Please use this identifier to cite or link to this item: https://doi.org/10.1111/j.1365-2710.2005.00659.x
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dc.titleAn evaluation of antimicrobial prophylaxis in paediatric surgery and its financial implication
dc.contributor.authorHing, W.C.
dc.contributor.authorYeoh, T.T.
dc.contributor.authorYeoh, S.F.
dc.contributor.authorLin, R.T.P.
dc.contributor.authorLi, S.C.
dc.date.accessioned2014-10-29T01:48:23Z
dc.date.available2014-10-29T01:48:23Z
dc.date.issued2005-08
dc.identifier.citationHing, W.C., Yeoh, T.T., Yeoh, S.F., Lin, R.T.P., Li, S.C. (2005-08). An evaluation of antimicrobial prophylaxis in paediatric surgery and its financial implication. Journal of Clinical Pharmacy and Therapeutics 30 (4) : 371-381. ScholarBank@NUS Repository. https://doi.org/10.1111/j.1365-2710.2005.00659.x
dc.identifier.issn02694727
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/105635
dc.description.abstractObjective: To assess the appropriateness of use of antimicrobial prophylaxis in paediatric surgery in Singapore. Methods: A prospective evaluation of the use of antimicrobial prophylaxis in paediatric patients undergoing surgery in KK Hospital, Singapore was carried out from September and December 2001. Process measures for the study included adherence to local or international guidelines, choice and dose of antimicrobial agent and timing and duration of prophylaxis. Outcome measures included surgical site and other related infections. A cost analysis was also performed to look at the extra expenditure due to any excessive use of antimicrobials. Results: A total of 171 patients with a mean age of 5.7 years (SD = 4.5) were included in the study. Among the 117 (68.4%) elective and 54 (31.6%) emergency procedures, 22 cases (12.8%) were fully compliant with the guidelines. The most frequently encountered non-compliance types were unnecessary prolongation of prophylaxis (54.4%), inappropriate choice of antibiotics (42.7%) and overdose of antibiotics (26.3%). The estimated extra cost to patients for the study period was Sing$13 879-41 (US 8164.36). Conclusion: The results showed a significantly high level of inappropriate use of antimicrobial prophylaxis in paediatric surgery in Singapore. However, when the individual factors such as appropriate choice of antibiotics, appropriate timing and duration were considered, the situation was very similar to the results obtained from overseas studies. © 2005 Blackwell Publishing Ltd.
dc.description.urihttp://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.1111/j.1365-2710.2005.00659.x
dc.sourceScopus
dc.subjectAntibiotic prophylaxis
dc.subjectCosts and cost analysis
dc.subjectGuideline adherence
dc.subjectOutcome and process assessment (health care)
dc.subjectSurgical wound infection
dc.typeArticle
dc.contributor.departmentPHARMACY
dc.description.doi10.1111/j.1365-2710.2005.00659.x
dc.description.sourcetitleJournal of Clinical Pharmacy and Therapeutics
dc.description.volume30
dc.description.issue4
dc.description.page371-381
dc.description.codenJCPTE
dc.identifier.isiut000230142900009
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