Economic evaluation of antimicrobial therapy in patients hysterectomized for uterine fibroid

Abstract:

Infections are the main cause of morbidity after gynecological surgeries. Due to the irrational use of antimicrobials and little adherence to protocols, it decided to investigate the most efficient clinical alternative among existing sanitary desirable to reach a goal. Aims: To perform an economic evaluation of the use of antimicrobials in patients operated with a diagnosis of uterine fibroid in the "Agostinho Neto" Hospital, Guantanamo, Cuba, during the period April-May 2012 to achieve a rational use of these drugs reduce risk of antimicrobial resistance, incidence of surgical wound infection and costs for drugs. Method: A retrospective study was made, the medical records were reviewed, the patient age, type of surgery, most commonly used antimicrobial and duration of treatment was determined: An overall economic assessment, the type was minimization of costs. Results: 61.64[%] of the patients were between 41-50 years old; the 81.62[%] of the surgeries were classified as clean contaminated; cefazolin was the most antimicrobial used as monotherapy (51.28[%]); 84.62[%] of the patients received treatment for 2 days; 100[%] of prescriptions was inadequate; the overall cost was 3,242.65 Cuban pesos and has been obtained savings of approximately 728.80 Cuban pesos if the protocols have been correctly applied. Conclusion: Gynecology service professionals do not adhere to the protocols of preoperative antibiotic prophylaxis, increasing drug cost.

Año de publicación:

2015

Keywords:

Fuente:

scopus