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Impact of an Educational Program on Antibiotic Use in Paediatric Appendectomy Procedures
Author(s) -
Angalakuditi Mallik,
Sunderland V Bruce,
Roberts Malcolm J,
Turner Sean,
Lilley Brian J
Publication year - 2005
Publication title -
journal of pharmacy practice and research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 22
eISSN - 2055-2335
pISSN - 1445-937X
DOI - 10.1002/j.2055-2335.2005.tb00295.x
Subject(s) - medicine , antibiotics , intervention (counseling) , significant difference , pediatrics , emergency medicine , general surgery , nursing , microbiology and biotechnology , biology
Aim To evaluate antibiotic use in paediatric appendectomy procedures. Method Demographic, clinical and antibiotic prescribing data for patients who had appendectomies were reviewed in two paediatric hospitals retrospectively (pre‐intervention). The data was analysed against standard guidelines for abdominal surgery. A multifaceted education strategy was designed and administered only in the case hospital. A post‐intervention evaluation was conducted in both hospitals (case and control). Results 207 cases and 224 controls were evaluated. There was no significant difference (p > 0.05) between gender, age and length of stay between the groups. Post‐intervention, appropriateness of theatre antibiotics changed from 0 to 65% (cases) and from 52.9% to 53.3% (controls). The appropriateness of ward antibiotics changed from 48 to 84.7% (cases) and 76.4 to 71.4% (controls). The total antibiotic dosage appropriateness changed from 0 to 58.2% (cases) and 12 to 3.8% (controls). Conclusion Antibiotic use significantly improved following the multifaceted educational intervention.