Modified computerized antibiotic audit system for Antibiotics Stewardship Program (ASP) – experience from a regional teaching hospital in southern Taiwan (original) (raw)

2015, Journal of Microbiology, Immunology and Infection

Diseases specialist and aggregating clean surgical antibiotic prophylaxis type, method and duration, 3. To construct a computer program to monitor control programs, including during the inquiry, divisions, surgeon physicians, types, wounds (anesthesia) classification and antibiotic use and so on. B. Processes: 1. To handle clean surgical antibiotic prophylaxis education and training, 2. To regularly review medical and surgical teams of the related operations, 3. Monthly summary of the monitoring results of feedback and improvement in every specialist. Results: 1. Clean surgical wound prophylactic antibiotic drug utilization I ncreased from 74% to 90%. 2. Use clean surgical wounds consistent with prophylactic antibiotics & 1 day rate increased from 35%to 86%. 3. Surgery within 60 minutes before the draw knife prophylactic antibiotic usage increased from 77% to 98%. 4. Ratio greater than 4 hours operating time using a second dose of prophylactic antibiotics increased from 20% to 92%. Conclusions: After working through the implementation of the above, the monitor the results of surgical site infection rates dropped from 0.7 & in 2000 to 0.3 & in 2013 at our institution.

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