Pattern of antibiotics use, incidence and predictors of surgical site infections in a Tertiary Care Teaching Hospital.
OBJECTIVE
Surgical site infections (SSIs) were the most common healthcare-associated infection mainly in developing countries. Inappropriate use of surgical antibiotic prophylaxis, in terms of antibiotic choice, timing, and duration, can lead to the selection of resistant microorganisms and high costs. The aim of this study was to investigate the pattern of antibiotic use, incidence and predictors of SSIs at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.


RESULTS
From 131 patients, 55.7% were male study participants. Ninety (68.7%) patients received preoperative prophylaxis. Ceftriaxone was the most 76 (84.5%) prescribed agent for prophylaxis. Twenty-seven (20.6%) patients developed surgical site infection. Previous surgery AOR = 3.22 (95% CI [1.14-9.13]) and alcohol use AOR = 7.04 (95% CI [2.56-23.12, p = 0.000]) were independent predictors of SSIs in multivariate logistic regression analysis.
['Halawi|Ezaedin|E|', 'Assefa|Tamrat|T|', 'Hussen|Sadikalmahdi|S|']
D000328:Adult D000900:Anti-Bacterial Agents D005002:Ethiopia D005260:Female D006784:Hospitals, Teaching D006801:Humans D015994:Incidence D008297:Male D008875:Middle Aged D010818:Practice Patterns, Physicians' D013530:Surgical Wound Infection D063128:Tertiary Healthcare
Tikur Anbessa Specialized Hospital Pre and postoperative antimicrobial prophylaxis