Assessment of surgical antimicrobial prophylaxis in Orthopaedics and Traumatology Surgical Unit of a Tertiary Care Teaching Hospital in Addis Ababa

摘要: Prophylactic antimicrobials have a starring role in prevention of surgical site infection. This study assesses the practice antimicrobial prophylaxis (SAP) and development infection (SSI) based on patient chart review patients who underwent surgery Orthopaedics Traumatology Surgical Unit Tikur Anbesa Specialized Hospital (TASH). Majority 144 (72%) were males. 108 (54%) wounds clean 63 (31%) contaminated. 160 (80%) received preoperative prophylaxis, these 153 (96%) postoperative as well. 34 (17%) did not receive while 6 (3%) had no record about prophylaxis. Among those time administration was recorded 87 charts 36 (23%) greater than 2 h prior to incision. 188 (94%) that prophylaxis; duration more 72 h 114 (61%) patients, only 8 (4%) for less 24 h after surgery. Ceftriaxone 309 (70%) most prescribed agent 32 (16%) developed Using odds ratio age equal or above 50, contaminated statistically associated with increased risk SSI. Most prophylactic antimicrobials; nevertheless, aligned standard guidelines’ recommendations infections.