Pattern of Surgical Antibiotic Prophylaxis in A Corporate Hospital of Chattogram

Authors

  • Md Akram Hossain Senior Consultant of Microbiology, Apollo Imperial Hospitals Ltd, Chattogram
  • Ayesha Ahmed Khan Assistant Professor of Microbiology, Institute of Applied Health Sciences (IAHS) Chattogram
  • Nasreen Chowdhury Senior Consultant of Biochemistry, Apollo Imperial Hospitals Ltd, Chattogram.
  • Pompy Dey Lecturer of Microbiology, Rangamati Medical College, Rangamati.
  • Tamanna Zahur Associate Professor of Dental Public Health, Chittagong Medical College, Chattogram.
  • Sumaiya Islam MO, Master Health Consultant, Apollo Imperial Hospitals Ltd, Chattogram.
  • Raju Das Emergency Medical Officer, Apollo Imperial Hospitals Ltd, Chattogram
  • Adnan Walid Associate Consultant of Pediatric Surgery, Apollo Imperial Hospitals Ltd, Chattogram.
  • Sourav Nath Mitun Manager Medical Service, Apollo Imperial Hospitals Ltd, Chattogram.
  • Showrov Sen Emu Specialist, Emergency Department Apollo Imperial Hospitals Ltd, Chattogram.
  • Faisal Chowdhury Medical Officer of Oncology, Apollo Imperial Hospitals Ltd, Chattogram
  • Md Saiful Islam Raju .Senior Consultant of Surgery, Apollo Imperial Hospitals Ltd, Chattogram

DOI:

https://doi.org/10.3329/jcmcta.v36i1.86123

Keywords:

Antibiotic prophylaxis; Antimicrobials; Surgical operations; Surgical Site Infection (SSI).

Abstract

Background: Surgical Site Infections (SSIs) are among the most common postoperative complications, significantly contributing to patient morbidity, prolonged hospital stays and increased healthcare costs. SSIs occur at or near the surgical incision within 30 days of the procedure or one year if an implant is placed. Risk factors include patient-related elements (e.g. Diabetes, obesity), procedural factors (e.g. Duration of surgery, sterilization practices) and perioperative care.Surgical antibiotic prophylaxis, a fundamental part of standard operative  procedures to avert infections at the site of surgery, has  improved postoperative recovery. Irrational and excessive use of antibiotics is common in surgical prophylaxis, resulting in increased treatment expenditures and antimicrobial resistance. This study aimed to determine the prescription pattern of prophylactic antibiotics in surgeries by different departments of a Corporate Hospital in Chattogram.

Materials and methods: A retrospective analytical study included the data of 997 patients, underwent different surgeries at a corporate hospital in Chattogram, Bangladesh, from May 2023 to June 2024. Demographic data, types of surgery, and types of antibiotics used were collected from the hospital's electronic health records and analyzed by using Microsoft Excel 2016.

Results: In this study, females were predominant (74.22%) overmales. The mean age was32.37±14.78 years. One-third  of our patients belonged to the age group of 21-30 years.  The highest bulk of patients (40.56%) were from obstetrics surgery. Ceftriaxone was the most commonly used antibiotic during the 30-60 minutes before incision. The orthopaedic surgery department used Cefazolin in both pre- and post-operative cases.

Conclusion: The most used antibiotic for surgical case prophylaxis was Ceftriaxone. To control antimicrobial resistance, it is necessary for every hospital to follow antimicrobial guidelines and antibiotic stewardship program.   

JCMCTA 2025 ; 36 (1) : 32-37

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Published

2025-12-23

How to Cite

Hossain, M. A., Khan, A. A., Chowdhury, N., Dey, P., Zahur, T., Islam, S., … Raju, M. S. I. (2025). Pattern of Surgical Antibiotic Prophylaxis in A Corporate Hospital of Chattogram. Journal of Chittagong Medical College Teachers’ Association, 36(1), 32–37. https://doi.org/10.3329/jcmcta.v36i1.86123

Issue

Vol. 36 No. 1 (2025)

Section

Papers and Originals