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Iranian Journal of Otorhinolaryngology، جلد ۲۴، شماره ۲، صفحات ۷۹-۸۴
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عنوان فارسی |
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چکیده فارسی مقاله |
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کلیدواژههای فارسی مقاله |
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عنوان انگلیسی |
Prophylactic Antibiotics in Otolaryngologic Surgeries: From Knowledge to Practice |
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چکیده انگلیسی مقاله |
Introduction: The management and use of antimicrobial drugs has clinical, economic, and environmental implications. In many countries, antimicrobial drugs are the most frequently prescribed therapeutic agents. Therefore, health-care policy should focus on how to establish a rational attitude toward antibiotics. This study was performed to investigate antibiotic usage as a prophylactic regimen in head and neck surgeries. Materials and Methods: This study was a retrospective case series. Patients undergoing otolaryngology surgeries in a tertiary referral otolaryngology center were included. Members of operating room staff that were unaware of the study objectives collected patients' data using a questionnaire that contained information regarding general medical condition, disease, surgical procedure, and prophylaxis regimen and duration. Results: Excluding infected patients, we studied 1349 patients during a four-month period who needed prophylactic antibiotics. A total of 34 different types of surgical procedures were performed. Out of the total number of patients, 503 (37.0%) received a parenteral antibiotic directly before surgery. The main antibiotics used before surgery were cephalosporins (94.9%). All of the 1349 patients were administered antibiotics after the procedure. These antibiotics where given with a mean number of doses of 4.81 (range: 1–68), and also consisted of mostly cephalosporins. Conclusion: Our results indicate that prophylactic antibiotics were being significantly misused in a tertiary referral center of a university hospital. Although teaching the principles of prophylaxis to physicians is important, we think that finding a way to bring this knowledge to practice is more important. |
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کلیدواژههای انگلیسی مقاله |
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نویسندگان مقاله |
| Minoo Khatami-Moghadam Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Amir-Alam University Hospital
| Mohammad-Taghi Khorsandi-Ashtiani Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Amir-Alam University Hospital
| Mohammad-Ali Mohagheghi Cancer Institute, Cancer Research Center, Tehran University of Medical Sciences
| Mehrdad Hasibi 3Department of Infectious Diseases Tehran University of Medical Sciences, Tehran, Iran
| Ali Kouhi Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Amir-Alam University Hospital
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نشانی اینترنتی |
http://ijorl.mums.ac.ir/article_208.html |
فایل مقاله |
اشکال در دسترسی به فایل - ./files/site1/rds_journals/11/article-11-589849.pdf |
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زبان مقاله منتشر شده |
en |
موضوعات مقاله منتشر شده |
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نوع مقاله منتشر شده |
Original |
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