Analyze the effectiveness of clinical pharmacy interventions with antibiotic use in vascular surgery at the Department of Thoracic Surgery, Bach Mai Hospital

  • Nguyễn Thị Thu Hà Bệnh viện Bạch Mai
  • Lê Thị Nguyệt Minh Đại học Dược Hà Nội
  • Nguyễn Mai Hoa Đại học Dược Hà Nội
  • Nguyễn Ngọc Quỳnh Trang Đại học Dược Hà Nội
  • Nguyễn Hoàng Anh Bệnh viện Bạch Mai
  • Nguyễn Quỳnh Hoa Bệnh viện Bạch Mai
  • Ngô Gia Khánh Bệnh viện Bạch Mai
  • Vũ Anh Tuấn Bệnh viện Bạch Mai
  • Dương Đức Hùng Bệnh viện Bạch Mai

Main Article Content

Keywords

Antibiotic stewardship program, surgical site infection, vascular surgery

Abstract

Objective: To summarize characteristics of clinical pharmacy interventions with antibiotic use in vascular surgery at The Department of Thoracic Surgery, Bach Mai Hospital and to analyze the effectiveness of clinical pharmacy interventions on surgical site infection prevention and economic efficiency. Subject and method: Prospective interventional study was performed on all patients who had vascular surgery indicated from September 1st, 2022 to April 30th, 2023 at the Department of Thoracic Surgery, compared with retrospective group from January 1st, 2022 to August 31st, 2022. Result: During the period from September 1st, 2022 to April 30th, 2023, 90.8% patients in the prospective group underwent intervention, with the rate of intervention approved and implemented by doctors at 73.9%. The rate of surgical site infection of the prospective group and the retrospective group was not statistically significant (p>0.05). The duration of intravenous antibiotic use at the Department of Thoracic Surgery of the prospective group was shorter than 1 day and the treatment cost was significantly lower by 4-6 times comparing to the retrospective group (p<0.05). Conclusion: The enhancement of clinical pharmacy interventions with antibiotic use in vascular surgery initially reduced the duration of intravenous antibiotic use, the treatment cost associated with antibiotics and was not different from the retrospective group in the incidence of surgical site infection.

Article Details

References

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