title: Good medical practices in the use of antibiotic prophylaxis in a surgery ward: Results of a 2013 Apulian study.
abstract: This study describes the changes in the performance of health care workers regarding the control of health care-associated infection in a surgical ward of University Hospital Policlinico, Bari, Italy, before and after a training program and adoption of bundles on antibiotic therapy. There were 194 patients recruited (pre: n = 98; post: n = 96), of which 149 (76.8%) had undergone surgery. We documented a change in the proportions of patients who received in-ward prophylactic antibiotics (from 46/98 to 22/96, P < .05), surgical patients undergoing antibiotic prophylaxis in the operating room (from 18/64 to 36/85, P < .05), and average duration of prophylaxis (from 5.9 ± 4.9 to 2.9 ± 2.7 days, P < .0001). Results confirmed correspondence between the intervention and results recorded.
authors: Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Bari, Italy.
authors: Davide
authors: D
authors: Ferorelli
authors: Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Bari, Italy.
authors: Fiorenza
authors: F
authors: Zotti
authors: Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy. Electronic address: silvio.tafuri@uniba.it.
authors: Silvio
authors: S
authors: Tafuri
authors: Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
authors: Angela
authors: A
authors: Pezzolla
authors: Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
authors: Lidia
authors: L
authors: Dalfino
authors: Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
authors: Nicola
authors: N
authors: Brienza
authors: Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Bari, Italy.
authors: Alessandro
authors: A
authors: Dell'Erba
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis / Q000379:methods*; D006785:Hospitals, University; D006801:Humans; D007558:Italy; D011300:Preoperative Care / Q000379:methods*; D011446:Prospective Studies; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000517:prevention & control
chemical_list: D000900:Anti-Bacterial Agents
keywords: Abdominal surgery; Clinical risk management; Health care worker training; Health care–associated infections