JOURNAL BROWSE
Search
Advanced SearchSearch Tips
Convergence Research on Periodic Changes in the Quality Assessment of Surgical Prophylactic Antibiotics
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : Journal of Digital Convergence
  • Volume 14, Issue 6,  2016, pp.325-333
  • Publisher : The Society of Digital Policy and Management
  • DOI : 10.14400/JDC.2016.14.6.325
 Title & Authors
Convergence Research on Periodic Changes in the Quality Assessment of Surgical Prophylactic Antibiotics
Yang, Sae-Yie; Kim, Kwang-Hwan;
  PDF(new window)
 Abstract
This study was conducted to provide the base line for the use of prophylactic antibiotics and the standard of antibiotic use and the evaluation based on analysis of current use, quality assessment and periodic changes of prophylactic antibiotics in a university hospital. We chose the year 2008, 2009, 2010, 2012, and 2014 as the study periods since the primary evaluation on the first year of implementation in 2007. For this study, healthcare benefit quality assessment data from the Health Insurance Review and Assessment Service was used. We analyzed the differences each year of treatment period; one category for initial treatment timing, three categories for selecting antibiotics, and two categories for the length of treatment from multiple evaluation indices of gastric surgeries, colorectal surgeries, and cholecystectomy. The analysis revealed the followings: Regarding length of antibiotics treatment, total days of treatment decreased down to 1.5, 1.5, and 0.6 days in the year 2014, from 13.5, 12.8, and 6.9 days in the year 2007, for gastric surgeries, colorectal surgeries, and cholecystectomy. Based on these outcomes, the efforts to devise efficient delivery and distribution of the recommendations or indices which medical staff could adhere for quality improvement of the prophylactic antibiotics would be necessary. Also implementing monitoring system to help the hospitals to acknowledge their own faults may be helpful.
 Keywords
Prophylactic antibiotics;Healthcare claims quality assessment;Length of antibiotics treatment;Surgical site infection;Medical quality management;
 Language
Korean
 Cited by
 References
1.
National Nosocomial Infections Surveillance (NNIS) report, "data summary from October 1986-April 1996, issued May 1996". A report from the National Nosocomial Infections Surveillance (NNIS) System. Am J Infect Control, Vol. 24, No. 5, pp. 380-8, 1996. crossref(new window)

2.
K. B. Kirkland, J. P. Briggs, S. L. Trivette, W. E. Wilkinson, D. J. Sexton. "The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs". Infection Control and Hospital Epidemiology, Vol. 20, No. 11, pp. 725-30, 1999. crossref(new window)

3.
Health Insurance Review & Assesment Service, "Overview of use evaluation results of prophylactic antibiotics surgery in 2012".

4.
I. S. Rheem, H. J. Pai, E. K. Choi, H. T. Oh, D. O. Choi, W. S. Park, "Usage Analysis of Surgical Prophylaxis of Cephalosporins and Aminoglycosides in a University Hospital", Korean Journal of Infectious Diseases ,Vol. 36, No. 1, pp. 1598-8112, 2004.

5.
C. P. Page, J. M. Bohnen, J. R. Fletcher, A. T. McManus, J. S. Solomkin, D. H. Wittmann, "Antimicrobial prophylaxis for surgical wounds. Guidelines for clinical care, Archives of surgery", Vol. 128, No. 1, pp. 79-88, 1993. crossref(new window)

6.
A. J. Mangram, T. C. Horan, M. L. Pearson, L. C. Silver, W. R. Jarvis, Guideline for prevention of surgical site infection, 1999. "Hospital Infection Control Practices Advisory Committee", Infection Control and Hospital Epidemiology, Vol. 20, No. 4, pp. 250-280, 1999.

7.
E. P. Dellinger, P. A. Gross, T. L. Barrett, P. J. Krause, W. J. Martone, J. E. Jr McGowan, R. L. Sweet, R. P. Wenzel, "Quality standard for antimicrobial prophylaxis in surgical procedures". The Infectious Diseases Society of America. Infect Control Hosp Epidemiol, Vol. 15, No. 3, pp. 182-188, 1994. crossref(new window)

8.
ASHP. "Therapeutic Guidelines on Antimicrobial Prophylaxis in Surgery". American Society of Health-System Pharmacists, American Journal of Health System Pharmacy, Vol. 56, No. 18, pp. 1839-1888, 1999.

9.
"Antimicrobial prophylaxis in surgery", Med Lett Drugs Ther, Vol. 43, No. 1116-1117, pp. 92-97, 2001.

10.
M. Yoshida, T. Nabeshima, H. Gomi, A. T. Lefor, "Technology and the prevention of surgical site infections", Journal of Surgical Education, Vol. 64, No. 5, pp. 302-310, 2007. crossref(new window)

11.
G. D. Lissovoy, K. Fraeman, V. Hutchins, D. Murphy, D. Song, B. B. Vaughn, "Surgical site infection: incidence and impact on hospital utilization and treatment costs". American Journal of Infect Control, Vol. 37, No. 5, p. 387-397, 2009. crossref(new window)

12.
M. E. E. van Kasteren, B. J. Kullberg, A. S. de Boer, J. Mintjes-de Groot, I. C. Gyssens, "Adherence to local hospital guidelines for surgical antimicrobial prophylaxis: a multicentre audit in Dutch hospitals", Journal of Antimicrob Chemother, Vol. 51, No. 6, pp. 1389-1396, 2003. crossref(new window)

13.
C. E. Tourmousoglou, E. Ch. Yiannakopoulou, V. Kalapothaki, J. Bramis, J. St. Papadopoulos, "Adherence to guidelines for antibiotic prophylaxis in general surgery: a critical appraisal". Journal of Antimicrob Chemother, Vol. 61, No. 1, pp. 214-218, 2008.

14.
K. Miliani, F. L'Heriteau, P. "Astagneau, Non-compliance with recommendations for the practice of antibiotic prophylaxis and risk of surgical site infection: results of a multilevel analysis from the INCISO Surveillance Network". Journal of Antimicrob Chemother, Vol. 64, No. 6, pp. 1307-1315, 2009. crossref(new window)

15.
C. Hohmann, C. Eickhoff, R. Radziwill, M. Schul, "Adherence to guidelines for antibiotic prophylaxis in surgery patients in German hospitals: a multicentre evaluation involving pharmacy interns". Infection A Journal of Infectious Disease, Vol. 40, No. 2, pp. 131-137, 2012.

16.
W. S. Choi, J. Y. Song, J. H. Hwang, N. S. Kim, H. J. Cheong, "Appropriateness of antibiotic prophylaxis for major surgery in Korea". Infect Control Hosp Epidemiol, Vol. 28, No. 8, pp. 997-1002, 2007. crossref(new window)

17.
P. Sakong, J. S. Lee, E. J. Lee, K. P. Ko, C. H. Kim, Y. Kim, Y. I. Kim, "Association between the pattern of prophylactic antibiotic use and surgical site infection rate for major surgeries in Korea", Journal of Preventive Medicine and Public Health, Vol. 42, No. 1, pp. 12-20, 2009. crossref(new window)

18.
H. I. R. A, "Quality assessment of the use of prophylactic antibiotics for surgery in 2012", Service, H. I. R. A. HIRA web site in information. 2012.

19.
E. Y. Nam, H. B. Kim, H. O. Bae, S. Y. Moon, S. H. Na, S. Y. Kim, D. R. Yoon, H. Y. Lee, J. H. Kim, C. J. Kim, K. H. Song, E. S. Kim, N. J. Kim, "Appropriateness of Surgical Antibiotic Prophylaxis in a Tertiary Hospital", Korean Journal of Nosocomial Infection Control, Vol. 19, No. 2, pp.64-70, 2014. crossref(new window)

20.
E. S. Kim, S. W. Park, C. S. Lee, Y. G. Kwak, C. S. Moon, B. N. Kim, "Impact of a national hospital evaluation program using clinical performance indicators on the use of surgical antibiotic prophylaxis in Korea", International Journal of Infectious Diseases, Vol. 16, No. 3, pp. 187-192, 2012.

21.
C. L. Nelson, T. G. Green, R. A. Porter, R. D. Warren, "One day versus seven days of preventive antibiotic therapy in orthopedic surgery". Clinical Orthopaedics and Related Research, No. 176, pp. 258-263, 1983.

22.
K. S. Scher, "Studies on the duration of antibiotic administration for surgical prophylaxis". The American Surgeon, Vol. 63, No. 1, pp. 59-62, 1997.

23.
D. W. Bratzler, P. M. Houck, C. Richards, L. Steele, E. P. Dellinger, D. E. Fry, C. Wright, A. Ma, K. Carr, L. Red, "Use of antimicrobial prophylaxis for major surgery: baseline results from the National Surgical Infection Prevention Project", Archives of surgery, Vol. 140, No. 2, pp. 174-182, 2005. crossref(new window)

24.
Kim, C. et al. "Pilot Study of Surgical Site Infection Prevention". Seoul: Korea Institute of Health and Social Affiars, 2006.

25.
J. Y. Yang, M. S. Kim, Y. J. Kim, E. B. Lee, "The prophylactic uses of antibiotics for the prevention of surgical site infection and the effects: The 3-year experience in a tertiary hospital", Journal of Korean Society of Quality Assurance in Health Care, Vol. 18, No. 1, pp. 71-78, 2012.

26.
S. Y. Jung, O. S. Kim, J. Y. Lee, "The status of Healthcare-associated Infection Control among Healthcare Facilities in Korea", Journal of Digital Convergence, Vol. 12, No. 5, pp. 353-366, 2014.

27.
D. J. Lee, "Perception and practice of hospital infection control in nurses of geriatric hospital : for convergent approach", Journal of Digital Convergence, Vol. 13, No. 11, pp. 461-470, 2015.

28.
H. N. Yu, K. H. Kang, "The Implementation Status of Dental Treatment Infection Control Standards of Dental Hygienists", Journal of Digital Convergence, Vol. 11, No. 12, pp. 649-656, 2013. crossref(new window)

29.
J. Y. Yoo, J. H. Lee, "Complex impact of Patient Safety and Medical Quality on Hospital Management Activities due to Healthcare Accreditation Adoption", Journal of Digital Convergence, Vol. 13, No. 7, pp. 283-292, 2015.

30.
M. J. Shin, "The Effects of Hospital Accreditation Program to the Organizational Culture, Job Satisfaction, Financial Performances and Patient Safety at Geriatric Hospital : About Busan Metrocity", Journal of Digital Convergence, Vol. 12, No. 10, pp. 455-466, 2014.

31.
M. C Jeon, Y. I. Kim, J. U. Jang, M. S. Han, S. Y. Seo, "A Survey on Perception Level of the Radiological Technologist's about Culture of Patient Safety", Journal of Digital Convergence, Vol. 12, No. 2, pp. 423-430, 2014.

32.
H. J. Yoon, J. G. Oh, "A Study on an acceptance of CDC guideline on practical emergency department planning -Focusing on comparison CDC guideline to Emergency Medical Service Act-", Journal of the Korea Academia-Industrial, Vol. 16, No. 11, pp. 7237-7243, 2015.

33.
H. Y. Jung, Y. K. Jung, "Recognition and Performance Level of Hospital Infection Control in Nurses of Long-term Care Hospital", Recognition and Performance Level of Hospital Infection Control in Nurses of Long-term Care Hospital, Vol. 7, No. 4, pp. 131-141, 2013. crossref(new window)

34.
M. H. Nam, J. H. Im, "The Influences of the Awareness of Patient Safety Culture on Safety Care Activities among Nurse in small-medium Sized General Hospitals", Journal of Digital Convergence, Vol. 11, No. 1, pp. 349-359, 2013.

35.
J. Y. Moon, "An empirical study of the Strategy Development and Deployment effects on the Hospital Management and Hospital Performance", Journal of the Korea Convergence Society, Vol. 6, No. 6, pp. 57-63, 2015.

36.
H. K. Kim, K. S. Lee, K. H. Kim, Y. H. Kim, "A Study on Determinats of Cancer Patients's Length of Hospital Stay on Medical Charges Pattern", Journal of the Korea Convergence Society, Vol. 2, No. 4, pp. 53-58, 2011.