Antibiotic use in urological surgeries: a six years review at Muhimbili National Hospital, Dar es salaam-Tanzania

Mbembati, Naboth A.

Antibiotic use in urological surgeries: a six years review at Muhimbili National Hospital, Dar es salaam-Tanzania

dc.contributor.author	Mbembati, Naboth A.
dc.date.accessioned	2020-07-15T10:41:13Z
dc.date.available	2020-07-15T10:41:13Z
dc.date.issued	2015
dc.description.abstract	Introduction: Antimicrobial prophylaxis for urologic procedures is a major issue, as potential advantages of antibiotic administration should be carefully weighed against potential side effects, microbial resistance, and health care costs. This study aimed to review a six years trend of antibiotic use in urological surgeries at Muhimbili National Hospital (MNH) being an experience in a typical third world environment. Methods: This was a six years hospital based descriptive, retrospective study conducted of which all case notes of urological patients operated on in between January 2007 to December, 2012 were reviewed by using a structured data collecting tool. The data were analyzed using SPSS software. Results: Male patients were the majority at 62% (450). The age range was 0 - 90 years, with a mean of 30 ± 22.09. Among the urological surgeries done at MNH 86.5% (628) received prophylactic antibiotics regardless of the type surgery done. Majority 63.7% (463) received antibiotics during induction. Ceftriaxone was the commonly given antibiotic regardless of the type of urological surgery done. Most of patients (86.4%) were given antibiotics for five days regardless whether it was for prophylactic or treatment intention. Conclusion: Antibiotic use is still a challenge at our hospital with over use of prophylactic antibiotics without obvious indications. Prolonged use of prophylactic antibiotics beyond five days was the main finding. Ceftriaxone was the most given antibiotic regardless of the urological surgery done and its level of contamination. Antibiotic stewardship needs to be addressed urgently to avoid serious drug resistances leaving alone the cost implication.	en_US
dc.identifier.citation	Nyongole, O., Akoko, L., Mwanga, A., Mchembe, M., Kamala, B. and Mbembati, N., 2015. Antibiotic use in urological surgeries: a six years review at Muhimbili National Hospital, Dar es salaam-Tanzania. Pan African Medical Journal, 22(1).	en_US
dc.identifier.issn	DOI: 10.11604/pamj.2015.22.226.6253
dc.identifier.uri	http://hdl.handle.net/123456789/520
dc.language.iso	en	en_US
dc.publisher	Pan African Medical Journal	en_US
dc.subject	Antibiotics	en_US
dc.subject	Urological surgeries	en_US
dc.subject	Tanzania	en_US
dc.title	Antibiotic use in urological surgeries: a six years review at Muhimbili National Hospital, Dar es salaam-Tanzania	en_US
dc.type	Article	en_US