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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 17, No. 1, 2012, pp. 47-50
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Bioline Code: js12009
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 17, No. 1, 2012, pp. 47-50
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Antibiotic Prescription Patterns in the Management of Open Fractures at Mulago Hospital in Kampala.
Kigera, J.W.M. & Shamim, M.
Abstract
Background: Open fractures are contaminated and may result in infection. The use of antibiotics has greatly reduced the risk of infection. We conducted a study in a large teaching
hospital to evaluate the use of antibiotics in the management of open fractures.
Methods: A prospective study of adult patients with open fractures was conducted. Details of
antibiotic use were extracted from the patient charts while details of the injury were determined
by interviewing patients. Data was analysed using SPSS v 11.5.
Results: Majority of the patients were involved in road traffic accidents and were mainly
pedestrians. Only about half of the patients had antibiotics started while in the accident and
emergency department and only about half of the patients received tetanus toxoid prophylaxis.
Conclusion and Recommendations: The antibiotic prescription patterns are at variance with
recommendations in literature. There is need to adopt hospital guidelines in the use of
antibiotics and also the use of checklists to ensure patients receive all necessary medications
before leaving the accident and emergency setting
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© Copyright 2012 - East and Central African Journal of Surgery
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