| アイテムタイプ |
itemtype_ver1(1) |
| 公開日 |
2024-12-10 |
| タイトル |
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|
タイトル |
Surgical antimicrobial prophylaxis in Japanese hospitals: Real status and challenges |
|
言語 |
en |
| 著者 |
Morioka, Hiroshi
Koizumi, Yusuke
Watariguchi, Toshitaka
Oka, Keisuke
Tomita, Yuka
Kojima, Yumi
Okudaira, Masami
Ito, Yuji
Shimizu, Junichi
Watamoto, Koichi
Kato, Hiroki
Nagaoka, Masatoshi
Yokota, Manabu
Hasegawa, Chihiro
Tsuji, Takeshi
Shimizu, Shinsuke
Ito, Kenta
Kawasaki, Shohei
Akita, Kenji
Kitagawa, Yuichi
Mutoh, Yoshikazu
Ishihara, Masamitsu
Iwata, Susumu
Nozaki, Yasuhiro
Nozawa, Masanori
Kato, Munehiro
Katayama, Masao
Yagi, Tetsuya
|
| アクセス権 |
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|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利 |
|
|
権利情報 |
© 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
言語 |
en |
| 内容記述 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: Information regarding the status of surgical antimicrobial prophylaxis (SAP) in Japanese hospitals is lacking. This study aimed to explore the status of SAP prescriptions for surgeries and adherence to Japanese SAP guidelines. Methods: From February to July 2020, a 1-day multicentre point prevalent survey was conducted at 27 hospitals in Aichi Prefecture, Japan. Patients prescribed SAP were included in this study. The appropriateness of the SAP was evaluated based on the guidelines for selection of antimicrobials and their duration. Surgery was defined as appropriate when all the items were appropriate. Results: A total of 728 patients (7.1 %; 728/10,199) received antimicrobials for SAP. Among them, 557 patients (76.5 %, 557/728) underwent the surgeries described in the guidelines. The overall appropriateness of all surgeries was 33.9 % (189/557). The appropriate selection of antimicrobial before/during and after surgery and their durations were 67.5 % (376/557), 67.5 % (376/557), and 43.3 % (241/557), respectively. The overall appropriateness ranged from 0 % (0/37, oral and maxillofacial surgery) to 58.7 % (88/150, orthopaedic surgery) and 27.7 % (36/130, community hospitals with 400–599 beds) to 47.2 % (17/36, specific hospitals). Cefazolin was the most prevalent antimicrobial prescribed before/during (55.5 %, 299/539), and after (45.1 %, 249/552) surgery. In total, 101 oral antimicrobials were prescribed postoperatively. Conclusions: SAP adherence by specific surgical fields and hospitals was shown in this study. Intensive intervention and repeated surveillance are necessary to improve SAP prescriptions in Japanese hospitals. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Elsevier |
|
言語 |
en |
| 言語 |
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|
言語 |
eng |
| 資源タイプ |
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|
資源タイプresource |
http://purl.org/coar/resource_type/c_6501 |
|
タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 関連情報 |
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|
関連タイプ |
isVersionOf |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.1016/j.jiac.2024.01.013 |
| 収録物識別子 |
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収録物識別子タイプ |
PISSN |
|
収録物識別子 |
1341321X |
| 書誌情報 |
en : Journal of Infection and Chemotherapy
巻 30,
号 7,
p. 626-632,
発行日 2024-07
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| ファイル公開日 |
|
|
日付 |
2025-07-01 |
|
日付タイプ |
Available |
