Antiobiotics stewardship for Laparoscopic cholecystectomy

Abstract

Purpose: In order to improve the rational use of antibiotics, we utilized the hospital computer network to manage the using of antibiotics. Methods: Software was designed to obtain the accurate data of the perioperative use of antibiotics from hospital information system (HIS) .After statistical analysis of monitoring data, feedback was given to the Division Director in 2007.Limiting and reminding system about perioperative antibiotics was designed to intervene the perioperative use of prophylactic antibiotics including the level and days of medication in 2008.The requirements of antibiotics use, the problems in using the antibiosis drugs and the monitoring results were presented online for clinical staff in 2009.Application and checking system of special level antibiotics was online in 2010. Dedicated software was designed to manage departments where intervention was not carried out well in 2014. Results: From 2005 to 2007 when the computer network was not enabled, the median of the shortened days in perioperative use of prophylactic antibiotics was 1 day. After the computer network management system was enabled, the median of the shortened days was 2 days. Comparing the perioperative antibiotics using days of 2006 and 2008, there were significant differences, T value was 6.612, p < 0.0001. Significant differences were also found when comparing 2008 and 2014, T value was 20.226, p < 0.0001. Statistic data demonstrated that the computer network in managing antibiotics using was effective.