Abstract

This study describes the changes in the performance of health care workers regarding the control of health care-associated infection in a surgical ward of University Hospital Policlinico, Bari, Italy, before and after a training program and adoption of bundles on antibiotic therapy. There were 194 patients recruited (pre: n= 98; post: n= 96), of which 149 (76.8%) had undergone surgery. We documented a change in the proportions of patients who received in-ward prophylactic antibiotics (from 46/98 to 22/96, P<.05), surgical patients undergoing antibiotic prophylaxis in the operating room (from 18/64 to 36/85, P<.05), and average duration of prophylaxis (from 5.9±4.9 to 2.9±2.7days, P<.0001). Results confirmed correspondence between the intervention and results recorded.

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