Implementing surgical antibiotic prophylaxis guidelines; role of clinical pharmacist
Author(s): Tarun Gautam, Ashwani Kumar, Sourabh Kosey*, H. P.S. Sandhu
administration with surveillance of Surgical Site Infections (SSIs) incidence in patient undergoing surgery, many of the important conclusions can be carried out which leads to a substantial improvement in SAP administration practice. International recommendations include Scottish Intercollegiate Guidelines Network (SIGN), Antibiotic prophylaxis in surgery, Edinburgh: SIGN; 2008 [updated April, 2014]; and ASHP therapeutic guidelines on antimicrobial prophylaxis in surgery, 1999 [updated September, 2013] provides evidence based regulations which can be used to establish local therapeutic guidelines for antibiotic prophylaxis administration in patients undergoing surgery. Besides establishment of evidence based SAP guidelines, implementation of these guidelines is of vital importance. Clinical pharmacist holds keystone kind of role in overall acceptance and implementation of these locally established guidelines, ultimately improving health related outcomes in patients as a result of reduction in post-operative SSIs development. As an important ally to practitioner clinical pharmacist plays a very important role in building a bridge between practitioner’s decisions and health outcomes of patients. This role fulfilled by clinical pharmacist with the help of clinical pharmacy services like Drug utilization review, Drug utilization evaluations, Prescription event monitoring, clinical research studies, Drug information services, Therapeutic drug monitoring and clinical pharmacokinetics services. At the end, complete compliance with evidence based SAP guidelines leads to decrease in overall incidence of SSIs development and improvement in health related outcomes of patients undergoing surgery.
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