@article { author = {Khatami-Moghadam, Minoo and Khorsandi-Ashtiani, Mohammad-Taghi and Mohagheghi, Mohammad-Ali and Hasibi, Mehrdad and Kouhi, Ali}, title = {Prophylactic Antibiotics in Otolaryngologic Surgeries: From Knowledge to Practice}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {24}, number = {2}, pages = {79-84}, year = {2012}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2011.208}, abstract = {Introduction: The management and use of antimicrobial drugs has clinical, economic, and environmental implications. In many countries, antimicrobial drugs are the most frequently prescribed therapeutic agents. Therefore, health-care policy should focus on how to establish a rational attitude toward antibiotics. This study was performed to investigate antibiotic usage as a prophylactic regimen in head and neck surgeries.  Materials and Methods: This study was a retrospective case series. Patients undergoing otolaryngology surgeries in a tertiary referral otolaryngology center were included. Members of operating room staff that were unaware of the study objectives collected patients’ data using a questionnaire that contained information regarding general medical condition, disease, surgical procedure, and prophylaxis regimen and duration.   Results: Excluding infected patients, we studied 1349 patients during a four-month period who needed prophylactic antibiotics. A total of 34 different types of surgical procedures were performed. Out of the total number of patients, 503 (37.0%) received a parenteral antibiotic directly before surgery. The main antibiotics used before surgery were cephalosporins (94.9%). All of the 1349 patients were administered antibiotics after the procedure. These antibiotics where given with a mean number of doses of 4.81 (range: 1–68), and also consisted of mostly cephalosporins. Conclusion: Our results indicate that prophylactic antibiotics were being significantly misused in a tertiary referral center of a university hospital. Although teaching the principles of prophylaxis to physicians is important, we think that finding a way to bring this knowledge to practice is more important.}, keywords = {}, url = {https://ijorl.mums.ac.ir/article_208.html}, eprint = {https://ijorl.mums.ac.ir/article_208_6f8f0ab88bcbb777dda0b142bf0cdd58.pdf} }