ABSTRACT
The main objective of the article is to provide the necessary awareness on decision making in order to support better patient care. The awareness is through advisory technique with more emphasis on practical application. The article has analysis of the opinions from experts on synthesis. More so, there is provision of better ways to clinical data feasibility, open forum consultations and surveys from experts on anesthesia. The main emphasize of the article is decision making in improvement of the patient care. Although advisories are important, the aim should always be decision making and the article focuses on practice in order to improve medical knowledge. The article gives an outline on additional measures to be taken to improve the medical practice according to Anesthesiology. The article emphasizes the advisory from the anesthesiologists and all the supporting physicians. In addition, there is also provision of advisory to individuals who administer general anesthesia. Review of the article on Metal-Analysis study has identified many characteristics of patients who have been associated with the risk of little awareness. The review has explained the procedures to be followed when dealing with situations of higher risks on intraoperative awareness. The anesthetic techniques on intraoperative awareness are also included in the preoperative awareness
ABSTRACT
Background: antibiotic administration is an essential element for any surgical operation success, even if a prior infection was not detected. This is due to the fact that antimicrobial agents do not only act as therapy to treat preexisting infection but also as a prophylaxis which is given preoperatively to reduce the incidence of surgical site infection and as an adjunct to operative treatment which is given in the setting of operative management of infections such as secondary peritonitis or necrotizing fasciitis. Prophylactic antibiotics are also used as primary therapy when operation is not performed, such as for cellulitis, or postoperative pneumonia which indicates the significance of surgical antibiotic prophylaxis and the great importance of adhering to the right treatment protocol and guidelines
Aim of the Study: a systematic review was performed to evaluate the adherence to clinical guidelines for surgical antibiotic prophylaxis
Methods: of which fifteen studies were retrieved that fulfilled most of the inclusion requirements of being randomized controlled clinical trials
Results: 952 articles were retrieved from database, of which 15 studies were selected for selected for synthesis. 5 outcome of interest were identified, on top of which were the administration of antibiotic at the correct time and adequate discontinuation of antibiotic which ranged from 0.3% to 100%
Conclusion: the assessed studies addressed a gap in the adherence to guidelines for surgical antibiotic prophylaxis and more rigor approaches to leverage the guidelines