Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo)

Marie Elombila; Gilbert Fabrice Otiobanda; Peggy Dahlia Leyono-Mawandza; Christ Mayick Mpoy Emy Monkessa; Gilles Niengo Ontsouta; Carine Mboutol Mandavo; Irene Ondima

doi:doi:10.11648/j.ijacm.20200802.19

Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo)

Marie Elombila, Gilbert Fabrice Otiobanda, Peggy Dahlia Leyono-Mawandza, Christ Mayick Mpoy Emy Monkessa, Gilles Niengo Ontsouta, Carine Mboutol Mandavo, Irene Ondima

Published in International Journal of Anesthesia and Clinical Medicine (Volume 8, Issue 2)

Received: 16 October 2020 Accepted: 5 November 2020 Published: 11 November 2020

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Abstract

Aim: Evaluate the practice of antibioprophylaxis in paediatric surgery at University Hospital of Brazzaville. Materials and methods: The study was a retrospective, cross-sectional and descriptive, during 12-month (January to December 2013) conducted in the operating room of University Hospital of Brazzaville. All patients undergoing scheduled paediatric surgery were included in this study. The parameters analyzed were: ASA class, Alteimer class, duration of surgery, type of antibiotic administered, timing of administration and reinjection of antibiotic. Results: A total of 216 patients were analysed. The average age was 7.57±5.03 years. The ASA I was the most represented in 94.9% of cases. Anaesthesia was general in 89.9% of cases. Surgery was classified as Alteimer I in 68.1% of cases, Alteimer II and III in 26.9% and 5.1% of cases respectively. The indication for antibioprophylaxis was conformed in 54.1% of cases. The most commonly used antibiotics were cefuroxime in 42.3% of cases and ceftriaxone in 31.5% of cases. In 20.7% of cases the antibiotic was administered after the surgical incision. Antibiotic reinjections were not performed. The average duration of the surgery was 99.94±46.36 minutes. The overall compliance (indication, choice of molecule, injection-incision time and reinjections) was 47.1%. Conclusion: In almost half of the cases, antibioprophylaxis did not comply with the recommendations. Consensus between surgeons and anesthesiologists must be reached to develop national protocols for antibioprophylaxis in pediatric surgery.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 8, Issue 2)
DOI	10.11648/j.ijacm.20200802.19
Page(s)	74-77
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Surgery, Paediatric, Antibioprophylaxis, Brazzaville

References

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[5]	French Society of Anesthesia and Resuscitation (SFAR). Antibioprophylaxis in surgery and interventional medicine (adult patients). Actualization 2010. Annal Fr Anesth Reanim, 2011; 30: 168-190.
[6]	American Academy of Pediatrics. Antimicrobial prophylaxis. In: Red Book: Report on the Committee on Infectious Diseases. 26th edition. Elk Grove Village, IL: American Academy of Pediatrics, 2003: 773-787.
[7]	Fall ML, Leye PA, Bah MD et al. Clinical audit of surgical antibiotic prophylaxis practices in three university hospitals in Dakar (CHU Fann, CHU Le Dantec, CHU Hoggy). Rev Afr Anesth Med Urg, 2014; 19 (3).
[8]	Lallemand S, Albin C, Huc B et al Antibioprophylaxis in surgery. Compliance of requirements in Franche-Comté with national standards. Ann Chir, 2001; 126: 463-471.
[9]	Lallemand S, Albin C, Huc B et al. Evaluation of surgical antibiotic prophylaxis practices in France-Countté before and after an information campaign. Ann Fr Anesth Reanim, 2002; 21: 634-642.
[10]	Daurat MO, Dubois V, Charrier D et al. Carrying out an audit on the practice of antibioprophylaxis at Saint Etienne University Hospital. J Pharm Clin, 2001; 19 (4): 260-265.
[11]	Krug E, Beangas A, Borgey F et al. Audit of antibiotic prophylaxis practices in a Hospital Center. J Pharm Clin, 2003; 22 (4): 187-195.
[12]	SP Anandalwar, C Milliren, DA Graham, et al., Trends in the Use of Surgical Antibiotic Prophylaxis in General Pediatric Surgery: Are We Missing the Mark for, Journal of Pediatric Surgery, https://doi.org/10.1016/j.jpedsurg.2019.09.057.
[13]	Sandora TJ, Fung M, Melvin P, Graham DA, Rangel SJ. National Variability and Appropriateness of Surgical Antibiotic Prophylaxis in US Children's Hospitals. JAMA Pediatr. 2016 Jun 1; 170 (6): 570-6. doi: 10.1001/jamapediatrics.2016.0019. PMID: 27088649.
[14]	Syed MK, Al Faqeeh AA, Othman A et al. Antimicrobial Prophylaxis in Clean Pediatric Surgical Procedures: A Necessity or Redundancy ? Cureus. 2020, Sep 28; 12 (9): e10701. doi: 10.7759/cureus.10701. PMID: 33133866; PMCID: PMC7594672.
[15]	Khoshbin A, So JP, Aleem IS et al Antibiotic prophylaxis to prevent surgical site infections in children: a prospective cohort study. Annals of Surgery, 2015; 262 (2): 397-402.
[16]	Classen DC, Evans RS, Pestonik SL et coll. The time of prophylactic administration of antibiotics and the risk of infection of surgical wounds. N Engl J Med 1992; 326: 281-286.
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Marie Elombila, Gilbert Fabrice Otiobanda, Peggy Dahlia Leyono-Mawandza, Christ Mayick Mpoy Emy Monkessa, Gilles Niengo Ontsouta, et al. (2020). Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo). International Journal of Anesthesia and Clinical Medicine, 8(2), 74-77. https://doi.org/10.11648/j.ijacm.20200802.19

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Marie Elombila; Gilbert Fabrice Otiobanda; Peggy Dahlia Leyono-Mawandza; Christ Mayick Mpoy Emy Monkessa; Gilles Niengo Ontsouta, et al. Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo). Int. J. Anesth. Clin. Med. 2020, 8(2), 74-77. doi: 10.11648/j.ijacm.20200802.19

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AMA Style

Marie Elombila, Gilbert Fabrice Otiobanda, Peggy Dahlia Leyono-Mawandza, Christ Mayick Mpoy Emy Monkessa, Gilles Niengo Ontsouta, et al. Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo). Int J Anesth Clin Med. 2020;8(2):74-77. doi: 10.11648/j.ijacm.20200802.19

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@article{10.11648/j.ijacm.20200802.19,
  author = {Marie Elombila and Gilbert Fabrice Otiobanda and Peggy Dahlia Leyono-Mawandza and Christ Mayick Mpoy Emy Monkessa and Gilles Niengo Ontsouta and Carine Mboutol Mandavo and Irene Ondima},
  title = {Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo)},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {8},
  number = {2},
  pages = {74-77},
  doi = {10.11648/j.ijacm.20200802.19},
  url = {https://doi.org/10.11648/j.ijacm.20200802.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20200802.19},
  abstract = {Aim: Evaluate the practice of antibioprophylaxis in paediatric surgery at University Hospital of Brazzaville. Materials and methods: The study was a retrospective, cross-sectional and descriptive, during 12-month (January to December 2013) conducted in the operating room of University Hospital of Brazzaville. All patients undergoing scheduled paediatric surgery were included in this study. The parameters analyzed were: ASA class, Alteimer class, duration of surgery, type of antibiotic administered, timing of administration and reinjection of antibiotic. Results: A total of 216 patients were analysed. The average age was 7.57±5.03 years. The ASA I was the most represented in 94.9% of cases. Anaesthesia was general in 89.9% of cases. Surgery was classified as Alteimer I in 68.1% of cases, Alteimer II and III in 26.9% and 5.1% of cases respectively. The indication for antibioprophylaxis was conformed in 54.1% of cases. The most commonly used antibiotics were cefuroxime in 42.3% of cases and ceftriaxone in 31.5% of cases. In 20.7% of cases the antibiotic was administered after the surgical incision. Antibiotic reinjections were not performed. The average duration of the surgery was 99.94±46.36 minutes. The overall compliance (indication, choice of molecule, injection-incision time and reinjections) was 47.1%. Conclusion: In almost half of the cases, antibioprophylaxis did not comply with the recommendations. Consensus between surgeons and anesthesiologists must be reached to develop national protocols for antibioprophylaxis in pediatric surgery.},
 year = {2020}
}

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TY - JOUR
T1 - Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo)
AU - Marie Elombila
AU - Gilbert Fabrice Otiobanda
AU - Peggy Dahlia Leyono-Mawandza
AU - Christ Mayick Mpoy Emy Monkessa
AU - Gilles Niengo Ontsouta
AU - Carine Mboutol Mandavo
AU - Irene Ondima
Y1 - 2020/11/11
PY - 2020
N1 - https://doi.org/10.11648/j.ijacm.20200802.19
DO - 10.11648/j.ijacm.20200802.19
T2 - International Journal of Anesthesia and Clinical Medicine
JF - International Journal of Anesthesia and Clinical Medicine
JO - International Journal of Anesthesia and Clinical Medicine
SP - 74
EP - 77
PB - Science Publishing Group
SN - 2997-2698
UR - https://doi.org/10.11648/j.ijacm.20200802.19
AB - Aim: Evaluate the practice of antibioprophylaxis in paediatric surgery at University Hospital of Brazzaville. Materials and methods: The study was a retrospective, cross-sectional and descriptive, during 12-month (January to December 2013) conducted in the operating room of University Hospital of Brazzaville. All patients undergoing scheduled paediatric surgery were included in this study. The parameters analyzed were: ASA class, Alteimer class, duration of surgery, type of antibiotic administered, timing of administration and reinjection of antibiotic. Results: A total of 216 patients were analysed. The average age was 7.57±5.03 years. The ASA I was the most represented in 94.9% of cases. Anaesthesia was general in 89.9% of cases. Surgery was classified as Alteimer I in 68.1% of cases, Alteimer II and III in 26.9% and 5.1% of cases respectively. The indication for antibioprophylaxis was conformed in 54.1% of cases. The most commonly used antibiotics were cefuroxime in 42.3% of cases and ceftriaxone in 31.5% of cases. In 20.7% of cases the antibiotic was administered after the surgical incision. Antibiotic reinjections were not performed. The average duration of the surgery was 99.94±46.36 minutes. The overall compliance (indication, choice of molecule, injection-incision time and reinjections) was 47.1%. Conclusion: In almost half of the cases, antibioprophylaxis did not comply with the recommendations. Consensus between surgeons and anesthesiologists must be reached to develop national protocols for antibioprophylaxis in pediatric surgery.
VL - 8
IS - 2
ER -

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Author Information

Marie Elombila

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Gilbert Fabrice Otiobanda

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Peggy Dahlia Leyono-Mawandza

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Christ Mayick Mpoy Emy Monkessa

Department of Anaesthesia and Intensive Care, University Hospital Center, Brazzaville, Republic of Congo
Gilles Niengo Ontsouta

Department of Anaesthesia and Intensive Care, University Hospital Center, Brazzaville, Republic of Congo
Carine Mboutol Mandavo

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Irene Ondima

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo

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Plain Text BibTeX RIS

APA Style

Marie Elombila, Gilbert Fabrice Otiobanda, Peggy Dahlia Leyono-Mawandza, Christ Mayick Mpoy Emy Monkessa, Gilles Niengo Ontsouta, et al. (2020). Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo). International Journal of Anesthesia and Clinical Medicine, 8(2), 74-77. https://doi.org/10.11648/j.ijacm.20200802.19

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ACS Style

Marie Elombila; Gilbert Fabrice Otiobanda; Peggy Dahlia Leyono-Mawandza; Christ Mayick Mpoy Emy Monkessa; Gilles Niengo Ontsouta, et al. Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo). Int. J. Anesth. Clin. Med. 2020, 8(2), 74-77. doi: 10.11648/j.ijacm.20200802.19

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AMA Style

Marie Elombila, Gilbert Fabrice Otiobanda, Peggy Dahlia Leyono-Mawandza, Christ Mayick Mpoy Emy Monkessa, Gilles Niengo Ontsouta, et al. Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo). Int J Anesth Clin Med. 2020;8(2):74-77. doi: 10.11648/j.ijacm.20200802.19

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@article{10.11648/j.ijacm.20200802.19,
  author = {Marie Elombila and Gilbert Fabrice Otiobanda and Peggy Dahlia Leyono-Mawandza and Christ Mayick Mpoy Emy Monkessa and Gilles Niengo Ontsouta and Carine Mboutol Mandavo and Irene Ondima},
  title = {Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo)},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {8},
  number = {2},
  pages = {74-77},
  doi = {10.11648/j.ijacm.20200802.19},
  url = {https://doi.org/10.11648/j.ijacm.20200802.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20200802.19},
  abstract = {Aim: Evaluate the practice of antibioprophylaxis in paediatric surgery at University Hospital of Brazzaville. Materials and methods: The study was a retrospective, cross-sectional and descriptive, during 12-month (January to December 2013) conducted in the operating room of University Hospital of Brazzaville. All patients undergoing scheduled paediatric surgery were included in this study. The parameters analyzed were: ASA class, Alteimer class, duration of surgery, type of antibiotic administered, timing of administration and reinjection of antibiotic. Results: A total of 216 patients were analysed. The average age was 7.57±5.03 years. The ASA I was the most represented in 94.9% of cases. Anaesthesia was general in 89.9% of cases. Surgery was classified as Alteimer I in 68.1% of cases, Alteimer II and III in 26.9% and 5.1% of cases respectively. The indication for antibioprophylaxis was conformed in 54.1% of cases. The most commonly used antibiotics were cefuroxime in 42.3% of cases and ceftriaxone in 31.5% of cases. In 20.7% of cases the antibiotic was administered after the surgical incision. Antibiotic reinjections were not performed. The average duration of the surgery was 99.94±46.36 minutes. The overall compliance (indication, choice of molecule, injection-incision time and reinjections) was 47.1%. Conclusion: In almost half of the cases, antibioprophylaxis did not comply with the recommendations. Consensus between surgeons and anesthesiologists must be reached to develop national protocols for antibioprophylaxis in pediatric surgery.},
 year = {2020}
}

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