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Evaluation Of Antimicrobial Stewardship Implementation In Elective Surgery In Dr Cipto Mangunkusumo General Hospital Using Gyssens Method, Rhea P. Ulima, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

Introduction. Nowadays, surgical site infections (SSI) remain the most common complication of surgical procedures. In prevention, prophylactic antibiotics are the first option, which leads to the high use of antibiotics. However, antibiotic administration should be based on strategies such as stewardship. Thus, the study aimed to assess the situation using Gyssens' method.

Method. A retrospective cohort study analyzed the antibiotic administration of most major elective surgeries, including thyroidectomy, mastectomy, and cholecystectomy, proceeded in Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia, from January to July 2023. Indication, type, dosage, timing, interval, duration, and route of administration were the variables of interest. …

Effect Of Pre-Operative Education On Post-Operative Pain Management Among Adult Patients Undergoing Elective Surgery: An Integrative Review, Sameera Liaqat Adam Albalushi, Fadi Khraim Dr., Atef M. M. Al-Tawafsheh Dr., Daniel Forgrave

Journal of Perioperative Nursing

Introduction: Adequate pain control for surgical patients is an important aspect of their post-operative care. To manage pain, health care professionals use pharmacological and non-pharmacological strategies. A significant worldwide increase in the number of surgical procedures and their associated cost has led to a focus on non-pharmacological interventions, like education, to prevent post-operative complications. Education in the pre-operative phase aims to assist patients in overcoming their fears about upcoming surgery, promote pain management and enhance the recovery process.

Objective: This integrative review aims to assess the effectiveness of preoperative education on post-operative pain management among surgical patients.

Method: Whittemore and …

Developing A Clinical Practice Guideline For Surgical Diabetic Patients, Barbie Harbaugh, Diane Whitehead

Journal of Excellence in Nursing and Healthcare Practice

Diabetes is a recognized risk factor for postoperative infection, acute renal failure, ileus, and a lengthy hospital stay. Optimal screening, management, and scheduling of elective surgery for diabetic patients have been shown to improve quality care, decrease complications, increase the efficiency, and lower the costs of preoperative patient care. However, surgery cancellations are common due to inadequate preoperative glycemic control and poor intraoperative glycemic control, which are recognized risk factors for perioperative or postoperative complications. There were no clinical practice guidelines or optimization protocols for elective surgery patients at a small rural hospital in the northeast United States. The purpose …