Clinical Audit: Usage of

Antibiotics on delivery
Patients

Date: 01-08-23

Evaluation of pre-surgical prophylactic

Antibiotic compliance in Elective/ Emergency LSCS/NVD
Objective
1. To measure compliance to the recommended antibiotic.
2. To measure compliance to administration of antibiotic within 60
minutes of incision.

Methodology
 A record based cross sectional study was carried out from May,
2023 to July 2023.
 Study instrument & material: audit tool and audit report of the
record.
 Sample size: all cases of delivery during the said period i.e.
3 months
 Inj. Monocef was the recommended antibiotic and any other
antibiotic given on medical ground was considered compliant.
 Antibiotic administered within 0-60 min. prior to incision was
considered compliant.

Data entry & Analysis

Reviewed By: Approved By:

Dr Laxmi Modi Dr. Mahesh Khurani
 Clinical Audit: Usage of
Antibiotics on delivery
Patients

Data was entered in Microsoft Excel and analyzed.

Month wise distribution of antibiotic compliance
Accuzone
Total no. of Amikacin, Ornida Accuzone Amikacin, Other ABX with Other ABX without
cases of FTND with reason Ornida without reason reason reason

May 9 9 0 0 0
June 11 11 0 0 0
July 7 7 0 0 0
Total Case 27 27 0 0 0

Findings:

12 11
11
10 9 Month wise distribution
9 of antibiotic compliance
Total no. of cases of FTND
8 7
7
6
Month wise distribution
of antibiotic compliance
4 Accuzone
Amikacin, Ornida with
reason
2

Reviewed By: Approved By:

Dr Laxmi Modi Dr. Mahesh Khurani
 Clinical Audit: Usage of
Antibiotics on delivery
Patients

Month wish distribution of antibiotic administration with in 60 min. prior incision

No. of cases within No. of cases out side

Total no. of 60 min. prior to 60 min. prior to
cases of FTND incision incision
May 9 9 (100%) 0
June 11 11 (100%) 0
July 7 6 (90 %) 1
Total Case 27 26 1
86 14

Month wise distribution of antibiotic administration with in 60 min. prior

incision
50

40

30

20
9 11
10 7
0 0 1
0

Reviewed By: Approved By:

Dr Laxmi Modi Dr. Mahesh Khurani
 Clinical Audit: Usage of
Antibiotics on delivery
Patients

Distriburion of compliance among full time consultant & courtesy Consultant

Full time consultant Consultant's cases Courtesy Consultant's cases

Total no. of cases of FTND 27
Total no. of cases of LSCS
Emergency 15
Inj. Accuzone 1 gm 0
Inj. Amikacin 500 48
Inj. Ornida 500 mg 0
Inj. Tazomac 4.5 gm IV 0
Inj. Zebocef 1.5 gm IV 0
Abx Change with Reason 0
Abx Change with out reason 0
Abx admin.within 60 min of
incision 0
Abx admin. Not within 60 min of
incision 0

Full time consultant Consultant's cases

10
9
8
7
6
5
4
3
2 0 0 0 0 0 0 0 0
1
0
Total Abx Abx Abx
Abx
Total no. of Inj. Inj. Chan admi admi
Inj. Inj. Inj. Chan
no. of cases Tazo Zebo ge n.wit n.
Accuz Amik Ornid ge
cases of mac cef with hin Not
one 1 acin a 500 with
of LSCS 4.5 1.5 out 60 withi
gm 500 mg Reas
FTND Emer gm IV gm IV reaso min n 60
on
gency n of… min…
Full time consultant Consultant's
27 15 0 48 0 0 0 0 0 0 0
cases

Reviewed By: Approved By:

Dr Laxmi Modi Dr. Mahesh Khurani
 Clinical Audit: Usage of
Antibiotics on delivery
Patients

Conclusion

Type of antibiotic used

other antibiotic with Other antibiotic
Total No. of cases Accuzone reason with reason
27 0% 90%

Compliance with respect to antibiotic

Total No. of cases Compliance Non-Compliance
27 90% 10%

Antibiotc administration compliance within 60 min. prior to incision

Total No. of cases Compliance Non-Compliance
27 100% 0%

Type of antibiotic used

100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
other antibiotic Other antibiotic
Accuzone
with reason with reason
Type of antibiotic used 0% 90%

Reviewed By: Approved By:

Dr Laxmi Modi Dr. Mahesh Khurani
 Clinical Audit: Usage of
Antibiotics on delivery
Patients

Compliance with respect to antibiotic

100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Compliance Non-Compliance
Compliance 90% 10%

Antibiotc administration compliance within 60 min. prior to

incision
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Compliance Non-Compliance
Series1 100% 0%

Conclusion

 Recommended antibiotic was used in 27 cases i.e. 100 %

Reviewed By: Approved By:

Dr Laxmi Modi Dr. Mahesh Khurani
 Clinical Audit: Usage of
Antibiotics on delivery
Patients

 Other antibiotic was used in 0 cases i.e. 0%

 Total compliance for antibiotic use was 100%

 Antibiotic administration compliance within 60 min. prior to incision was 100%

 Although, compliance for antibiotic use was high, personal choice for the use of other antibiotic
with reason can’t be ruled out.

 Full time consultant had high compliance for the objectives as compared to courtesy consultant.

Recommendations

 Monitoring of SSI should be done to know effectiveness of the antibiotic used.

Reviewed By: Approved By:

Dr Laxmi Modi Dr. Mahesh Khurani