Quality Operating Process

Dr. Ram Manohar Lohia Combined Hospital , Lucknow Manual of Operations Antibiotic Policy

Document No : RML/AP/01 Date of Issue : 15/1/2008

Service Name : Date Created :

Antibiotic Policy

Operational Policy
15-01-2008 Chief Medical Superintendent Approved By : Name :

Signature : Chief Pharmacist Reviewed By : Name : Signature : Director Issued By : Name : Signature : Chief Pharmacist Responsibility of Updating : Name : Signature :

Manual of Operation

Quality Operating Process

Dr. Ram Manohar Lohia Combined Hospital , Lucknow Manual of Operations Antibiotic Policy

Document No : RML/AP/01 Date of Issue : 15/1/2008

Sl.Order Particulars

Purpose

Scope

Guideline for Antibiotic Treatment and Prophylaxis

A. Purpose: Improve patient care by promoting the best practice in antibiotic prophylaxis and therapy. Make better use of resources by using cheaper drugs where possible.

Manual of Operation

Quality Operating Process

Dr. Ram Manohar Lohia Combined Hospital , Lucknow Manual of Operations Antibiotic Policy

Document No : RML/AP/01 Date of Issue : 15/1/2008

B. Scope:

Retard the emergence and spread of multiple antibiotic resistant bacteria. Improve education of junior doctors by providing guidelines for appropriate therapy. Eliminate the use of unnecessary or ineffective antibiotics and restrict the use of expensive or unnecessarily powerful ones.

Hospital Wide Consider whether or not the patient actually requires an antibiotic Avoid treating colonized patients who are not actually infected. In general do not change antibiotic therapy if the clinical condition is improving. If there is no clinical response within 72 hours, the clinical diagnosis, the choice of antibiotic and/or the possibility of a secondary infection should be reconsidered. Give the antibiotic for the minimum length of time that is effective. Review the duration of antibiotic therapy after 5 days. For surgical prophylaxis start the antibiotic one day before induction of anaesthesia and continue for a maximum of five days . Use catheters only when essential; remove when no longer essential Target the pathogen obtain cultures from the patient; target empiric therapy to likely pathogens; target definitive therapy to known pathogens. Isolate the pathogen use standard infection control and isolation precautions Break the chain of contagion KEEP YOUR HANDS CLEAN

Manual of Operation

Quality Operating Process

Dr. Ram Manohar Lohia Combined Hospital , Lucknow Manual of Operations Antibiotic Policy

Document No : RML/AP/01 Date of Issue : 15/1/2008

C. Guideline for Antibiotic Treatment and Prophylaxis:

Common Pathogen Acute viral inf Viral with secondary inf Acute Bacterial 1st Line 2nd Line No Antibiotic Antiviral -Penicillin deriviates Quinolone -Macrolides Cefalosporin -Clotrimoxazole 2nd and 3rd Generation -Penicillin deriviates quinolones st -1 generation quinolones -1st and 2nd gen 3rd generation cephalosporin Cefalosporin Broad spectrum antibiotic As per culture of any generation sensitivity result Aminoglycocytes Broadspectrum antibiotic As per culture Aminoglycocytes sensitivity result Tinidazole Metronidazole Ormidazole Secinidazole Antihelminthics Specific or Broad specific Ketaconazole, , With suitable Miconazole,Fluconazole Antibiotics As policy of DOTs clinic Anti amoebics Chloroquines and Artisunate Primaquines Artimether Comment Symptomatic -

Mix Bacteria inf Gram+ve, Gram-ve Mix Anaerobic inf

Worms infestation Fungal Tuberculosis Amoebic inf Malarial Parasite

Resistant cases Quinine Derivatives

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