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Nursing - Research Paper Example

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NURSING Name: Course: Tutor: Date: ABSTRACT It has freshly come to the interest of medical experts that it is possible to give antibiotics prior to surgical procedures as a way of minimizing infection to orthopedic patients. In this particular research study, the clinical question of whether giving antibiotics within 1 hour before surgical incision to pre-operative orthopedic patients decreases the rate of infection as compared to those who do not receive antibiotics within the 1 hour will be addressed…
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Download file to see previous pages... The study will also include any strengths, weaknesses or gaps in the Literature part of it where a few examples will be provided. A conclusion will be provided at the end of the study. Key Words: Orthopedics, antibiotics, infection. 1.0. STATEMENT OF THE PROBLEM 1.1. Clinical Question Does Giving Antibiotics within 1 Hour before Surgical Incision to Pre-Operative Orthopedic Patients Decrease Rate of Infection Compared to Patients Who Do Not Receive Antibiotics within 1 Hour? 1.2. PICO 1.2.1. Problem/Patient Patients who were sampled for this particular study where those with previous ailments and included patients who are allergic to penicillin. Such patients were administered 600mg of clindamycin (Kim et al., 2010). All 317 patients were undergoing various surgical initiatives such as total knee arthroplasty, total hip arthroplasty and spine surgery (Jamsen et al., 2010). Before the main intervention was carried out, a number of the patients cited a few concerns regarding the whole process. For instance, if the intervention was going to be successful, what would happen if they did not come out of the surgical process? They were, however, assured of success and this made them rest easy. Some of the characteristics indicated above regarding the patients such as previous ailments or current medications should be considered while searching for evidence. 1.2.2. Intervention A medical intervention is usually the main concern for patients or clients. All patients in the study will be subjected to a surgical ‘time-out’ protocol as a way of preventing wrong-site surgery. The protocol will be carried out in the course of a 7-day period where the patients will be administered prophylactic intravenous antibiotics at least an hour before surgical incision. Anesthesiologists will also routinely administer these antibiotics to the patients before or shortly after induction of anesthesia (Maksimovic et al., 2008). Time interval between administering antibiotics and performing the incision is, as a result, of the patients being positioned, prepared and draped, where the longest time interval taken will be in total hip arthroplasty procedures (Gillespie & Walenkamp, 2010). In the course of the intervention, identifiers will also be put in use as a means of authenticating the correct patient together with the correct surgical site/side, including the patient’s name, date of birth, and the surgeon’s initials in the operative area as well as a signed operative consent form (Jamsen et al., 2010). As mentioned earlier, there are those patients with previous medical issues and those without. For those patients with, for instance, a history of penicillin or cephalosporin allergy, the administration of 600mg of clindamycin will be done, while those without any previous medical conditions will be administered 1g of cefazolin (Burke, 2001). Upon completion of these procedures, the time of preoperative antibiotic administration, time of incision, type of surgery as well as specific antibiotic will be obtained for each of the patients from the time out verification sheets and patient charts, where this information will then be identified (Rosenberg, 2008). The time from antibiotic ...Download file to see next pagesRead More
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