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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 :

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Manual of Operation

Order Particulars A Purpose B Scope C Guideline for Antibiotic Treatment and Prophylaxis A. Ram Manohar Lohia Combined Hospital . Lucknow Manual of Operations Antibiotic Policy Document No : RML/AP/01 Date of Issue : 15/1/2008 Sl.Quality Operating Process Dr. 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. 2 Manual of Operation .

Improve education of junior doctors by providing guidelines for appropriate therapy. In general do not change antibiotic therapy if the clinical condition is improving. target definitive therapy to known pathogens.Quality Operating Process Dr. If there is no clinical response within 72 hours. Ram Manohar Lohia Combined Hospital . Eliminate the use of unnecessary or ineffective antibiotics and restrict the use of expensive or unnecessarily powerful ones. Scope: Retard the emergence and spread of multiple antibiotic – resistant bacteria. the choice of antibiotic and/or the possibility of a secondary infection should be reconsidered. Isolate the pathogen – use standard infection control and isolation precautions Break the chain of contagion – KEEP YOUR HANDS CLEAN 3 Manual of Operation . Hospital Wide • • • • • • • • • • • Consider whether or not the patient actually requires an antibiotic Avoid treating colonized patients who are not actually infected. Use catheters only when essential. Give the antibiotic for the minimum length of time that is effective. remove when no longer essential Target the pathogen – obtain cultures from the patient. target empiric therapy to likely pathogens. Review the duration of antibiotic therapy after 5 days. the clinical diagnosis. For surgical prophylaxis start the antibiotic one day before induction of anaesthesia and continue for a maximum of five days . Lucknow Manual of Operations Antibiotic Policy Document No : RML/AP/01 Date of Issue : 15/1/2008 • • • B.

.Fluconazole Antibiotics As policy of DOT’s clinic Anti amoebics Chloroquines and Artisunate Primaquines Artimether Comment Symptomatic - Mix Bacteria inf Gram+ve. Lucknow Manual of Operations Antibiotic Policy Document No : RML/AP/01 Date of Issue : 15/1/2008 C. Ram Manohar Lohia Combined Hospital . 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.Quality Operating Process Dr. Gram-ve Mix Anaerobic inf - Worms infestation Fungal Tuberculosis Amoebic inf Malarial Parasite Resistant cases Quinine Derivatives 4 Manual of Operation .