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Background: Reduction of antibiotic use in fresh traumatic wounds is an important indicator for the emergency department. Objective: The aim of this study was to examine the effectiveness of implementing a clinical practice guideline regarding the use of antibiotics in fresh traumatic wounds of class 1: clean, contaminated wounds that required suturing in the emergency department of Bangkhla Hospital. Method: This quasi-experimental study included 202 patients with fresh traumatic wounds of class 1: clean-contaminated wounds that required suturing and were qualify for this study were selected by purposive sampling. The research instruments were a clinical practice guideline on the use of antibiotics in fresh traumatic wounds and the personal care history form. Descriptive statistics and a simple t-test were used to analyze the data. Results: The result showed that the mean scores of wound healing period at head, arm, leg and foot, hand and face of the sample were significantly different from the median of wound healing period of the sample (p≤ .05). [t (head) = -5.63, p < .001; t (extremities, and feet) = 2.06, p =.04;
t (hand) = 2.07, p = .04; t (face) = -1.94, p = .05]. There were no infections of the wounds. Conclusions: Implementing guidelines for antibiotic use in fresh traumatic wounds and educating patients about wound care may help sutured wounds achieve standard wound healing time and prevent infection. Provider confidence in the care of patients with fresh traumatic wounds was increased, which was beneficial to patients in reducing the incidence of antibiotic-resistant infections due to inappropriate medication use.
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