Improving intraoperative administration of surgical antimicrobial prophylaxis: a quality improvement report

Haney, Victoria; Maman, Stephan R.; Prozesky, Jansie; Bezinover, Dmitri; Karamchandani, Kunal

doi:10.1136/bmjoq-2020-001042

Cited by 10 publications

(17 citation statements)

References 32 publications

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“…18,19 No surgical site infection was reported by any patients during their stay in post-operative wards. 20,21 Joshi DK et al (2017), also studied the evaluation of prescription pattern of antibiotics for surgical prophylaxis, which shown same result as our study without any surgical site infection while using prophylactic antibiotics. 22,23…”

Section: Discussionsupporting

confidence: 83%

Evaluation of Prescription Pattern of Antibiotic for Surgical Prophylaxis Use in a Tertiary Care Hospital

Vigneswaran¹,

Cresenciya²,

Jeevithalakshmi³

et al. 2023

Ind. J. Pharm. Pract.

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Objectives:The aim of this study was to evaluate the utilization pattern of antibiotics for surgical prophylaxis in patients undergone surgery at Government District Headquarters Hospital, Virudhunagar. Materials and Methods: This study was conducted for 6months (May-October 2021). Patients who were more than 18 years of age admitted in general surgical, orthopedic and gynecology wards receiving at least one dose of any class of antibiotics orally or intravenously were included in this study. Results: A total of 180 patients were undergoing post operative care during the study period in surgery ward of Government Headquarters Hospital, Virudhunagar. Among 180 patients 34% (62) patients were aged between 31 to 45, 32% (58) patients were aged between 46-60, 18% (32) patients were aged between 18-30, 13% (24) patients were between 61-75, 2% (4) patients were aged between 76-90. Conclusion: Reduction of surgical site infections decreases the post-operative morbidity, mortality rate. Combination therapy of antibiotic use gives more success in treat infection when compared with monotherapy use of antibiotics.

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Section: Discussionsupporting

confidence: 83%

Evaluation of Prescription Pattern of Antibiotic for Surgical Prophylaxis Use in a Tertiary Care Hospital

Vigneswaran¹,

Cresenciya²,

Jeevithalakshmi³

et al. 2023

Ind. J. Pharm. Pract.

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“…Deviation from ASP guidance is also reported in other studies. For example, in a study, more than 95% of surgeries received third generationcephalosporins such as ceftriaxone followed by second-generation cephalosporins such as cefuroxime ( Haney et al, 2020 ). In our study also, ceftriaxone was more commonly used than cefuroxime.…”

Section: Discussionmentioning

confidence: 99%

Choice of Antimicrobials in Surgical Prophylaxis - Overuse and Surgical Site Infection Outcomes from a Tertiary-Level Care Hospital

et al. 2022

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Background: This study was aimed to describe the choice of Surgical Antimicrobial Prophylaxis at a tertiary-level care hospital in United Arab Emirates. It also associated the choice between two leading antimicrobials for the SAP to the site of surgery.Methods: A descriptive drug use evaluation was performed retrospectively to study choices of antimicrobials in surgical antibiotic prophylaxis. An analytical cross-sectional study design was used to develop a hypothesis regarding the choice of ceftriaxone. Data were collected from the medical records of Hospital from July 2020 to December 2020. Results were presented in numbers and percentages.Results: SAP data were collected from 199 patients, of which 159 were clean or clean-contaminated. Dirty surgeries (18) needed a higher level of antimicrobials as there were infections to be treated. For other surgeries with no infection, overuse of antimicrobials was found regarding the choice of antimicrobials. Surgical antibiotic Prophylaxis was administered within the recommended time prior to surgeries. Ceftriaxone was preferred over cefuroxime in all types of surgeries based on the timing of Surgical Antibiotic Prophylaxis, wound classification, and the surgical site. A statistically significant association for choice of ceftriaxone over cefuroxime was found regarding surgical sites (p-value <0.05). About 99% of the patients were prescribed discharge antimicrobials when 158 (80%) surgeries were clean or clean-contaminated.Conclusion: Overuse of antimicrobials was found in surgical antimicrobial prophylaxis ceftriaxone was preferred more than cefuroxime in all types of surgeries. No surgical site infections were reported. A follow-up comparative study is recommended to review the surgical site infection rate.

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“…17 Clinicians at a 550 bed academic tertiary care center in Pennsylvania sought to improve compliance with dosing and redosing of antibiotics in the perioperative areas. 18 They developed an initiative and provided classroom based education sessions and sent newsletters via e mail to surgeons, residents, perioperative nurses, and anesthesia professionals. They also ensured electronic access to the guideline, included information on antibiotic selection and dosing requirements during the time out, encouraged use of reminders in the EHR, and provided posters in each OR that showed the requirements for common antibiotics.…”

Section: Literature Reviewmentioning

confidence: 99%

A Quality Improvement Project to Increase Compliance With a Facility Protocol on Surgical Antimicrobial Prophylaxis

Wysocki,

Zedreck Gonzalez,

Ren

2024

AORN Journal

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Surgical site infections (SSIs) contribute to negative outcomes for patients and health care organizations. Compliance with clinical practice guidelines likely can help prevent SSIs. An interdisciplinary team at a regional referral center in Michigan sought to reduce SSIs by improving compliance with the facility's preoperative antibiotic selection, dosing, timing, and redosing protocol. The interventions for the quality improvement project included adding the preprocedural antibiotics and doses to the master OR schedule; holding an education session for all preoperative nurses, intraoperative nurses, and anesthesia professionals; and posting a reference guide in the preoperative and intraoperative areas. Compliance with the facility's protocol for antibiotic selection, dosing, and timing significantly improved. However, SSI rates and compliance with redosing recommendations did not change significantly. The team decided to add the antibiotic order information to the master OR schedule permanently. The team plans to consider providing education sessions on administering preprocedural antibiotics outside the OR.

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Improving intraoperative administration of surgical antimicrobial prophylaxis: a quality improvement report

Cited by 10 publications

References 32 publications

Evaluation of Prescription Pattern of Antibiotic for Surgical Prophylaxis Use in a Tertiary Care Hospital

Evaluation of Prescription Pattern of Antibiotic for Surgical Prophylaxis Use in a Tertiary Care Hospital

Choice of Antimicrobials in Surgical Prophylaxis - Overuse and Surgical Site Infection Outcomes from a Tertiary-Level Care Hospital

A Quality Improvement Project to Increase Compliance With a Facility Protocol on Surgical Antimicrobial Prophylaxis

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