Perioperative Pharmacology: Antibiotic Administration

Wanzer, Linda; Goeckner, BradLee; Hicks, Rodney W.

doi:10.1016/j.aorn.2010.08.026

Cited by 2 publications

(3 citation statements)

References 10 publications

(22 reference statements)

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“…Educated nurses can contribute to safe antibiotic administration by preventing medication errors such as; omitted doses, duplicate doses, and incorrect doses. Which indirectly affect post-operative surgical site infections occurrence [31].…”

Section: Nurses' Knowledge and Antibiotic Prophylactic Usementioning

confidence: 99%

Jordanian Nurses’ Knowledge of Preventing Surgical Site Infections in Acute Care Settings

Qasem¹,

Hweidi²

2017

OJN

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Background: Surgical Site Infection (SSI) is one of the most common healthcare-associated infections, its account for up to 16% of all healthcare-associated infections worldwide. The SSIs can contribute to post-operative morbidity, prolonged recovery, delayed discharge and increasing cost. Nurses' knowledge of the evidence-based recommendations is necessary to provide high-quality nursing care. Aims: To assess the level of Jordanian nurses' knowledge regarding evidence based guidelines for the prevention of SSIs, to describe the relationship between nurses' knowledge and selected sociodemographics, to examine the differences in nurses' knowledge with respect to selected dichotomized variables, and to identify the most significant predictors of Jordanian nurses' knowledge regarding evidence based guidelines for the prevention of SSIs. Design: Cross-sectional design. Sample: Two hundred registered nurses at four targeted hospitals were recruited conveniently. Results: The mean of the total knowledge scores of the sample was 3.28 out of nine (SD = 1.72, range = 0 -7), the median was 3 out of nine. There were a statistically significant correlation between all tested continuous sociodemographics variables and the total knowledge score (p > 0.05). There is a significant difference in nurses' knowledge between those who are attending to special surgical related training course and who are not. The most significant predictors of Jordanian nurses' knowledge were: the number of credit hours attended by nurses for surgical-related training courses and the total years of work experience in nursing. These variables explained 16.7% of variance. Conclusion: The results of this study shed light on the obstacles that hampers the Jordanian nurses' knowledge regarding evidence based guidelines for the prevention of SSIs in acute care settings. However, the successful implementation of infection control measures, particularly SSIs prevention measures, and well-structured continuing education programs are considered as a substantial element that would improve nurses' knowledge.

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Section: Nurses' Knowledge and Antibiotic Prophylactic Usementioning

confidence: 99%

Jordanian Nurses’ Knowledge of Preventing Surgical Site Infections in Acute Care Settings

Qasem¹,

Hweidi²

2017

OJN

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“…Accurate and timely administration of antibiotics is a critical element in perioperative care (Wanzer et al, 2011), and the most important factors in the prevention ofSSis are meticulous aseptic technique and the timely administration of selected preoperative antibiotics . The goal of antibiotic prophylaxis is to prevent a SSI by reducing the microorganisms at the surgical site during the operative procedure.…”

Section: Ssi Prevention Is the Specifications Manual For National Hosmentioning

confidence: 99%

“…These guidelines represents a collaborative effort between CMS and TJC, and provide algorithms that outline prophylactic antibiotic administration as well as the correct antibiotic for particular procedures (Wanzer, Goeckner, and Hicks , 2011).…”

Section: Ssi Prevention Is the Specifications Manual For National Hosmentioning

confidence: 99%

The Impact of Timing, Selection, and Dosage of Preoperative Prophylactic Antibiotics on Preventable Surgical Site Infections

Insana¹

2012

Preprint

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<p>Surgical site infections (SSIs) are a subset of a larger group of infections that are known as hospital acquired infections (HAis). SSIs are a huge financial burden, costing billions of dollars in excess hospital charges every year. There is a considerable amount of evidence-based practice recommendations that can help reduce the incidence of SSIs. Research has supported the efficacy of preoperative antibiotic prophylaxis when appropriately selected and timed according to published guidelines. In addition to these measures, re-dosing of antibiotics must occur for those procedures that last more than four hours in order to continue to maintain tissue perfusion throughout the surgical procedure. The purpose of this study was to evaluate the timely administration, appropriate selection, and dosage of preoperative prophylactic antibiotics in surgical patients in one community hospital. A retrospective research design was used to obtain information on 100 randomly selected colon, hysterectomy, total hip and knee arthroplasty cases. Data were collected on those surgical procedures that occurred between October 1, 2010 and March 31 , 2011. During this time period, there were eight documented SSIs, three involving an organ space, and five that were superficial. In more than half of the colon and hysterectomy cases, the prophylactic antibiotic was administered less than 30 minutes before surgical incision, and in more than half of the total hip and total knee arthroplasty cases, antibiotic administration was between 30-60 minutes. All the procedures met the SCIP recommendations for timing and selection of prophylactic antibiotic. This study suggests that to ensure adequate tissue perfusion prior to surgical incision, the antibiotic should be administered in the preoperative holding unit, immediately prior to transfer to the operating room. This would assure that the antibiotic is given 30-60 minute timeframe, thus reducing the potential for the development of a SSI. Recommendations for further research and advanced nursing practice are discussed.</p>

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Perioperative Pharmacology: Antibiotic Administration

Cited by 2 publications

References 10 publications

Jordanian Nurses’ Knowledge of Preventing Surgical Site Infections in Acute Care Settings

Jordanian Nurses’ Knowledge of Preventing Surgical Site Infections in Acute Care Settings

The Impact of Timing, Selection, and Dosage of Preoperative Prophylactic Antibiotics on Preventable Surgical Site Infections

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