Protocol of perioperative and post-exposure antimicrobial prophylaxis in Morozovskaya Children City Clinical Hospital of Moscow Healthcare Department

Abstract

In order to improve the clinical use of antibiotics in surgical departments of Morozovskaya Children City Clinical Hospital of Moscow Healthcare Department authors prepared, discussed and agreed upon a protocol for perioperative and post-exposure antimicrobial prophylaxis. The choice of antibiotics for systemic use was made according to the Antimicrobial Stewardship Program (ASP) stratification both for patients of type I (community-acquired infection without risk for shedding of polyresistant infectious agents) and type II (community-acquired infections with risk factors for shedding of polyresistant infectious agents). Study determined indications for post-exposure antimicrobial prophylaxis within the approved protocol. Following that the Chief Physician issued an Order On Division of Responsibility of all Members of the Operating Team and On Approval of the Protocol for Conducting Perioperative and Post-Exposure Antimicrobial Prophylaxis. As a result of the implementation of the protocol, by the end of 2020 clinical use of antibiotics in surgical departments has improved.

120 years of Morozov Children’s City Clinical Hospital: clinic, science, education

“…С 2019 по 2021 г. на базе МДГКБ был реализован пилотный проект управления антимикробной терапией, позволивший снизить потребление и нерациональное назначение антибиотиков [53]. С целью улучшения клинической практики применения антибиотиков в отделениях хирургического профиля больницы разработан протокол проведения периоперационной и постэкспозиционной антибиотикопрофилактики [54]. Уникальный мультидисциплинарный опыт работы специалистов МДГКБ нашел отражение в изданных в 2013-2018 гг.…”