Antibiotic prophylaxis as a quality of care indicator: does it help in the fight against surgical site infections following fragility hip fractures?

Archives of Orthopaedic and Trauma Surgery
Tal Frenkel RutenbergAnat Aka Zohar

Abstract

Fragility hip fractures are associated with increased morbidity, mortality, and costs. To improve patient care, quality indicator programs were introduced. Yet, the efficacy of these programs and specific quality indicators are questioned. We aimed to determine whether defining prophylactic pre-surgical antibiotic treatment as a quality indicator affected hip fracture outcomes. A retrospective study comparing consecutive patients, 65 years and older, who were operated for fragility hip fractures between 01/01/2011 and 30/06/2016, before and after the prophylactic pre-surgical antibiotic treatment quality indicator, which was introduced in 01/2014. Primary outcomes were 1-year surgical site infections (SSI). Secondary outcomes were meeting the quality index and mortality rates, either within a hospital or during the first post-operative year. 904 patients, ages 82.5 ± 7.2 years were operated for fragility hip fractures. 403 patients presented before the antibiotic prophylaxis quality indicator, and 501 following its administration. Patients demographics were comparable. In the pre-quality indicator period, documentation of prophylactic antibiotic treatment was lacking. Only 19.6% had a record for antibiotic administration in the...Continue Reading

References

Jan 30, 1992·The New England Journal of Medicine·D C ClassenJ P Burke
Dec 19, 2002·Quality & Safety in Health Care·C FreemanN Rushton
Mar 17, 2004·Clinical Orthopaedics and Related Research·James P Southwell-KeelyAlan J M Brnabic
Jan 30, 2007·The New England Journal of Medicine·Peter K LindenauerDale W Bratzler
Apr 12, 2008·Journal of Orthopaedic Trauma·Gerard P SlobogeanPeter J O'Brien
May 8, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Laura Prokuski
Jun 10, 2008·The Journal of Bone and Joint Surgery. British Volume·C EdwardsC G Moran
Oct 14, 2009·BMC Health Services Research·Katrine A NielsenReimar W Thomsen
Mar 20, 2010·The Cochrane Database of Systematic Reviews·William J Gillespie, Geert Him Walenkamp
Jun 11, 2011·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Martin EmmertOliver Schöffski
Mar 7, 2013·Surgical Infections·Dale W BratzlerUNKNOWN Society for Healthcare Epidemiology of America (SHEA)
Oct 24, 2013·The Bone & Joint Journal·J ParviziA F Chen
Nov 2, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·S CraxfordM Needoff
Mar 10, 2016·Journal of General Internal Medicine·Karli K KondoDevan Kansagara
May 20, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Iftikhar AhmedA Mohsen
Oct 18, 2016·Health Policy·Ricarda Milstein, Jonas Schreyoegg
Mar 23, 2017·BMJ Open·Kristen B PitzulSusan B Jaglal
Aug 24, 2017·International Orthopaedics·Willem-Jan MetsemakersStefaan Nijs
Jan 18, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Dirk ZajonzJohannes K M Fakler
May 19, 2018·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S C VoetenI B Schipper
Dec 1, 2018·The New England Journal of Medicine·Javier Riancho, Pascual Sánchez-Juan
May 17, 2019·Journal of Orthopaedic Trauma·Tal Frenkel RutenbergSteven Velkes

❮ Previous
Next ❯

Citations

Jan 30, 2021·Archives of Orthopaedic and Trauma Surgery·Peter DeclercqWillem-Jan Metsemakers
Jun 9, 2021·Archives of Orthopaedic and Trauma Surgery·Tal Frenkel RutenbergShai Shemesh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.