PMID: 20121681Feb 4, 2010Paper

Antibiotic prophylaxis for cardiac surgery in Australia

The Medical Journal of Australia
Timothy P HaydonMegan S Robertson

Abstract

To evaluate national practice for antibiotic prophylaxis in cardiac surgery with respect to the use of protocols, agent selection and duration of administration. Two point-prevalence surveys of intensive care units in 24 public and 27 private hospitals performing cardiac surgery in Australia, conducted in 2004 and 2008, using a structured telephone questionnaire of the attending senior intensive care clinician in each unit. Existence of a protocol in the unit for antibiotic prophylaxis, specific antibiotic agents used and their duration of administration. Between 2004 and 2008, reported protocol use increased from 58% to 80% (P = 0.02), while concordance with version 13 of the Australian Therapeutic guidelines: antibiotic for both choice of agent and timing (duration of administration) remained around 10%. Use of multiple agents was common, as was continued antibiotic administration after completion of surgery. Over 4 years, the proportion of cardiac surgical units reporting vancomycin administration for routine valve surgery prophylaxis doubled to 62% (P < 0.001). Despite an increase in reported protocol use for antibiotic prophylaxis in cardiac surgery, concordance with national antibiotic guidelines remained low, with durati...Continue Reading

References

Jul 12, 2003·The Journal of Hospital Infection·J B KendallG N Russell
Mar 27, 2007·The Annals of Thoracic Surgery·Richard EngelmanUNKNOWN Workforce on Evidence-Based Medicine, Society of Thoracic Surgeons
Mar 17, 2009·The Journal of Infection·Mical PaulBina Rubinovitch
Mar 25, 2009·Infection·A PanUNKNOWN Gruppo Italiano di Studio sulle Infezioni in Cardiochirurgia Study Group

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Citations

Jan 28, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Erik HansenKoji Yamada
Nov 9, 2012·The Journal of Bone and Joint Surgery. British Volume·B Adeli, J Parvizi
Feb 4, 2010·The Medical Journal of Australia·Keryn J Christiansen
Nov 16, 2011·The Journal of Antimicrobial Chemotherapy·Adi LadorMical Paul
Dec 9, 2010·The Journal of Bone and Joint Surgery. American Volume·Wadih Y MatarJavad Parvizi

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