Compliance with surgical antibiotic prophylaxis--reporting from a statewide surveillance programme in Victoria, Australia

The Journal of Hospital Infection
Ann BullMichael Richards

Abstract

A statewide assessment of the compliance of surgical antibiotic prophylaxis (SAP) with guidelines was undertaken for large public hospitals in Victoria, Australia. This was carried out using data collected as part of a surveillance system for hospital-acquired infections. The study population comprised patients in Victorian public hospitals with >100 beds (N=27) undergoing cardiac surgical procedures, hip or knee arthroplasty, cholecystectomy, appendectomy, colon surgery or hysterectomy over a 21-month period. Australian guidelines recommend SAP for all 10 643 surgical procedures included in this study. Combining all procedures, 87% received SAP, the choice of antibiotic was concordant with guidelines for 53.3% of procedures, and the choice of antibiotic was considered to be 'adequate but not concordant' for 23.9% of procedures. SAP was considered to be inadequate for 18.9% of procedures. A large number of antibiotic regimens were utilized for cardiac and orthopaedic surgery. Documentation of timing of administration was not submitted for more than half of all procedures. Timing was concordant with guidelines for 76.4% of procedures when documented. Prophylactic antibiotic choice was generally more concordant with guidelines fo...Continue Reading

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Citations

Jun 25, 2009·BMC Medical Research Methodology·Carrie CartmillLorne Rotstein
Apr 15, 2010·Patient Safety in Surgery·Eefje N de VriesMarja A Boermeester
Nov 23, 2012·The Australasian Medical Journal·Ru Shing Ng, Chee Ping Chong
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Jun 16, 2012·Internal Medicine Journal·P R IngramR Murray
Apr 7, 2010·Journal of Evaluation in Clinical Practice·Chentong Hsu, Shou-Hsia Cheng
Aug 10, 2015·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Marise GouvêaAntonio Carlos Iglesias
Mar 19, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Leon J WorthMichael J Richards
Aug 19, 2007·The Journal of Hospital Infection·Michael J Richards, Phillip L Russo
Jul 3, 2018·Paediatric Anaesthesia·James MorseBrian J Anderson
Nov 9, 2019·JAMA Network Open·Courtney IeranoTrisha Peel
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Feb 4, 2010·The Medical Journal of Australia·Timothy P HaydonMegan S Robertson
Jul 6, 2021·JAC-antimicrobial Resistance·Courtney IeranoCaroline Marshall

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