Surgical antimicrobial prophylaxis: compliance to guidelines and impact of targeted information program

Annales Françaises D'anesthèsie Et De Rèanimation
T D'EscrivanB Guery

Abstract

Surgical antimicrobial prophylaxis is used to decrease postoperative wound infection. We assessed the compliance to surgical antimicrobial prophylaxis guidelines in our hospital and the impact of an information program. Observational study of clean or clean contamined surgery, during two 3-week periods, separated by a targeted information period. The following data were collected prospectively: prophylaxis indication, antimicrobial agent, timing, dose, route and duration of prophylaxis. Chi square test was used for analysis or Fischer test when available. Four hundred seventy-seven patients were enrolled - 270 and 207 for each period respectively. For both periods only 49% of prophylaxis was appropriated. When prophylaxis should be administered - 15 and 13% of patients for each period - it was antibioprophylaxy was strictly adequate with recommandations. The most common error was administration timing. Only the choice of antimicrobial agent was optimized after information period. These results are consistent with previous studies. Information program alone have no effect on the good use of antimicrobial for surgical prophylaxis. Only a policy associating organization, restriction and education could improve practices.

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Citations

Jan 31, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·P MontraversS Boudinet
Dec 14, 2011·Annales Françaises D'anesthèsie Et De Rèanimation·A-M SimonA Mahamat
May 2, 2009·Enfermedades infecciosas y microbiología clínica·Gil Rodríguez-CaravacaAngel Gil-de-Miguel
Sep 22, 2009·Annales Françaises D'anesthèsie Et De Rèanimation·E BoselliB Allaouchiche
May 9, 2009·Annales Françaises D'anesthèsie Et De Rèanimation·D Benhamou
Sep 20, 2015·Anaesthesia Critical Care & Pain Medicine·Allison MullerXavier Bertrand
Mar 29, 2011·Enfermedades infecciosas y microbiología clínica·Gil Rodríguez-CaravacaUNKNOWN Grupo de Trabajo INCLIMECC de la Comunidad de Madrid
Feb 27, 2019·Stress : the International Journal on the Biology of Stress·Susanne FischerBeate Ditzen

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