Improving compliance with surgical antibiotic prophylaxis guidelines: A multicenter evaluation

• Published in: American journal of infection control Vol. 45; no. 10; pp. 1111 - 1115
• Main Authors: Schmitt, Cristiane, PhD, Lacerda, Rubia Aparecida, PhD, Turrini, Ruth Natalia Teresa, PhD, Padoveze, Maria Clara, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-10-2017
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Antibiotic prophylaxis; Antibiotic Prophylaxis - methods; Antibiotic Prophylaxis - utilization; Antibiotic prophylaxis Neurosurgery; Brazil; Cross-Sectional Studies; Female; Guideline Adherence; Hospitals; Humans; Infection Control; Infectious Disease; Male; Middle Aged; Preoperative Care - methods; Preoperative Care - utilization; Quality indicators; Retrospective Studies; Surgical site infection; Surgical Wound Infection - prevention & control; Surveys and Questionnaires; Young Adult; Antibiotic prophylaxis; Quality indicators; Surgical site infection; Neurosurgery; Antibiotic prophylaxis Neurosurgery
• ISSN: 0196-6553; 1527-3296
• DOI: 10.1016/j.ajic.2017.05.004

Highlights • Compliance with surgical antibiotic prophylaxis (SAP) was associated with weekly hours of infection control personnel per intensive care unit bed, hospital-wide dissemination of SAP guidelines, monitoring, and feedback of compliance rates. • Daytime procedures had greater compliance regarding drug dose and initial time. • Monitoring and feedback and closer interaction between the infection control personnel and the surgical team are key factors for better compliance rates of SAP. • An innovative stewardship approach is needed to improve adherence to SAP guidelines and targeted training programs to ensure dissemination of guidelines among surgeons.