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Compliance with local guidelines for antibiotic prophylaxis in surgery
Montserrat Pons-Busom1, Margarita Aguas-Compaired, Jordi Delás
1Services of Hospital Pharmacy, Hospital del Sagrat Cor, Barcelona, Spain.
Infection Control and Hospital Epidemiology
|April 28, 2004
Summary
Local antibiotic prophylaxis guidelines for surgery were developed and implemented. Surgeons showed high compliance with these guidelines, improving over time.
Area of Science:
- Infectious Diseases
- Surgical Care
- Hospital Pharmacy
Background:
- Antibiotic prophylaxis is crucial in preventing surgical site infections.
- Local protocols ensure appropriate antibiotic selection and administration.
- Compliance monitoring is essential for effective guideline implementation.
Purpose of the Study:
- To develop and implement a local antibiotic prophylaxis protocol for surgical procedures.
- To assess compliance with the developed surgical antibiotic guidelines.
- To evaluate the effectiveness of a computer-based system in monitoring adherence.
Main Methods:
- A prospective study was conducted in a teaching hospital pharmacy.
- Antibiotic prescribing forms were reviewed over four phases (one 5-week, three 1-week periods).
- Compliance was assessed by comparing prescribed antibiotics to protocol recommendations for 1,047 patients.
Main Results:
- Overall compliance with antibiotic prescribing forms was 83.3%.
- Compliance significantly increased from 80.3% to 87.8% across the study phases.
- Adherence to completing surgical procedure forms improved from 51% to 77.6%.
Conclusions:
- Implementation of local antibiotic prophylaxis guidelines led to high surgeon compliance.
- The study demonstrated successful adherence to prescribing procedures and recommended antimicrobials.
- Continuous monitoring and surgeon sensitization are key to maintaining guideline compliance.