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Auditing and Improving Surgical Antibiotic Prophylaxis.

Cristina Mondelo García1, José María Gutiérrez Urbón1, Cristina Pérez Sanz2

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Surgical antibiotic prophylaxis (SAP) audits from 2013-2017 show high compliance with antimicrobial drug protocols. Quality indicators and regular audits improved adherence, particularly in drug choice and dosing, though timing and duration require further attention.

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antibiotic prophylaxisquality indicatorssurgerysurgical site infections

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Area of Science:

  • Infectious Disease
  • Surgical Care
  • Hospital Pharmacy

Background:

  • Antimicrobial drugs are crucial for preventing surgical site infections.
  • This study audited surgical antibiotic prophylaxis (SAP) practices from 2013 to 2017.

Purpose of the Study:

  • To evaluate compliance with surgical antibiotic prophylaxis (SAP) protocols.
  • To identify areas of high and low adherence in antimicrobial drug use for surgery.

Main Methods:

  • Retrospective observational study of SAP in a tertiary hospital.
  • Analysis of approximately 500 surgical procedures across multiple surgical specialties.
  • Evaluation of six process quality indicators for SAP.

Main Results:

  • High compliance observed for SAP indication, antimicrobial choice, dose, and route.
  • Intra-operative dosing showed good compliance where appropriate.
  • Lower compliance rates were noted for the timing of the first dose and prophylaxis duration.

Conclusions:

  • Hospital-wide compliance with SAP protocols is high, attributed to quality indicators and annual audits.
  • Communication of audit results and inclusion in management contracts drive improvements in SAP.
  • Prophylaxis kits enhance antimicrobial selection and prevent inappropriate prolongation of SAP.