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

Details

Serval ID
serval:BIB_B72D9574567D
Type
Article: article from journal or magazin.
Collection
Publications
Title
[Surgical antimicrobial prophylaxis: compliance to guidelines and impact of targeted information program]
Journal
Ann Fr Anesth Reanim
Author(s)
D'Escrivan T., Lemaire J. S., Ivanov E., Boulo M., Soubrier S., Mille F. X., Alfandari S., Guery B.
ISSN
0750-7658 (Print)
ISSN-L
0750-7658
Publication state
Published
Issued date
01/2005
Volume
24
Number
1
Pages
19-23
Language
french
Notes
D'Escrivan, T
Lemaire, J S
Ivanov, E
Boulo, M
Soubrier, S
Mille, F X
Alfandari, S
Guery, B
fre
English Abstract
France
Ann Fr Anesth Reanim. 2005 Jan;24(1):19-23. doi: 10.1016/j.annfar.2004.10.025.
Abstract
OBJECTIVES: 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. PATIENTS AND METHODS: 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. RESULTS: 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. DISCUSSION: 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.
Keywords
Adult, Anti-Infective Agents/administration & dosage/therapeutic use, Antibiotic Prophylaxis/*standards, Female, Guidelines as Topic, Humans, Information Dissemination, Male, Medical Errors/statistics & numerical data, Surgical Wound Infection/epidemiology/prevention & control
Pubmed
Create date
29/04/2021 10:59
Last modification date
30/04/2021 6:38
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