Reducing surgical site infections through a multidisciplinary computerized process for preoperative prophylactic antibiotic administration - 18/08/11
, Rene L. Flagg, R.N. a, Aaron S. Fink, M.D. a, b
Corresponding author. Atlanta VA Medical Center, Department of Surgery, 1670 Clairmont Rd. (112), Decatur, GA 30033. Tel.: +1-404-728-7621; fax: +1-404-329-2201.Abstract |
Background |
Surgical site infections (SSIs) result in significant postoperative morbidity and mortality. Although many of these infections can be prevented by timely administration of preoperative antibiotics, data suggest that many patients do not receive such therapy.
Methods |
A multidisciplinary team was convened that reviewed published guidelines, made antibiotic recommendations, and addressed administration issues. Responsibility for antibiotic administration was shifted from preoperative nursing staff to the anesthetist. Electronic quick orders were developed to encourage appropriate antibiotic selection and simplify order creation.
Results |
Timely administration of preoperative antibiotics improved from 51% to 98% from February 2005 to February 2006. Appropriate antibiotic administered improved from 78% to 94%. The clean wound infection rate decreased from 2.7% to 1.4% over the same time period.
Conclusion |
A multidisciplinary approach to prophylactic antibiotic use, including computer-guided decision support, facilitates appropriate preoperative antibiotic use, resulting in a significant decrease in surgical wound infections.
Le texte complet de cet article est disponible en PDF.Keywords : Surgical infection prophylaxis, Computer-guided decision support, Wound infection
Plan
Vol 192 - N° 5
P. 663-668 - novembre 2006 Retour au numéro
Article précédent
- Bariatric surgery trends: an 18-year report from the International Bariatric Surgery Registry
- Isaac Samuel, Edward E. Mason, Kathleen E. Renquist, Yu-Hui Huang, M. Bridget Zimmerman, Mohammad Jamal
- Ischemic preconditioning versus intermittent vascular occlusion in liver resections performed under selective vascular exclusion: a prospective randomized study
- Vassilios Smyrniotis, Kassiani Theodoraki, Nikolaos Arkadopoulos, Georgios Fragulidis, Agathi Condi-Pafiti, Matrona Plemenou-Fragou, Dionysios Voros, John Vassiliou, Panagiotis Dimakakos
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?