Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-28T00:32:48.210Z Has data issue: false hasContentIssue false
  • English
  • Français

Prolonged postprocedural antimicrobial use: A survey of the Society for Healthcare Epidemiology of America Research Network

Part of: SHEA Research Network Collection

Published online by Cambridge University Press:  30 August 2019

Mireia Puig-Asensio Open the ORCID record for Mireia Puig-Asensio [Opens in a new window] ,
Eli N. Perencevich  and
Daniel J. Livorsi
Mireia Puig-Asensio*
Affiliation:
Department of Internal Medicine, Carver College of Medicine, Iowa City, Iowa
Eli N. Perencevich
Affiliation:
Department of Internal Medicine, Carver College of Medicine, Iowa City, Iowa Center for Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, Iowa
Daniel J. Livorsi
Affiliation:
Department of Internal Medicine, Carver College of Medicine, Iowa City, Iowa Center for Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, Iowa
*
Author for correspondence: Mireia Puig-Asensio MD, PhD, Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Continuing surgical antimicrobial prophylaxis after the incision is closed is not recommended in current guidelines. Our survey found that only 30.8% of hospitals had fully adopted these new recommendations. Feedback on prophylaxis duration was infrequently provided. Promoting guideline-concordant surgical antimicrobial prophylaxis discontinuation is an important target for future stewardship interventions.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 11 , November 2019 , pp. 1281 - 1283
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Berrios-Torres, SI, Umscheid, CA, Bratzler, DW, et al. Centers for Disease Control and Prevention guideline for the prevention of surgical site infection, 2017. JAMA Surg 2017;152:784–791.CrossRefGoogle ScholarPubMed
Allegranzi, B, Zayed, B, Bischoff, P, et al. New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis 2016;16:e288–e303.CrossRefGoogle ScholarPubMed
Ban, KA, Minei, JP, Laronga, C, et al. American College of Surgeons and Surgical Infection Society: surgical site infection guidelines, 2016 Update. J Am Coll Surg 2017;224:59–74.CrossRefGoogle Scholar
Branch-Elliman, W, O’Brien, W, Strymish, J, Itani, K, Wyatt, C, Gupta, K. Association of duration and type of surgical prophylaxis with antimicrobial-associated adverse events. JAMA Surgery 2019;154:590–598.CrossRefGoogle ScholarPubMed
Asundi, A, Stanislawski, M, Mehta, P, et al. Prolonged antimicrobial prophylaxis following cardiac device procedures increases preventable harm: insights from the VA CART program. Infect Control Hosp Epidemiol 2018;39:1030–1036.CrossRefGoogle ScholarPubMed
Plachouras, D, Karki, T, Hansen, S, et al. Antimicrobial use in European acute care hospitals: results from the second point prevalence survey (PPS) of healthcare-associated infections and antimicrobial use, 2016 to 2017. Euro Surveill 2018;23.CrossRefGoogle Scholar
Khaw, C, Oberle, AD, Lund, BC, et al. Assessment of guideline discordance with antimicrobial prophylaxis best practices for common urologic procedures. JAMA Netw Open 2018;1:e186248.CrossRefGoogle ScholarPubMed
Branch-Elliman, W, Pizer, SD, Dasinger, EA, et al. Facility type and surgical specialty are associated with suboptimal surgical antimicrobial prophylaxis practice patterns: a multi-center, retrospective cohort study. Antimicrob Resist Infect Control 2019;8:49.CrossRefGoogle ScholarPubMed
Barlam, TF, Cosgrove, SE, Abbo, LM, et al. Implementing an antibiotic stewardship program: guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis 2016;62:e51–e77.CrossRefGoogle Scholar
Livorsi, D, Comer, AR, Matthias, MS, Perencevich, EN, Bair, MJ. Barriers to guideline-concordant antibiotic use among inpatient physicians: a case vignette qualitative study. J Hosp Med 2016;11:174–180.CrossRefGoogle ScholarPubMed