Adherence to surgical antibiotic prophylaxis remains a challenge despite multifaceted interventions

Background Adherence to prophylactic antibiotics guidelines is challenging and poorly documented. We hypothesized that a multiphase, multifaceted quality improvement initiative would engage relevant stakeholders, address known barriers to adoption, and improve overall adherence. Methods From 2011 to...

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Veröffentlicht in:Surgery 2015-08, Vol.158 (2), p.413-419
Hauptverfasser: Putnam, Luke R., MD, Chang, Courtney M., BA, Rogers, Nathan B., BA, Podolnick, Jason M., BS, Sakhuja, Shruti, BS, Matusczcak, Maria, MD, Austin, Mary T., MD, MPH, Kao, Lillian S., MD, MS, Lally, Kevin P., MD, MS, Tsao, KuoJen, MD
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Sprache:eng
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Zusammenfassung:Background Adherence to prophylactic antibiotics guidelines is challenging and poorly documented. We hypothesized that a multiphase, multifaceted quality improvement initiative would engage relevant stakeholders, address known barriers to adoption, and improve overall adherence. Methods From 2011 to 2014, a series of interventions were introduced in the pediatric operating rooms. After each interventional period, prospective assessments were performed to record the antibiotic type, dose, timing, and redosing according to the guidelines. Perioperative factors that may influence guideline adherence were analyzed. Spearman's rank correlation, analysis of variance, and χ2 tests were performed. Results A total of 1,052 operations were observed, and 629 (60%) required prophylactic antibiotics. Adherence to all 4 guideline components remained unchanged (54−55%, P  = .38). Redosing significantly improved (7−53%, P  = .02), but correct type decreased (98−70%, P  
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2015.04.013