Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-10T05:31:51.120Z Has data issue: false hasContentIssue false
  • English
  • Français

Improvement in Prescribing Habits and Economic Outcomes Associated With the Introduction of a Standardized Approach for Surgical Antimicrobial Prophylaxis

Published online by Cambridge University Press:  02 January 2015

Elizabeth D. Hermsen ,
Sara Smith Shull ,
Susan E. Puumala  and
Mark E. Rupp
Elizabeth D. Hermsen*
Affiliation:
Department of Pharmaceutical and Nutrition Care, Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Nebraska Department of Pharmacy Practice, College of Pharmacy, University of Nebraska Medical Center, Omaha, Nebraska Section of Infectious Diseases, Department of Internal Medicine, College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska
Sara Smith Shull
Affiliation:
Department of Pharmaceutical and Nutrition Care, Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Nebraska
Susan E. Puumala
Affiliation:
Biostatistics Division, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska
Mark E. Rupp
Affiliation:
Section of Infectious Diseases, Department of Internal Medicine, College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska
*
Department of Pharmaceutical and Nutrition Care, Nebraska Medical Center, 988485 Nebraska Medical Center, Omaha, NE 68198-8485, (ehermsen@nebraskamed.com)
Get access Rights & Permissions [Opens in a new window]

Abstract

A quasi-experimental before-after study was conducted to determine the impact on prescribing habits and economic outcomes of an intervention that required use of an order form for surgical antimicrobial prophylaxis. Implementation of this intervention improved compliance with guidelines for prevention of surgical site infections, particularly with respect to choice of antibiotic, duration of use, and dosage, and resulted in decreased cost of surgical prophylaxis.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 5 , May 2008 , pp. 457 - 461
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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

1.Center for Medicare and Medicaid Services. 2002. Surgical Infection Prevention Project description. Available at: http://www.medqic.org/sip. Accessed June 13, 2007.Google Scholar
2.Bratzier, DW, Houck, PM. Antimicrobial prophylaxis for surgery: an advisory statement from the National Surgical Infection Prevention Project. Am J Surg 2005;189:395–404.CrossRefGoogle Scholar
3.Antimicrobial prophylaxis in surgery. Med Lett Drugs Ther 2001;43:92–97.Google Scholar
4.Dellinger, EP, Gross, PA, Barrett, TL, et al.Quality standard for antimicrobial prophylaxis in surgical procedures. Infectious Diseases Society of America. Clin Infect Dis 1994;18:422–427.CrossRefGoogle ScholarPubMed
5.Gilbert, DN, Moellering, RC, Eliopoulos, GM, Sande, MA. The Sanford Guide to Antimicrobial Therapy. 37th ed. Hyde Park, VT; 2007.Google Scholar
6.Mangram, AJ, Horan, TC, Pearson, ML, Silver, LC, Jarvis, WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 1999;20:250–278; quiz 279-280.Google Scholar
7.Page, CP, Bohnen, JM, Fletcher, JR, McManus, AT, Solomkin, JS, Wittmann, DH. Antimicrobial prophylaxis for surgical wounds. Guidelines for clinical care. Arch Surg 1993;128:79–88.Google Scholar
8.American Society for Health-System Pharmacists. ASHP therapeutic guidelines on antimicrobial prophylaxis in surgery. Am J Health Syst Pharm 1999;56:1839–1888.CrossRefGoogle Scholar
9.The Nebraska Medical Center. Antimicrobial Stewardship Program. Available at: http://www.nebraskamed.com/careers/education/asp/. Accessed November 30, 2007.Google Scholar
10.Classen, DC, Evans, RS, Pestotnik, SL, Horn, SD, Menlove, RL, Burke, JP. The timing of prophylactic administration of antibiotics and the risk of surgical-wound infection. N Eng J Med 1992;326:281–286.CrossRefGoogle ScholarPubMed
11.Stone, HH, Hooper, CA, Kolb, LD, Geheber, CE, Dawkins, EJ. Antibiotic prophylaxis in gastric, biliary and colonic surgery. Ann Surg 1976;184:443–452.Google Scholar