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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: mireia-puigasensio@uiowa.edu
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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. 

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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