Prophylactic antibiotic practices for colectomy in Michigan - 19/08/11
Abstract |
Background |
Although there are guidelines for prophylactic intravenous antibiotics in colorectal surgery, the objective of this study was to determine the extent to which these guidelines are followed.
Methods |
Twenty-seven Michigan hospitals participated in a colectomy quality-improvement project. In addition to the American College of Surgeons–National Surgical Quality Improvement Program variables, these hospitals collect 25 additional data points on processes of care for colectomy cases.
Results |
From 2007 to 2009, 3,002 patients had colectomy surgery and were eligible for analysis of antibiotic practices. Prophylactic antibiotics were given in 99.5% of cases; 81.4% of antibiotic choices were Surgical Care Improvement Project–compliant, and 90.8% of dosing was within 60 minutes before surgical incision. Recommended weight-adjusted dosing was performed in 56.8% of cases, and only 6.0% of antibiotics were redosed appropriately. Practices varied by hospital.
Conclusions |
Prophylactic antibiotic use for colectomy in Michigan hospitals did not conform to recommended practices. These findings hold the promise for targeted quality-improvement initiatives.
Le texte complet de cet article est disponible en PDF.Keywords : Antibiotic prophylaxis, Surgical wound infection, Colectomy
Plan
Vol 201 - N° 3
P. 290-294 - mars 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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