Reducing surgical site infections through a multidisciplinary computerized process for preoperative prophylactic antibiotic administration

Alexandra L B Webb, Rene L. Flagg, Aaron S. Fink

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Background: Surgical site infections (SSIs) result in significant postoperative morbidity and mortality. Although many of these infections can be prevented by timely administration of preoperative antibiotics, data suggest that many patients do not receive such therapy. Methods: A multidisciplinary team was convened that reviewed published guidelines, made antibiotic recommendations, and addressed administration issues. Responsibility for antibiotic administration was shifted from preoperative nursing staff to the anesthetist. Electronic quick orders were developed to encourage appropriate antibiotic selection and simplify order creation. Results: Timely administration of preoperative antibiotics improved from 51% to 98% from February 2005 to February 2006. Appropriate antibiotic administered improved from 78% to 94%. The clean wound infection rate decreased from 2.7% to 1.4% over the same time period. Conclusion: A multidisciplinary approach to prophylactic antibiotic use, including computer-guided decision support, facilitates appropriate preoperative antibiotic use, resulting in a significant decrease in surgical wound infections.

Original languageEnglish (US)
Pages (from-to)663-668
Number of pages6
JournalAmerican Journal of Surgery
Volume192
Issue number5 SPEC. ISS.
DOIs
StatePublished - Nov 2006

Fingerprint

Surgical Wound Infection
Anti-Bacterial Agents
Nursing Staff
Wound Infection
Guidelines
Morbidity
Mortality

Keywords

  • Computer-guided decision support
  • Surgical infection prophylaxis
  • Wound infection

ASJC Scopus subject areas

  • Surgery

Cite this

Reducing surgical site infections through a multidisciplinary computerized process for preoperative prophylactic antibiotic administration. / Webb, Alexandra L B; Flagg, Rene L.; Fink, Aaron S.

In: American Journal of Surgery, Vol. 192, No. 5 SPEC. ISS., 11.2006, p. 663-668.

Research output: Contribution to journalArticle

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