Compliance with perioperative prophylaxis guidelines and the use of novel outcome measures.

Show simple item record Morse, James en Blackburn, Lee en Sturge, Jacqueline en Voss, Lesley en Anderson, Brian en 2018-12-06T02:37:28Z en 2018-08 en
dc.identifier.issn 1155-5645 en
dc.identifier.uri en
dc.description.abstract Postoperative wound infections represent an important source of morbidity and mortality in children. Perioperative antibiotic prophylaxis has been shown to decrease the risk of developing infections and hospital guidelines surrounding antibiotic use exist to standardize patient care. Despite supporting evidence, rates of compliance with guidelines vary. Quality improvement initiatives have been introduced to improve compliance with intraoperative antibiotic guidelines. Thorough infection surveillance, including antibiotic provision in presurgical checklists, computerized voice antibiotic administration prompts, and national feedback systems are now increasingly common. Few studies have been conducted investigating the effectiveness of prophylactic antibiotics in children. Outcome measures such as morbidity and mortality and return to the operating room can be used to examine the relationship between antibiotic use and patient outcome but these measures are limited in that they occur infrequently or are subjective and difficult to measure. Metrics such as days alive out of hospital and length of hospital stay may be useful alternatives for ongoing monitoring of infections and identifying improvements in patient outcomes. Guidelines on antibiotic prophylaxis have facilitated an increase in the correct provision of perioperative antibiotics and a reduction in the incidence of postoperative infection. Measures of patient outcome such as days alive out of hospital and length of hospital stay are easy to collect and calculate but further work is needed to confirm the utility of these measures for monitoring infection rates. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Paediatric anaesthesia en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.subject Humans en
dc.subject Surgical Wound Infection en
dc.subject Anti-Bacterial Agents en
dc.subject Antibiotic Prophylaxis en
dc.subject Length of Stay en
dc.subject Perioperative Care en
dc.subject Child en
dc.subject Guideline Adherence en
dc.subject Outcome Assessment (Health Care) en
dc.subject Medication Adherence en
dc.title Compliance with perioperative prophylaxis guidelines and the use of novel outcome measures. en
dc.type Journal Article en
dc.identifier.doi 10.1111/pan.13428 en
pubs.issue 8 en
pubs.begin-page 686 en
pubs.volume 28 en
dc.rights.holder Copyright: The author en
pubs.end-page 693 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Review en
pubs.subtype Journal Article en
pubs.elements-id 747227 en Academic Services en Examinations en Medical and Health Sciences en Medical Sciences en Pharmacology en School of Medicine en Anaesthesiology en
dc.identifier.eissn 1460-9592 en
pubs.record-created-at-source-date 2018-07-03 en
pubs.dimensions-id 29961951 en

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