Appropriateness of surgical antibiotic prophylaxis for breast surgery procedures
© 2017, Springer International Publishing.Background Guidelines for the appropriate use of antibiotic prophylaxis are provided in the Therapeutic Guidelines: Antibiotics (eTG) in Australia. Inappropriate use of antibiotics is problematic. Objective To examine adherence with therapeutic guidelines (e...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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Springer Netherlands
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/61663 |
| _version_ | 1848760703755747328 |
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| author | Jaber, S. Rogers, C. Sunderland, B. Parsons, R. MacKenzie, S. Seet, J. Czarniak, Petra |
| author_facet | Jaber, S. Rogers, C. Sunderland, B. Parsons, R. MacKenzie, S. Seet, J. Czarniak, Petra |
| author_sort | Jaber, S. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2017, Springer International Publishing.Background Guidelines for the appropriate use of antibiotic prophylaxis are provided in the Therapeutic Guidelines: Antibiotics (eTG) in Australia. Inappropriate use of antibiotics is problematic. Objective To examine adherence with therapeutic guidelines (eTG) in breast surgery and trends in non-adherence dependent on the type of breast surgery performed. Setting Major Western Australian teaching hospital. Method A retrospective cross-sectional study reviewed a random sample of 150 from 1049 eligible medical records of patients who underwent a breast surgical procedure in 2013 or 2014. Main outcome measure Adherence to the eTG. Results Antibiotic prophylaxis was prescribed for 139 (92.7%) operations. Adherence to the eTG occurred in 20 (13.3%) operations, whilst 11 (7.3%) did not adhere to any element of the eTG. Appropriate timing was the main factor not adhered to. Postoperative antibiotics were prescribed following 35 (23.3%) operations, with 32 (91.4%) administered beyond 24 h. Length of stay was significantly different (p = 0.0036) between surgical groups. There was a tendency for risk of an infection to be decreased with adherence (odds ratio: 0.23; 95% CI: 0.05, 1.07; p = 0.06). Conclusion Adherence to the eTG was low (13.3%), despite a decreased risk of SSI when guidelines were followed. |
| first_indexed | 2025-11-14T10:20:00Z |
| format | Journal Article |
| id | curtin-20.500.11937-61663 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:20:00Z |
| publishDate | 2017 |
| publisher | Springer Netherlands |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-616632018-02-01T05:55:51Z Appropriateness of surgical antibiotic prophylaxis for breast surgery procedures Jaber, S. Rogers, C. Sunderland, B. Parsons, R. MacKenzie, S. Seet, J. Czarniak, Petra © 2017, Springer International Publishing.Background Guidelines for the appropriate use of antibiotic prophylaxis are provided in the Therapeutic Guidelines: Antibiotics (eTG) in Australia. Inappropriate use of antibiotics is problematic. Objective To examine adherence with therapeutic guidelines (eTG) in breast surgery and trends in non-adherence dependent on the type of breast surgery performed. Setting Major Western Australian teaching hospital. Method A retrospective cross-sectional study reviewed a random sample of 150 from 1049 eligible medical records of patients who underwent a breast surgical procedure in 2013 or 2014. Main outcome measure Adherence to the eTG. Results Antibiotic prophylaxis was prescribed for 139 (92.7%) operations. Adherence to the eTG occurred in 20 (13.3%) operations, whilst 11 (7.3%) did not adhere to any element of the eTG. Appropriate timing was the main factor not adhered to. Postoperative antibiotics were prescribed following 35 (23.3%) operations, with 32 (91.4%) administered beyond 24 h. Length of stay was significantly different (p = 0.0036) between surgical groups. There was a tendency for risk of an infection to be decreased with adherence (odds ratio: 0.23; 95% CI: 0.05, 1.07; p = 0.06). Conclusion Adherence to the eTG was low (13.3%), despite a decreased risk of SSI when guidelines were followed. 2017 Journal Article http://hdl.handle.net/20.500.11937/61663 10.1007/s11096-017-0434-6 Springer Netherlands restricted |
| spellingShingle | Jaber, S. Rogers, C. Sunderland, B. Parsons, R. MacKenzie, S. Seet, J. Czarniak, Petra Appropriateness of surgical antibiotic prophylaxis for breast surgery procedures |
| title | Appropriateness of surgical antibiotic prophylaxis for breast surgery procedures |
| title_full | Appropriateness of surgical antibiotic prophylaxis for breast surgery procedures |
| title_fullStr | Appropriateness of surgical antibiotic prophylaxis for breast surgery procedures |
| title_full_unstemmed | Appropriateness of surgical antibiotic prophylaxis for breast surgery procedures |
| title_short | Appropriateness of surgical antibiotic prophylaxis for breast surgery procedures |
| title_sort | appropriateness of surgical antibiotic prophylaxis for breast surgery procedures |
| url | http://hdl.handle.net/20.500.11937/61663 |