Key result
Adherence to all five aspects of surgical antibiotic prophylaxis guidelines was achieved in only 37% of vascular surgery procedures, with duration being the least adherent parameter at 41%.
Observational
No
Overall adherence to surgical antibiotic prophylaxis guidelines in vascular surgery is low (37%), primarily driven by poor adherence to recommended duration and timing.
Variable SAP adherence in vascular surgery warrants local audits; leaves open effects on resistance and outcomes without prospective data.
Background: Insufficient surgical antibiotic prophylaxis (SAP) can lead to prolonged hospitalization, hospital re-admissions, increased morbidity and mortality, and higher healthcare costs. Overdoing prophylaxis can result in antimicrobial resistance, Clostridium difficile infections, and acute kidney failure. Patients and Methods: To investigate the adherence to local SAP guidelines for vascular surgery, a retrospective observational single center intervention study was performed in a Dutch hospital. Results: Antibiotic choice, dose, interval, timing, and duration were adherent to the guidelines in 96%, 97%, 96%, 85%, and 41% of the surgeries, respectively. Adherence to all five aspects was achieved in only 37% of all procedures. Conclusions: Further interventions are necessary to improve specific parameters such as duration and timing.
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Temme et al. (2022) conducted an observational in Vascular surgery. Adherence to local surgical antibiotic prophylaxis (SAP) guidelines was evaluated on Adherence to all five aspects of surgical antibiotic prophylaxis guidelines. Adherence to all five aspects of surgical antibiotic prophylaxis guidelines was achieved in only 37% of vascular surgery procedures, with duration being the least adherent parameter at 41%.
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