Audit of the use of antimicrobial prophylaxis in nasal surgery at a speciali

Colgan, Stephen, McMullan, Celene, Davies, Geoffrey E. and Sizeland, Andrew M. 2005, Audit of the use of antimicrobial prophylaxis in nasal surgery at a speciali, ANZ journal of surgery, vol. 75, pp. 1090-1095, doi: 10.1111/j.1445-2197.2005.03624.x.

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Title Audit of the use of antimicrobial prophylaxis in nasal surgery at a speciali
Author(s) Colgan, Stephen
McMullan, Celene
Davies, Geoffrey E.
Sizeland, Andrew M.
Journal name ANZ journal of surgery
Volume number 75
Start page 1090
End page 1095
Publisher Blackwell Publishing Asia
Place of publication Carlton, Vic.
Publication date 2005
ISSN 1445-1433
Keyword(s) antibiotic prophylaxis
drug resistance bacterial
guideline adherence
surgical wound infection
Summary Background: In 2002−03 a retrospective audit of the use of surgical antimicrobial prophylaxis (AMP) for elective nasal surgery was undertaken at the Royal Victorian Eye and Ear Hospital (RVEEH). The RVEEH is a publicly funded teaching hospital that provides specialist eye, nose and throat medicine in Victoria, Australia. The aim of the audit was to determine the extent to which the use of antimicrobial prophylaxis in the hospital was consistent with Australian and international evidence-based guidelines and if there was a need for the hospital to develop internal guidelines for the use of AMP.

Methods: The histories of 500 consecutive patients who had undergone nasal surgery within the study period of August 2001 and July 2002 were examined. The data collected from these histories included information such as the patients' age, gender, diagnosis, surgical procedure performed, antimicrobial agents used, and the length of follow up and a range of factors shown in previous studies to increase the risk of surgical site infection.

Results: A total of 306 (72.86%) patients were found to have received antimicrobial agents either prior to admission, during admission or on discharge. Only 24 patients (5.71%) were administered antimicrobials immediately prior to surgery and at no other time.

Conclusions: The findings of this study support the need for further research to examine the appropriateness of the use of AMP at the RVEEH and the need for internal guidelines for its use.
Language eng
DOI 10.1111/j.1445-2197.2005.03624.x
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2005, Blackwell Publishing Asia
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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