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Perioperative Antibiotic Prophylaxis in Spanish Hospitals: Results of a Questionnaire Survey

Published online by Cambridge University Press:  02 January 2015

Carles Codina ,
Antoni Trilla ,
Nuria Riera ,
Montserrat Tuset ,
Xavier Carne ,
Josep Ribas ,
Miguel-Angel Asenjo  and
Hospital Pharmacy Antimicrobial Prophylaxis Study Group
Carles Codina
Affiliation:
Hospital Clinic of Barcelona, University of Barcelona, and theAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
Antoni Trilla*
Affiliation:
Hospital Clinic of Barcelona, University of Barcelona, and theAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
Nuria Riera
Affiliation:
Hospital Clinic of Barcelona, University of Barcelona, and theAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
Montserrat Tuset
Affiliation:
Hospital Clinic of Barcelona, University of Barcelona, and theAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
Xavier Carne
Affiliation:
Hospital Clinic of Barcelona, University of Barcelona, and theAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
Josep Ribas
Affiliation:
Hospital Clinic of Barcelona, University of Barcelona, and theAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
Miguel-Angel Asenjo
Affiliation:
Hospital Clinic of Barcelona, University of Barcelona, and theAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
*
Hospital Epidemiology & Health Services Research Unit, Hospital Clinic— IDIBAPS, Villarroel 170, 08036-Barcelona, Spain
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Abstract

A questionnaire survey was sent to a random sample of the Spanish network of National Health System public acute-care hospitals. Of responding institutions (representing 25% of Spanish hospital beds), nearly 75% had active surveillance programs for the prevention and control of surgical-site infections (SSIs), but only 20% performed postdischarge surveillance. Overall, perioperative antibiotic prophylaxis (PAP) was used in 84% of all surgical procedures. For 77% of procedures, there were written guidelines for the choice and use of PAR Cefazolin was the most commonly used antibiotic (38%). Duration of PAP was shorter than 24 hours in 75% of procedures, and only a single dose was given in 52% of procedures. PAP was commonly used in breast (52%) and inguinal hernia repair (69%) procedures, as well as in laparoscopic abdominal surgery (86%). In summary, the use of PAP in Spanish hospitals is adequate, but improvements can be made in the frequency of prolonged PAP and in the use of broad-spectrum antibiotics. Surveillance systems for SSI, including postdischarge follow-up, also should be improved.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 20 , Issue 6 , June 1999 , pp. 436 - 439
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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