Abstract
Surgical site infections (SSIs) are costly complications in neurosurgical practice and can be prevented by adequate perioperative antibiotic administration. Antibiotic prophylaxis (ABP) guidelines for neurosurgical procedures have been in place for 10 years at the HUG nevertheless the long-term compliance with these guidelines has not been evaluated.
Highlights
Surgical site infections (SSIs) are costly complications in neurosurgical practice and can be prevented by adequate perioperative antibiotic administration
Antibiotic prophylaxis (ABP) guidelines for neurosurgical procedures have been in place for 10 years at the Hôpitaux Universitaires de Genève (HUG) the long-term compliance with these guidelines has not been evaluated
We performed 2 surveys on the adequacy of ABP including surveillance data on spinal and cranial surgeries collected during a 4-month period in 2007 compared with a 2nd period (1.10.13 to 30.09.11) addressing spinal surgeries only
Summary
Surgical site infections (SSIs) are costly complications in neurosurgical practice and can be prevented by adequate perioperative antibiotic administration. Antibiotic prophylaxis (ABP) guidelines for neurosurgical procedures have been in place for 10 years at the HUG the long-term compliance with these guidelines has not been evaluated. Improvement in the timing was noted, passing from 52% (77/149) of the procedures with the ABP administration within the 1st hour, to 81% (248/307) during the 2nd period. In 2007, ABP was administrated too early (> 1 hour before the incision) in many cases. In 2014, more patients (39%, 7/18 vs 12%, 2/17) did not receive the repeated dose of ABP when required
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