Evaluation of Pediatric Surgical Site Infections Associated with Colorectal Surgeries at an Academic Children’s Hospital
Appropriate use of antibiotic prophylaxis (AP) is a key measure for the prevention of surgical site infections (SSI) in colorectal surgeries; however, despite the presence of national and international guidelines, compliance with AP recommendations remains low. The purpose of this study is to evalua...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-04-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/8/2/91 |
| _version_ | 1797571144270741504 |
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| author | Kimberly Pough Rima Bhakta Holly Maples Michele Honeycutt Vini Vijayan |
| author_facet | Kimberly Pough Rima Bhakta Holly Maples Michele Honeycutt Vini Vijayan |
| author_sort | Kimberly Pough |
| collection | DOAJ |
| description | Appropriate use of antibiotic prophylaxis (AP) is a key measure for the prevention of surgical site infections (SSI) in colorectal surgeries; however, despite the presence of national and international guidelines, compliance with AP recommendations remains low. The purpose of this study is to evaluate compliance with recommendations for the use of AP in children undergoing colorectal surgeries and to evaluate the effectiveness of antibiotics in the prevention of SSI. We collected demographic and clinical characteristics of patients who underwent colorectal surgeries, as well as microbiological and antimicrobial susceptibility data for patients who developed SSI. AP data were collected and compared with national guidelines. Antibiotic dosing and duration were most frequently in concordance with national guidelines, while antibiotic timing and selection had the lowest rates of compliance. Twelve of the 192 colorectal procedures evaluated resulted in SSI. Only 2 of the 12 children with SSI received appropriate AP for all four categories evaluated. Eight cases that resulted in SSI were due to organisms not covered by the recommended AP. We identified multiple areas for the improvement of AP in children undergoing colorectal surgery. A multidisciplinary approach to development of standardized protocols, educational interventions, and EHR-based algorithms may facilitate or improve appropriate AP use. |
| first_indexed | 2024-03-10T20:34:51Z |
| format | Article |
| id | doaj.art-ac6033a0b02f414fb4c1c223e184c1af |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T20:34:51Z |
| publishDate | 2020-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-ac6033a0b02f414fb4c1c223e184c1af2023-11-19T21:06:44ZengMDPI AGHealthcare2227-90322020-04-01829110.3390/healthcare8020091Evaluation of Pediatric Surgical Site Infections Associated with Colorectal Surgeries at an Academic Children’s HospitalKimberly Pough0Rima Bhakta1Holly Maples2Michele Honeycutt3Vini Vijayan4Department of Pharmacy Practice, Arkansas Children’s Hospital, Little Rock, AR 72202, USACollege of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Pharmacy Practice, Arkansas Children’s Hospital, Little Rock, AR 72202, USADepartment of Infection Prevention and Hospital Epidemiology, Arkansas Children’s Hospital, Little Rock, AR 72202, USADivision of Infectious Diseases, Department of Pediatrics, Valley Children’s Hospital, Madera, CA 93636, USAAppropriate use of antibiotic prophylaxis (AP) is a key measure for the prevention of surgical site infections (SSI) in colorectal surgeries; however, despite the presence of national and international guidelines, compliance with AP recommendations remains low. The purpose of this study is to evaluate compliance with recommendations for the use of AP in children undergoing colorectal surgeries and to evaluate the effectiveness of antibiotics in the prevention of SSI. We collected demographic and clinical characteristics of patients who underwent colorectal surgeries, as well as microbiological and antimicrobial susceptibility data for patients who developed SSI. AP data were collected and compared with national guidelines. Antibiotic dosing and duration were most frequently in concordance with national guidelines, while antibiotic timing and selection had the lowest rates of compliance. Twelve of the 192 colorectal procedures evaluated resulted in SSI. Only 2 of the 12 children with SSI received appropriate AP for all four categories evaluated. Eight cases that resulted in SSI were due to organisms not covered by the recommended AP. We identified multiple areas for the improvement of AP in children undergoing colorectal surgery. A multidisciplinary approach to development of standardized protocols, educational interventions, and EHR-based algorithms may facilitate or improve appropriate AP use.https://www.mdpi.com/2227-9032/8/2/91colorectal surgerypediatricsurgical prophylaxisantibiotic prophylaxissurgical site infections |
| spellingShingle | Kimberly Pough Rima Bhakta Holly Maples Michele Honeycutt Vini Vijayan Evaluation of Pediatric Surgical Site Infections Associated with Colorectal Surgeries at an Academic Children’s Hospital Healthcare colorectal surgery pediatric surgical prophylaxis antibiotic prophylaxis surgical site infections |
| title | Evaluation of Pediatric Surgical Site Infections Associated with Colorectal Surgeries at an Academic Children’s Hospital |
| title_full | Evaluation of Pediatric Surgical Site Infections Associated with Colorectal Surgeries at an Academic Children’s Hospital |
| title_fullStr | Evaluation of Pediatric Surgical Site Infections Associated with Colorectal Surgeries at an Academic Children’s Hospital |
| title_full_unstemmed | Evaluation of Pediatric Surgical Site Infections Associated with Colorectal Surgeries at an Academic Children’s Hospital |
| title_short | Evaluation of Pediatric Surgical Site Infections Associated with Colorectal Surgeries at an Academic Children’s Hospital |
| title_sort | evaluation of pediatric surgical site infections associated with colorectal surgeries at an academic children s hospital |
| topic | colorectal surgery pediatric surgical prophylaxis antibiotic prophylaxis surgical site infections |
| url | https://www.mdpi.com/2227-9032/8/2/91 |
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