Opportunities for system level improvement in antibiotic use across the surgical pathway

Highlights • Optimizing antibiotic prescribing across the surgical pathway is key to tackling the important drivers antimicrobial resistance. • Evidence from around the world indicates that antibiotics for surgical prophylaxis are administered ineffectively. • Much of the evidence in infection manag...

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Bibliographic Details
Published in:International journal of infectious diseases 2017-07, Vol.60 (C), p.29-34
Main Authors: Charani, E, Ahmad, R, Tarrant, C, Birgand, G, Leather, A, Mendelson, M, Moonesinghe, S.R, Sevdalis, N, Singh, S, Holmes, A
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antibiotic prescribing
Antibiotic Prophylaxis - methods
Antibiotic Prophylaxis - standards
Checklist
Cross Infection - drug therapy
Cross Infection - prevention & control
Culture
Humans
Infection
Infectious Disease
Low and middle income countries
Pulmonary/Respiratory
Surgery
Surgical Wound Infection - drug therapy
Surgical Wound Infection - prevention & control
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Summary:Highlights • Optimizing antibiotic prescribing across the surgical pathway is key to tackling the important drivers antimicrobial resistance. • Evidence from around the world indicates that antibiotics for surgical prophylaxis are administered ineffectively. • Much of the evidence in infection management in surgery is related to infection prevention and control, surgical prophylaxis and the management of surgical site infections. • This article provides an overview of the surgical pathway and considers infection management and antibiotic prescribing at each step of the pathway.
ISSN:1201-9712
1878-3511
DOI:10.1016/j.ijid.2017.04.020