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

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 infecti...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 1999-06, Vol.20 (6), p.436-439
Main Authors: Codina, Carles, Trilla, Antoni, Riera, Nuria, Tuset, Montserrat, Carne, Xavier, Ribas, Josep, Asenjo, Miguel‐Angel
Format: Article
Language:English
Subjects:
Antibacterial agents
Antibiotic prophylaxis
Antibiotics
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antimicrobials
Biological and medical sciences
Concise Communications
Dosage
Hospital beds
Hospital units
Hospitals
Infections
Medical sciences
Pharmacies
Pharmacology. Drug treatments
Prophylaxis
Surgical procedures
Surveillance
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Summary: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 PAP. 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.
ISSN:0899-823X
1559-6834
DOI:10.1086/501650