Antimicrobial Prophylaxis in Surgery in Belgian Hospitals: Room for Improvement

European Journal of Surgery

Volumn 162, Issue 1, 1996, Pages 15-21

  Kurz, Xavier ^a   Mertens, Raf ^a   Ronveaux, Olivier ^a  

^a Institute of Hygiene and Epidemiology of Brussels   (Belgium)

Author keywords

[No Author keywords available]

Indexed keywords

AMOXICILLIN; ANTIBIOTIC AGENT; CEFAMANDOLE; CEFAZOLIN; CEFOTETAN; CEFOXITIN; CEFUROXIME; CLAVULANIC ACID; FLUCLOXACILLIN; ORNIDAZOLE; TICARCILLIN;

ARTICLE; BELGIUM; CONTROLLED STUDY; HUMAN; INFECTION CONTROL; MAJOR CLINICAL STUDY; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; PROPHYLAXIS; SURGICAL TECHNIQUE; WOUND INFECTION;

ANTIBIOTIC PROPHYLAXIS; BELGIUM; CEPHALOSPORINS; HUMANS; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; SURGICAL PROCEDURES, OPERATIVE; SURGICAL WOUND INFECTION; TIME FACTORS; TREATMENT OUTCOME;

EID: 0030069597     PISSN: 11024151     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (30)

1. Altemeier WA, Burke JF, Pruitt BA, Sanduski WR eds. Manual on control of infection in surgical patients, 2nd ed. Philadelphia: JB Lippincott, 1984: 29.
2. Armitage P, Berry G. Statistical methods in medical research. 2nd ed. Oxford: Blackwell Scientific, 1987.
3. Classen DC, Evans RS, Pestotnik SL et al. The timing of prophylactic administration of antibiotics and the risk of surgical-wound infection. N Engl J Med 1992; 326: 281-286.
4. Conseil Supérieur d'Hygiène. Recommandations pour l'utilisation prophylactique des antibiotiques en chirurgie. Bruxelles: Ministère de la Santé Publique et de l'Environnement, 1989.
5. Culver DH, Horan TC, Gaynes RP et al. Surgical wound infection rates by wound class, operative procedures, and patient risk index. Am J Med 1991; 91 (suppl 3B): 152S-157S.
6. Currier JS, Campbell H, Platt R. Kaiser AB. Perioperative antimicrobial prophylaxis in Middle Tennessee, 1989-1990. Rev Infect Dis 1991; 13 (suppl 10): S869-S873.
7. Dellinger EP, Gross PA, Barrett TL et al. Quality standard for antimicrobial prophylaxis in surgical procedures. Infect Control Hosp Epidemiol 1994; 15: 182-188.
8. Donabedian A. Contributions of epidemiology to quality assessment and monitoring. Infect Control Hosp Epidemiol 1990; 11: 117-121.
9. Ehrenkranz NJ. Antimicrobial prophylaxis in surgery: Mechanisms, misconceptions, and mischief. Infect Control Hosp Epidemiol 1993; 14: 99-106.
10. Ehrenkranz NJ. Containing costs of antimicrobials in the hospital: A critical evaluation. Am J Infect Control 1989; 17: 300-10.
11. Goodman LA, Kruskal WH. Measures of association for cross classifications. New York: Springer-Verlag, 1979.
12. Hemsell DL. Prophylactic antibiotics in gynecologic and obstetric surgery. Rev Infect Dis 1991; 13 (suppl 10): S821-S841.
13. Holmberg SD, Solomon SL, Blake PA. Health and economic impacts of antimicrobial resistance. Rev Infect Dis 1987; 9: 1065-78.
14. Hopkins CC. Antibiotic prophylaxis in clean surgery: peripheral vascular surgery, noncardiovascular thoracic surgery, herniorrhaphy, and mastectomy. Rev Infect Dis 1991; 13 (suppl 10): S869-S873.
15. Larsen RA, Curtis ET, Jacobson JA, Burke JP. Trends in infections and antibiotic usage in a community hospital. Am J Infect Control 1987; 15: 7-15.
16. Larsen RA, Evans RS, Burke JP et al. Improved perioperative antibiotic use and reduced surgical wound infections through use of computer decision analysis. Infect Control Hosp Epidemiol 1989; 10: 316-320.
17. McGowan JE. Cost and benefit of perioperative antimicrobial prophylaxis: methods for economic analysis. Rev Infect Dis 1991; 13 (suppl 10): S879-S889.
18. McGowan JE. Improving antibiotic use has become essential - can surgery lead the way? Infect Control Hosp Epidemiol 1990; 11: 575-576.
19. Mertens R, Jans B, Kurz X. A computerized nationwide network for nosocomial infection surveillance in Belgium. Infect Control Hosp Epidemiol 1994; 15: 171-179.
20. Mertens R, Verbist L, Gordts B et al. National study on the utilization of prophylactic antibiotics in surgery, Belgium, 1986. Epidemiol Infect 1989; 103: 311-322.
21. Neu HC. Antimicrobial agents: role in the prevention and control of nosocomial infections. In: Wenzel RP, ed. Prevention and control of nosocomial infections. 2nd ed. Baltimore: Williams & Wilkins, 1993; 406-419.
22. Norden CW. Prophylactic antibiotics in orthopedic surgery. Rev Infect Dis 1991; 13 (suppl 10): S842-S846.
23. Pillans PI, Conry I, Gie BE. Drug cost containment at a large teaching hospital. Pharmacoeconomics 1993; 1: 377-382.
24. Platt R, Zaleznik DF, Hopkins CC et al. Perioperative antibiotic prophylaxis for herniorrhaphy and breast surgery. N Engl J Med 1990; 322: 153-160.
25. Shapiro M, Townsend TR, Rosner B, Kass EH. Use of antimicrobial drugs in general hospitals: patterns of prophylaxis. N Engl J Med 1979; 301: 351-355.
26. Shapiro M, Townsend TR, Rosner B, Kass EH. Use of antimicrobial drugs in general hospitals. II. Analysis of patterns of use. J Infect Dis 1978: 139: 688-706.
27. The ASA classification of physical status - A recapitulation. J Anesthesiol 1978; 49: 233-6.
28. Trilla A, Mensa J. Perioperative antibiotic prophylaxis. In: Wenzel RP, ed. Prevention and control of nosocomial infections. 2nd ed. Baltimore: Williams & Wilkins, 1993: 665-682.
29. Wenzel RP. Perioperative antibiotic prophylaxis. N Engl J Med 1992; 326: 337-339.
30. Zhanel GG, Gin AS, Przybylo A, Louie TJ, Otten NH. Effect of intervention on prescribing of antimicrobials for prophylaxis in obstetric and gynecologic surgery. Am J Hosp Pharm 1989; 46: 2493-2496.