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    ASHP Guidelines For S.a.P. (Surgical Antibiotic Prophylaxis)

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    ridley45
    This document provides guidelines for antimicrobial prophylaxis in surgery. It outlines the goals of surgical prophylaxis as preventing infection at the surgical site, reducing postoperative infectious morbidity and mortality, and decreasing the duration and cost of healthcare while avoiding adverse effects. Antimicrobials used for prophylaxis should be active against the most likely contaminating pathogens, administered at the right time and dose to reach adequate concentrations during potential contamination, and used for the shortest effective period. The document also classified different types of surgical procedures as clean, clean-contaminated, contaminated, and dirty based on the risk of infection and guidelines for appropriate use of antimicrobial prophylaxis.

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    ASHP Guidelines For S.a.P. (Surgical Antibiotic Prophylaxis)

    Uploaded by

    ridley45
    187 views3 pages
    This document provides guidelines for antimicrobial prophylaxis in surgery. It outlines the goals of surgical prophylaxis as preventing infection at the surgical site, reducing postoperative infectious morbidity and mortality, and decreasing the duration and cost of healthcare while avoiding adverse effects. Antimicrobials used for prophylaxis should be active against the most likely contaminating pathogens, administered at the right time and dose to reach adequate concentrations during potential contamination, and used for the shortest effective period. The document also classified different types of surgical procedures as clean, clean-contaminated, contaminated, and dirty based on the risk of infection and guidelines for appropriate use of antimicrobial prophylaxis.

    Original Description:

    Guidelines for SAP

    Original Title

    ASHP Guidelines for S.a.P. (Surgical Antibiotic Prophylaxis)

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    This document provides guidelines for antimicrobial prophylaxis in surgery. It outlines the goals of surgical prophylaxis as preventing infection at the surgical site, reducing postoperative infectious morbidity and mortality, and decreasing the duration and cost of healthcare while avoiding adverse effects. Antimicrobials used for prophylaxis should be active against the most likely contaminating pathogens, administered at the right time and dose to reach adequate concentrations during potential contamination, and used for the shortest effective period. The document also classified different types of surgical procedures as clean, clean-contaminated, contaminated, and dirty based on the risk of infection and guidelines for appropriate use of antimicrobial prophylaxis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    187 views3 pages

    ASHP Guidelines For S.a.P. (Surgical Antibiotic Prophylaxis)

    Uploaded by

    ridley45
    This document provides guidelines for antimicrobial prophylaxis in surgery. It outlines the goals of surgical prophylaxis as preventing infection at the surgical site, reducing postoperative infectious morbidity and mortality, and decreasing the duration and cost of healthcare while avoiding adverse effects. Antimicrobials used for prophylaxis should be active against the most likely contaminating pathogens, administered at the right time and dose to reach adequate concentrations during potential contamination, and used for the shortest effective period. The document also classified different types of surgical procedures as clean, clean-contaminated, contaminated, and dirty based on the risk of infection and guidelines for appropriate use of antimicrobial prophylaxis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    ASHP Therapeutic Guidelines on Antimicrobial Prophylaxis in Surgery

    1
    E.R. Reyes
    ASHP Therapeutic Guidelines on Antimicrobial Prophylaxis in Surgery
    2
    E.R. Reyes


    ASHP Therapeutic Guidelines on Antimicrobial Prophylaxis in Surgery
    3
    E.R. Reyes
    Goals of Surgical Prophylaxis
    1. Prevent postoperative infection of the surgical site
    2. Prevent postoperative infectious morbidity and mortality
    3. Reduce the duration and cost of health care
    4. Produce no adverse effects
    a. Have no adverse consequence for the microbial flora of the
    patient or the hospital

    To achieve these, antimicrobials should be:
    a. Active against the pathogens most likely to contaminate the wound
    b. Given in appropriate dosage and at a time that ensures adequate
    concentration at the incision site during the period of potential
    contamination
    c. Safe and administered for the shortest effective period to minimize
    ADR, devt of resistance, and cost.

    The modified National Research Council wound classification criteria as
    follow:

    Clean Surgical Procedures
    primary closed, elective procedures involving no acute
    inflammation, no break in technique, and no tansection of GI,
    oropharyngeal, GU, biliary or tracheobronchial tracts

    Clean-Contaminated Procedures
    procedures involving transaction of GI, oropharyngeal, GU, biliary,
    or tracheobronchial tracts with minimal spillage or with minor
    breaks in technique
    clean procedures performed emergently or with major breaks in
    technique
    reoperation of clean surgery within seven days
    procedures following blunt trauma




    Contaminated Procedures
    Clean-contaminated procedures during which acute, nonpurulent
    inflammation is encountered or major spillage or technique break
    occurs
    Procedures performed within four hours of penetrating trauma or
    involving a chronic open wound

    Dirty Procedures
    Procedure performed when there is obvious pre-existing infection
    o Presence of abscess, pus, necrotic tissue
    Preoperative perforation of GI, oropharyngeal, biliary, or
    tracheobronchial tracts
    Penetrating trauma greater than four hours old

    NOTE:
    I. Prophylactic antimicrobials are not indicated for clean surgical
    procedures
    a. Only justified for procedures involving prosthetic placement
    because of the potential for severe complications if
    postoperative infections involve the prosthesis
    II. The use of antimicrobials for dirty and contaminated procedures is
    not classified as prophylaxis but as treatment for a presumed
    infection

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