Effects of an antimicrobial stewardship intervention on perioperative antibiotic prophylaxis in pediatrics View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

Daniele Donà, Dora Luise, Enrico La Pergola, Genni Montemezzo, Annachiara Frigo, Rebecca Lundin, Theoklis Zaoutis, Piergiorgio Gamba, Carlo Giaquinto

ABSTRACT

Purpose: This study aims to determine the effectiveness of an Antimicrobial Stewardship Program based on a Clinical Pathway (CP) to improve appropriateness in perioperative antibiotic prophylaxis (PAP). Materials and methods: This pre-post quasi-experimental study was conducted in a 12 month period (six months before and six months after CP implementation), in a tertiary Pediatric Surgical Centre. All patients from 1 month to 15 years of age receiving one or more surgical procedures were eligible for inclusion. PAP was defined appropriate according to clinical practice guidelines. Results: Seven hundred sixty-six children were included in the study, 394 in pre-intervention and 372 in post-intervention. After CP implementation, there was an increase in appropriate PAP administration, as well as in the selection of the appropriate antibiotic for prophylaxis, both for monotherapy (p = 0.02) and combination therapy (p = 0.004). Even the duration of prophylaxis decreased during the post-intervention period, with an increase of correct PAP discontinuation from 45.1 to 66.7% (p < 0.001). Despite the greater use of narrow-spectrum antibiotic for fewer days, there was no increase in treatment failures (10/394 (2.5%) pre vs 7/372 (1.9%) post, p = 0.54). Conclusions: CPs can be a useful tool to improve the choice of antibiotic and the duration of PAP in pediatric patients. More... »

PAGES

13

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13756-019-0464-z

DOI

http://dx.doi.org/10.1186/s13756-019-0464-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111439189

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30675340


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