OSE_1306_part3_Layout 1 6/3/13 3:50 PM Page 138
INFECTION PREVENTION
BRUSH UP
5 Key Updates
N
ew sections added to the clinical practice guidelines for antimicrobial prophylaxis in surgery address the following:
• pre-operative screening and decolonization of microbes, such as
methicillin-resistant Staphylococcus aureus
• optimal time for administration of pre- and intra-operative doses (for
long procedures)
• weight-based dosing for obese patients
• common principles of antimicrobial prophylaxis for all types of surgical
procedures
• guidance specifically for surgery involving the small intestine, colon,
rectum, cardiovascular system and breast, as well as hernia repair and
plastic surgery
— Stephanie Wasek
such as the annual Mosby's Nursing Drug Reference.
8
Antibiotics are best prepared as close to the time of administration as possible.
If you're not giving the patient antibiotics by bolus, it's recommended that you consider "pre-mixed products" or those that
facilitate closed-system dilution.
9
Antibiotic stewardship
Using antibiotics prophylactically in surgery should be done with careful attention to each clinical situation. For ambulatory surgical centers,
1 3 8
O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | J U N E 2013
