Section: Antimicrobial Prophylaxis
Antimicrobial Prophylaxis is a proven strategy to reduce surgical site infections (SSIs) by maintaining antimicrobial drug levels in the body during surgery, the highest risk period of potential infection. All surgical patients should receive antibiotics prior to cardiac, hip and knee joint replacement, or spinal surgery, and cefazolin is standard. However, what is recommended may vary based on the case as well as on the patient. Below are resources on dosage, timing, and more.
Presentations
Presentation: Antimicrobial Prophylaxis Part 1
After reviewing the content of this presentation, viewers will be able to—
- Review appropriate antimicrobial use:​
- Agent
- °Õ¾±³¾±ð​
- ¶Ù´Ç²õ±ð​
- ¶Ù³Ü°ù²¹³Ù¾±´Ç²Ô​
- Discuss the importance of agents effective against methicillin-resistant Staphylococcus aureus (MRSA) and appropriate use
Documents:
- Antimicrobial Prophylaxis Part 1 – Slides (PPTX, 3 MB)
- Antimicrobial Prophylaxis Part 1 – Facilitator Guide (DOCX, 3 MB)
Presentation: Antimicrobial Prophylaxis Part 2
After reviewing the content of this presentation, viewers will be able to—
- Discuss the evidence and recommendations for the duration of perioperative antimicrobial prophylaxis​
- Review the evidence to support topical intraoperative antibiotic application​
- Refine the approach to intravenous vancomycin perioperative prophylaxis and balance benefits with risks​
- Approaches to a patient with a penicillin allergy and suggested courses of action
Documents:
One-Pagers
One-Pager: Antimicrobial Prophylaxis Recommendations One-Pager (PDF, 397 KB)
This one-page document outlines the goals and recommendations of prophylactic antimicrobial therapy for surgical prophylaxis for cardiac, hip and knee joint replacements, and spinal fusion surgeries.
One-Pager: Antimicrobial Prophylaxis Duration One-Pager (DOCX, 2 MB)
This one-page document outlines the recommendations for the duration of preoperative antimicrobial prophylaxis.
Tools and Resources
Penicillin Allergy Document (PDF, 268 KB)
This one-page document outlines the recommendations for patients with a history of penicillin allergy and recommendations for preoperative antimicrobial prophylaxis.
