Antibiotic prophylaxis

 

  • Strategies to prevent surgical site infections should always include attention to

-infection control strategies

-surgical technique

-hospital and operating room environments

-instrument sterilization processes

-perioperative optimization of patient risk factors

-appropriate management of surgical wounds

 

  • Antibiotic prophylaxis should be administered for operative procedures that have a high rate of postoperative wound infection, or when foreign materials is implanted.

 

  • Antibiotic prophylaxis should be bactericidal, nontoxic, and inexpensive. Antibiotics should have in vitro activity against the common organisms that cause postoperative wound infection after a specific surgical procedure.

 

  • Broad-spectrum antibiotics should be avoided always  for surgical prophylaxis.

 

  • Antibiotic prophylaxis should be administered not more than 30 to 60 minutes before surgery.

 

  • Additional antibiotic doses should be administered intraoperatively for prolonged procedures.

 

  • Prolonged postoperative AP should be always discouraged.