Adherence to antimicrobial prophylaxis guidelines in cardiac implantable electronic device procedures in two Australian teaching hospitals

Autor: Roya Karimaei, Zachiah Nizich, Paul Stobie, Jason Seet, Leanne Chalmers, Adam L Hort, Sok Ling Yee, Taylor Huston, Duncan McLellan, Petra Czarniak, Monique Almonte, Matthew Rawlins
Rok vydání: 2021
Předmět:
Zdroj: Australian Health Review. 45:761-770
ISSN: 1449-8944
0156-5788
DOI: 10.1071/ah21046
Popis: Objective This study investigated antibiotic prophylaxis (AP) guideline adherence and the cardiac implantable electronic device (CIED) infection rate in two major Australian public teaching hospitals. Methods In a retrospective observational study, the medical records of patients who underwent CIED procedures between January and December 2017 were reviewed (Hospital A, n = 400 procedures; Hospital B, n = 198 procedures). Adherence to AP guidelines was assessed regarding drug, dose, timing, route and frequency. Infection was identified using follow-up documentation. Results AP was administered in 582 of 598 procedures (97.3%). Full guideline adherence was observed in 33.9% of procedures (203/598) and differed significantly between Hospitals A and B (47.3% vs 7.1%, respectively; P
Databáze: OpenAIRE