Safety

Check antibiotic use to reduce infections, save money

Ambulatory Safety Monitor, June 23, 2004

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New guidelines resulting from a recent study indicate facilities can save money and reduce the number of healthcare-acquired infections when they administer antibiotics at proper times during surgery.

The new guidelines-published in the June 15 Clinical Infectious Diseases-recommend that healthcare providers give antibiotics one hour before surgery and avoid giving them more than 24 hours after the end of the operation. Using antibiotics too soon can lead to a weakened effect due to the half-life of the drug, the study's authors said. Using antibiotics for too long can waste money and drugs, the authors said.

Facilities should add antibiotic timing to the presurgery timeout checklist, according to the study's authors. The guidelines resulted from a yearlong study by several surgical societies and universities, the VHA, the Centers for Medicare & Medicaid Services, and the Centers for Disease Control and Prevention.



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