SCIP"PING ANTIBIOTIC PROPHYLAXIS GUIDELINES IN TRAUMA: THE CONSEQUENCES OF NON-COMPLIANCE Brian P Smith, MD from Temple University Hospital looked retrospectively at compliance with the SCIP guidelines for prophylactic antibiotics in trauma laparotomy, namely: 1) prophylactic antibiotic given, 2) antibiotic received within 1hr prior to incision, 3) correct antibiotic selection, and 4) discontinuation of antibiotic within 24hrs after surgery. The primary study endpoint was the development of surgical site infection.
They found that complete adherence to these 4 SCIP antibiotic guidelines independently dec reased the developed SSI (17% vs. 33%, p =0.001), had shorter overall hospital duration of antibiotics (4±6
They concluded that: SCIP antibiotic prophylaxis guidelines effectively reduce the risk of SSI in patients undergoing trauma laparotomy. Despite the emergent nature of trauma operative procedures, efforts to adhere to these antibiotic guidelines should be maintained.
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