Percentage of CABG Patients Receiving Prophylactic Antibiotics Within One Hour Prior to Surgical Incision
From Q2 2005 to Q2 2006, 100% of
Strong Memorial Hospital's CABG patients received prophylactic antibiotics within one hour prior to the surgical incision.
Surgical site infections affect approximately 500,000 persons per year according to a Centers for Disease Control and Prevention (CDC) report. Numerous factors such as age and general health status of persons undergoing surgery can affect rates of infection at any given hospital.
For decades antibiotics have been given prior to surgery to reduce the risk of surgical site infection. Research exploring the practice of giving pre-operative antibiotics appeared in The American Journal of Surgery (June 1996; 171: 548-552) and demonstrated the importance of antibiotic timing for prevention (prophylaxis) of surgical infections.
Because there are numerous drug-resistant bacteria today, it is important to use antibiotics sparingly. The goal for antibiotic use with surgical procedures is to prevent surgical site infections and thereby reduce overall antibiotic use.
According to the Joint Commission on Accreditation of Healthcare Organization's (JCAHO) Surgical Infection Prevention Core Performance Measures, patients undergoing coronary artery bypass graft (CABG) should receive a prophylactic antibiotic within one hour prior to the surgical incision being made.