AB015. SOH23ABS_169. Surgical prophylactic antibiotics: compliance with local and AMRIC guidelines
Clinical Breast Session

AB015. SOH23ABS_169. Surgical prophylactic antibiotics: compliance with local and AMRIC guidelines

Fareha Khalil1, Gerard Feeney2, Paul Tibbitts2, Anne Merrigan3, Chwanrow Baban3, Juliette Buckley3, Shona Tormey3

1School of Medicine, University of Limerick, Castletroy, Limerick, Ireland; 2Department of General Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland; 3Department of Breast Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland

Background: Antimicrobial prophylaxis is a critical step in preventing surgical site infection. The Antimicrobial Resistance and Infection Control committee (AMRIC) position statement summarises current guidelines on the maximum recommended duration of antibiotic prophylaxis for each surgical speciality. Our aim is to audit the use of prophylactic antibiotics by the breast surgery unit at one teaching hospital in Ireland against local and AMRIC guidelines.

Methods: An ongoing, retrospective audit of all mastectomy procedures was undertaken within the breast surgery unit at University Hospital Limerick. The timeframe is from May 2021 to January 2023. Prophylactic antibiotic duration was compared to local and AMRIC guidelines. Local guidelines were as per microguide. Specific antimicrobial agent and dose was compared to local guidelines. Ethical approval was obtained.

Results: A total of 70 patients have been audited to date, and 97% (n=68) patients were prescribed prophylactic antibiotics, 85% (n=60) procedures were compliant with local guidelines on the duration (i.e., one prophylactic dose) and 97% (n=68) were compliant with AMRIC guidelines (maximum duration of 48 hours). Prolonged prophylaxis was most likely when patients had neoadjuvant chemotherapy, drains or multiple comorbidities. Compliance with local guidelines on antimicrobial agent and dosage was 100%.

Conclusions: This audit reveals that there is a high adherence to the AMRIC guidelines in relation to prescription of surgical prophylactic antibiotics compared to local guidelines. As such, it may be necessary to bring local guidelines more in line with those recommended by AMRIC.

Keywords: Audit; antibiotics; breast surgery; guidelines; prophylaxis

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-23-ab015
Cite this abstract as: Khalil F, Feeney G, Tibbitts P, Merrigan A, Baban C, Buckley J, Tormey S. AB015. SOH23ABS_169. Surgical prophylactic antibiotics: compliance with local and AMRIC guidelines. Mesentery Peritoneum 2023;7:AB015.

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