Surgical antimicrobial prophylaxis

Abstract

Surgical antimicrobial prophylaxis is the most common indication for antimicrobial use in Australian hospitals. However, it is associated with high rates of inappropriate use. Effective use of antimicrobials to prevent infection is essential to reduce risks associated with surgical procedures. Efforts need to be made to maximise the quality of surgical antimicrobial prophylaxis prescribing. Procedural prophylaxis (before or during surgery) is not indicated for all surgeries, especially minor procedures. Post-procedural prophylaxis, including the use of topical antimicrobials, is rarely indicated yet frequently prescribed. The Therapeutic Guidelines: Antibiotic is a key reference for all Australian prescribers. GPs can have a significant role in optimising surgical antimicrobial prophylaxis and reducing the burden of inappropriate antimicrobial use.