Surgery
Conditions
Keywords
antimicrobial, prophylaxys, CDSS
Brief summary
To evaluate the impact of using a computerized decision program on the adequacy of the perioperative antimicrobial prophylaxis
Detailed description
Adequacy rate of surgical antimicrobial prophylaxis, helped by a computerized decision support system, according to the internal guidelines considering the aspects: drug choice, dosing, timing, and re-dosing
Interventions
OTHERguided antimicrobial prophylaxis
During the intervention period, antimicrobial prophylaxis decisions will be guided by a computerized program
Sponsors
Universidade do Porto
University of Sao Paulo
University Hospital, Geneva
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
unblinded
Intervention model description
quasi-experimental study Time-series analysis, with a non-equivalent variable prospective Quality Improvement project
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* All elective & emergency surgeries done by neurosurgery, orthopaedics, cardiovascular and digestive specialties made at University Hospitals of Geneva
Exclusion criteria
* Patients \< 40 kgs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adequacy rate of surgical antimicrobial prophylaxis | baseline & 1 year | Adequacy rate of surgical antimicrobial prophylaxis according to the internal guidelines |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of surgical site infections | baseline & 1 year | Incidence of surgical site infections in subgroups: hip & knee, colon & rectum, lumbar neurosurgeries and heart surgeries |
Countries
Switzerland
Outcome results
None listed