Systematic review and evidence- based guidance ... - ECDC - Europa

Systematic review and evidence-based guidance on perioperative antibiotic prophylaxisTECHNICAL REPORTGlossaryAudit: A quality improvement process that seeks to improve patient care and outcomes through a systematicreview of all aspects of care against explicit criteria and the implementation of change. Where indicated, changesare implemented at an individual, team, or service level and further monitoring is used to confirm improvement inhealthcare delivery [1].European Union-wide applicability: Applicability of a key component across the European Union in terms ofadaptability and adoption in the context of potential barriers at a national level related to finances, culture, orhealthcare structures.Healthcare professionals: Clinical staff who have regular contact with patients. This includes physicians, nurses,pharmacists, paramedical professionals (e.g. occupational therapists, physiotherapists, radiographers, ambulanceworkers and porters), and students in these disciplines.Implementation: Implementation is a deliberate action performed to put a plan (intervention) or system intooperation within an organisation [2,3].Infection control professional: Clinical staff trained in infection control, including nurses, physicians, andmicrobiologists.Multidisciplinary: This term refers to a group of individuals who represent different professional backgroundsand is usually used in the context of multidisciplinary teams.Perioperative antibiotic prophylaxis: Administration of systemic antibiotics before or during a surgicalprocedure.Surgical site infection: Infection of superficial or deep tissue or organs at the surgical site or related to the siteof the surgical procedure. Case definitions for surgical site infections are those from Commission ImplementingDecision 2012/506/EU of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reportingcommunicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament andof the Council (notified under document C(2012) 5538) and the Centers for Disease Control and Prevention (CDC)from the United States of America. Good concordance between the EU and US definitions was shown in:Hansen S, Sohr D, Geffers C, Astagneau P, Blacky A, Koller W et al. Concordance between European and US casedefinitions of healthcare-associated infections. Antimicrob Resist Infect Control. 2012 Aug 2;1(1):28. doi:10.1186/2047-2994-1-28.Surveillance: The ongoing systematic collection, analysis, and interpretation of health data essential to theplanning, implementation, and evaluation of public health practice; closely integrated with the timely disseminationof these data to relevant stakeholders [4].vi