Perioperative antibiotic prophylaxis in adults - Sistema Nazionale ...

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The following list shows operations for which clinical studies show that antibioticprophylaxis is effective. The panel has also expressed its opinion (in grey) concerningthe expedience of prophylaxis in a number of frequently performed operations forwhich no clinical studies are available.Chest and thoracic surgeryAntibiotic prophylaxis is recommended for:I/A Cardiac pacemaker/defibrillator insertionOpen-heart surgery, including aorto-coronary bypass and prosthetic valve implantII/A Pulmonary resectionEar, nose and throat surgeryAntibiotic prophylaxis is recommended for:I/A Head and neck surgery (clean-contaminated and contaminated)Antibiotic prophylaxis is not recommended for:I/C AdenotonsillectomyI/D Ear surgery (clean and clean-contaminated) including myringoplastyII/D Nose or sinus and parasinus surgery (septoplasty/rhinoseptoplasty.VI/D Head and neck surgery (clean)General surgeryAntibiotic prophylaxis is strongly recommended for:I/A Colorectal surgery.Antibiotic prophylaxis is recommended for the following, but local antibiotic policymanagers must take local infection rates into account (see p. and Table 6, p. ,operations marked with an asterisk):I/A Breast cancer surgeryReductive mammoplastyII/A Endoscopic gastrostomyStomach and duodenal surgery
VI/B Clean-contaminated procedures not explicitly mentioned elsewhere.Oesophageal surgerySmall intestine surgeryAntibiotic prophylaxis is recommended for:I/A Appendicectomy#Open biliary surgeryResective hepatic surgeryPancreatic surgeryAdditive mastoplasty (breast enlargement)Antibiotic prophylaxis is not recommended for:I/D Inguinal hernia repair, with or without prosthetic deviceLaparoscopic inguinal hernia repair, with or without prosthetic device# Diagnostic laparoscopy and/or lysis of adhesionsBiopsy of superficial lymphatic structure with excisionAntibiotic Prophylaxis is not recommended for the following, but exceptions maybe identified on a local basis (see p. and Table 6, p. , operations with two asterisks):I/D Laparoscopic cholecystectomyNeurosurgeryAntibiotic prophylaxis is recommended for:I/A CraniotomyCerebrospinal fluid shuntObstetrics and gynaecologyAntibiotic prophylaxis is recommended for the following, but local antibiotic policymanagers must take local infection rates into account (see p. and Table 6, operationsmarked with an asterisk):I/A Induced abortionII/A Abdominal hysterectomy
Page 1 and 2: SNLG17Perioperative antibiotic prop
Page 3 and 4: Perioperative antibiotic prophylaxi
Page 5: In this regard, the website of the
Page 9 and 10: MULTIDISCIPLINARY PANELFulvio Calis
Page 11 and 12: Società Italiana di Ortopedia e Tr
Page 13 and 14: RCT: Randomised Clinical (controlle
Page 15 and 16: Implementation strategies most wide
Page 17: 1. Proper ventilation systems in th
Page 21 and 22: # Radical prostatectomyRadical cyst
Page 23 and 24: I/A Antibiotic prophylaxis should b
Page 25 and 26: contact with the surgical field dur
Page 27 and 28: 3. Management of colonised or infec
Page 29 and 30: *measures strongly recommended and
Page 31 and 32: included (this issue has been marke
Page 33 and 34: possible, the evidence base for the
Page 35 and 36: The working group considered that t
Page 37 and 38: omission of more recent studies was
Page 39 and 40: particular circumstances. Nonethele
Page 41 and 42: Dirty:encountered or there is visib
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Page 45 and 46: colitis or diarrhoea. The prevalenc
Page 47 and 48: Where evidence of efficacy is avail
Page 49 and 50: (1-expected baseline risk) x expect
Page 51 and 52: Contamination of the operative site
Page 53 and 54: • exanthema (rash)Other less spec
Page 55 and 56: The steady increase in the frequenc
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Page 59 and 60: II/A In most cases antibiotic proph
Page 61 and 62: For heart surgery performed with ex
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- type of antibiotic, dosage and ro
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diagnostic or surgical procedures a
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RESPIRATORY TRACT PROCEDURES AND OP
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- cephalexin § 2 g 30-60 minutes b
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• Vascular graftsNo randomised co
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• infection of both superficial a
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- myocarditis, pericarditis- endoca
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Other CNS surgeryCaesarean sectionA
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2. Preparation of the surgical team
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- For how many hours does the proto
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11. Jobe BA, Grasley A, Deveney KE,
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30. Scottish Intercollegiate Guidel
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52. Wilcox MH, Cunniffe JG, Trundle
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71. Aznar R, Mateu M, Miro JM, Gate
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93. Preclik G, Grune S, Leser HG, L
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113. Sawaya GF, Grady D, Kerlikowsk
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133. Pitt HA, Postier RG, MacGowan
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153. Ballow CH, Schentag JJ. Trends
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170. van Dijk-van Dam MS, Moll FL,
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188. Crowe MJ, Cooke EM. Review of
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205. White A, Schneider T Improving
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