Quote from MelissaRN
I've been trying to find literature on this subject on the AORN website. Haven't had much luck. Got any literature that I could look at?
Sure! I just got this in today's email, and it says within the hour--as I said, where I have worked we try for 30 minutes, but that may change based on this advisory.
CMS Surgical Infection Prevention Project issues antimicrobial prophylaxis
CMS' National Surgical Infection Prevention Project (SIPP) recently
published a joint advisory statement on "Antimicrobial Prophylaxis for
Surgery: An Advisory Statement from the National Surgical Infection
Prevention Project," in the June 15 issue of Clinical Infectious Diseases.
Premier, Inc. joins numerous other national healthcare and professional
organizations in officially endorsing these guidelines; organizations
include the American College of Surgeons, the American Academy of
Orthopaedic Surgeons, and the Society of Thoracic Surgeons.
The quality improvement project is co-sponsored by the Centers for
Medicare & Medicaid Services and the Centers for Disease Control and
Prevention (CDC) and is conducted through the CMS Health Care Quality
Improvement Program. Its goal is to reduce the occurrence of
post-operative infection by improving the selection and timing of
preventative antibiotic administration.
When the National Surgical Infection Prevention Project was launched in
2002, clinical experts identified areas of inconsistency among the
existing surgical infection prevention practice guidelines, as well as
issues that were not addressed in any of the guidelines. Areas of focus
included selection of antibiotics for patients with certain antibiotic
allergies, and the duration of antibiotic therapy after completion of the
Project leaders hosted a forum of national medical organizations in
January 2003. The two-day meeting led to initial consensus concerning
antibiotic selection, timing, and duration for select types of surgery.
The resulting advisory statement was subsequently accepted by all of the
participating organizations, as well as additional national medical
organizations. Its most important features were recommendations that
antibiotics used to prevent surgical infection should be given during the
hour before surgery and that they should not be used for more than 24
hours after the end of the operation. Timely administration results in
more effective infection prevention, while short duration is less likely
to produce antibiotic-resistant bacteria.