LUSCS Preoperative antibiotic prophylaxis

[Borrell, Sue]

Dear all,
We are currently reviewing our preoperative antibiotic prophylaxis
regime for LUSCS procedures. I would be interested in what agent, dose
and timing is currently being used at your health service.
A copy of your protocol could be send to me directly- email below.
regards
Sue
Sue Borrell
Infection Control Nurse Consultant
Infection Prevention and Healthcare Epidemiology

t 03 9076 1560 e S.Borrell@alfred.org.au
m 0429 806 356

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[Brown, Saffron J]

Hi Sue

The Therapeutic Guidelines Version 14 – 2010 is the best place to find
recommendations for your review.

Regards

Saffron Brown

Saffron Brown

Clinical Nurse Consultant – Infection Control

Tasmanian Infection Prevention & Control Unit (TIPCU)

Department of Health & Human Services

25 Argyle St

GPO Box 125 Hobart TAS 7001

________________________________

Behalf Of Borrell, Sue

Dear all,

We are currently reviewing our preoperative antibiotic prophylaxis
regime for LUSCS procedures. I would be interested in what agent, dose
and timing is currently being used at your health service.

A copy of your protocol could be send to me directly- email below.

regards

Sue

Sue Borrell
Infection Control Nurse Consultant

Infection Prevention and Healthcare Epidemiology

t 03 9076 1560 e S.Borrell@alfred.org.au
m 0429 806 356

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

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[Matthias.Maiwald@KKH.COM.SG Subject: Re: LUSCS Preoperative antibiotic prophylaxis In-Reply-To:]

Dear Group,

If LUSCS is referring to Caesarian sections (I am familiar with LSCS), then
I can contribute that we are a very large paediatric and obstetric hospital
and have recently reviewed in our hospital infection control committee the
antibiotic prophylaxis for Caesarian sections.

First, we noticed that there were a few articles that challenged the prior
practice that surgical antibiotic prophylaxis should be given only after
cord clamping. The newer articles found that giving it prior to incision
results in better maternal outcome but has no negative effects on the baby.

Owens SM, Brozanski BS, Meyn LA, Wiesenfeld HC.
Antimicrobial prophylaxis for cesarean delivery before skin incision.
Obstet Gynecol. 2009 Sep;114(3):573-9.

Walsh CA.
Evidence-based cesarean technique.
Curr Opin Obstet Gynecol. 2010 Apr;22(2):110-5.

Lamont RF, Sobel JD, Kusanovic JP, Vaisbuch E, Mazaki-Tovi S, Kim SK,
Uldbjerg N, Romero R.
Current debate on the use of antibiotic prophylaxis for caesarean section.
BJOG. 2011 Jan;118(2):193-201. doi: 10.1111/j.1471-0528.2010.02729.x.

We have now recommended our obstretric teams to implement before incision.
As for other surgery, the ideal timing is 30-60 min before incision.

Substances that we recommend is cefazolin, and in case of allergy,
clindamycin/lincomycin.

Best regards, Matthias.

—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387

“Brown, Saffron
J”
AICALIST@AICALIST.ORG.AU
Sent by: AICA cc
Infexion
Connexion Subject
prophylaxis

30/03/2011 12:27
PM

Please respond to
AICA Infexion
Connexion

Hi Sue
The Therapeutic Guidelines Version 14 – 2010 is the best place to find
recommendations for your review.
Regards
Saffron Brown

Saffron Brown
Clinical Nurse Consultant – Infection Control
Tasmanian Infection Prevention & Control Unit (TIPCU)
Department of Health & Human Services

25 Argyle St
GPO Box 125 Hobart TAS 7001

Of Borrell, Sue

Dear all,

We are currently reviewing our preoperative antibiotic prophylaxis regime
for LUSCS procedures. I would be interested in what agent, dose and timing
is currently being used at your health service.

A copy of your protocol could be send to me directly- email below.

regards
Sue

Sue Borrell
Infection Control Nurse Consultant
Infection Prevention and Healthcare Epidemiology

t 03 9076 1560 e S.Borrell@alfred.org.au
m 0429 806 356

CONFIDENTIALITY NOTICE AND DISCLAIMER

The information in this transmission may be confidential and/or protected
by legal professional privilege, and is intended only for the person or
persons to whom it is addressed. If you are not such a person, you are
warned that any disclosure, copying or dissemination of the information is
unauthorised. If you have received the transmission in error, please
immediately contact this office by telephone, fax or email, to inform us of
the error and to enable arrangements to be made for the destruction of the
transmission, or its return at our cost. No liability is accepted for any
unauthorised use of the information contained in this transmission. If the
transmission contains advice, the advice is based on instructions in
relation to, and is provided to the addressee in connection with, the
matter mentioned above. Responsibility is not accepted for reliance upon it
by any other person or for any other purpose.
Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of AICA.

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the quotes) to listserv@aicalist.org.au Messages posted to this list are
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AICA.

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