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I am after some advice in regards to Surgical Antimicrobial Prophylaxis audit I complete.
Currently, our hospital has always just used the Australian Therapeutic guidelines to complete the audits.
One of the surgeons was not happy that his percentage was very low.
He has requested that I used the Surgical Antimicrobial Prophylaxis Clinical guidelines which would give him a 90% pass rate.If reference to the Antimicrobial Stewardship Clinical Care Standard, the Therapeutic Good Association (TGA) or evidence-based, locally endorsed guidelines are appropriate to prescribe and audit against.
[cid:image002.jpg@01D7D9F7.EA828210]
My question is,
What do other hospital do?
Do you just used the Australian Therapeutic Guide or do you use evidenced based locally endorsed guidelines?Thanks for your assistance
HelenHelen Roberts
Infection Control
P: 07 4646 3106 |
F: 07 4633 7602
E: robertsh@sath.org.au |
W: http://www.sath.org.au
Post: PO Box 263, Toowoomba, QLD 4350
Address: 280 North St, Toowoomba, QLD 4350
[cid:image115296.jpg@C977AAF5.AE613E1F]
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Hi Helene
We use some locally endorsed clinical guidelines, and where there are none, Guidelines Therapeutic Antibiotic.
We have access to some very good infectious diseases and clinical microbiology opinions though. I would caution you to allow a group of surgeons only to set up an agreed local guideline with no ID or clinical microbiology input or advice. Local guidelines should be not only good clinical practice, but also take into account costs, possible effects on antimicrobial resistance, and local antibiogram information.
Im not sure what access you have to ID physicians and clinical microbiologists, but without these any local clinical guidelines developed by a surgical group could be outside of what the ACSQHC requires for local guidelines.
THE ACSQHC states:
Organisations using evidence-based locally-endorsed guidelines in addition to or in place of
Therapeutic Guidelines, are to ensure:
They comply with the description provided in the AMS Clinical Care Standard
Can demonstrate local guidelines are based on Therapeutic Guidelines5
Have documented any deviation from the Therapeutic Guidelines including a clear
rationale based on published clinical evidence and local epidemiology
The organisations governing body endorse the guidelines following review of
information from peer review processes conducted by a drug and therapeutics
committee, an antimicrobial stewardship committee, a medicines advisory
committee, or equivalent.
NSQHS Standards Advisory AS18/01: Advice on not applicable actions, July 2021 (safetyandquality.gov.au)There may be very valid reasons why the Therapeutic Guidelines Antibiotic might be different from your surgeons clinical practice, and these should be worked through rather than just overwritten.
My opinion, anyway.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
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From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
Sent: Monday, 15 November 2021 10:47 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Surgical Antimicrobial Prophylaxis Clinical guidelinesI am after some advice in regards to Surgical Antimicrobial Prophylaxis audit I complete.
Currently, our hospital has always just used the Australian Therapeutic guidelines to complete the audits.
One of the surgeons was not happy that his percentage was very low.
He has requested that I used the Surgical Antimicrobial Prophylaxis Clinical guidelines which would give him a 90% pass rate.If reference to the Antimicrobial Stewardship Clinical Care Standard, the Therapeutic Good Association (TGA) or evidence-based, locally endorsed guidelines are appropriate to prescribe and audit against.
[cid:image002.jpg@01D7D9F7.EA828210]
My question is,
What do other hospital do?
Do you just used the Australian Therapeutic Guide or do you use evidenced based locally endorsed guidelines?Thanks for your assistance
HelenHelen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image115296.jpg@C977AAF5.AE613E1F]
This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
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