Improving Perioperative Antimicrobial Prophylaxis by the Use of a Computerized Decision Support System

University Hospital, Geneva20,000 enrolled

Overview

To evaluate the impact of using a computerized decision program on the adequacy of the perioperative antimicrobial prophylaxis

Adequacy rate of surgical antimicrobial prophylaxis, helped by a computerized decision support system, according to the internal guidelines considering the aspects: drug choice, dosing, timing, and re-dosing

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

20,000

Conditions

Surgery

Interventions

guided antimicrobial prophylaxisOTHER

During the intervention period, antimicrobial prophylaxis decisions will be guided by a computerized program

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * All elective \& emergency surgeries done by neurosurgery, orthopaedics, cardiovascular and digestive specialties made at University Hospitals of Geneva Exclusion Criteria: * Patients \< 40 kgs

Locations (1)

University Hospitals of Geneva

Geneva, Switzerland

Outcomes

Primary Outcomes

Adequacy rate of surgical antimicrobial prophylaxis

Adequacy rate of surgical antimicrobial prophylaxis according to the internal guidelines

Time frame: baseline & 1 year

Secondary Outcomes

Incidence of surgical site infections

Incidence of surgical site infections in subgroups: hip \& knee, colon \& rectum, lumbar neurosurgeries and heart surgeries

Time frame: baseline & 1 year

Data from ClinicalTrials.gov

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