** Unless otherwise stated, all guidance applies to ADULT – NON-PREGNANT patients**

The aim of surgical prophylaxis is to reduce rates of surgical site and healthcare-associated infections (HAIs) and so reduce surgical morbidity and mortality.
NHS Grampian surgical prophylaxis guidelines are primarily based on recommendations in SIGN Guideline 104 published April 2014 (now withdrawn), and advice published by the Scottish Antimicrobial Prescribing Group (SAPG), local information about surgical site infections and HAIs and expert advice from local clinicians.

The Surgical Antibiotic Prophylaxis overview outlines the key principles in terms of indication, timing, documentation, frequency of administration and choice of antibiotic(s). It also covers other considerations such as MRSA decolonisation and alternative options if co-trimoxazole injection is unavailable. A table of antibiotic administration guidance lists the doses, method and timing of administration, along with advice on re-dosing after prolonged surgery or >1.5L blood loss.

Individual speciality guidelines (see links below) are presented in poster format to facilitate display in theatres, preparation areas, or wards as applicable. 

Departmental Guidelines

• Breast  [Intranet]
• Cardiology  [Intranet]
• Cardiothoracic [Intranet]
• Endoscopy  [Intranet]
• ENT [Intranet]
• Facial   [Intranet]
• Gastrointestinal- Upper [Intranet]
• Gastrointestinal - Lower [Intranet]
• Gynaecological  [Intranet]
• Head and Neck  [Intranet]
• Intracranial  [Intranet]
• Interventional Radiology  [Intranet]
• Obstetrics   [Intranet]
• Ophthalmic   [Intranet]
• Orthopaedic/Limb  [Intranet]
• Plastic Surgery: Antibiotic Prophylaxis (Adults) [Intranet]
• Urogenital - Diagnostic  [Intranet]
• Urogenital - Surgery  [Intranet]
• Vascular/limb  [Intranet]

Please follow the link to a publication from the Scottish Dental Clinical Effectiveness Programme (SDCEP) providing advice to Dentists and Cardiology/Cardiac Surgery Teams on the implementation of NICE Guideline 64 Prophylaxis Against Infective Endocarditis. The recommendations in the SDCEP publication have been accepted locally by the Antimicrobial Management Team.

Published: 02/12/2020 17:17