Antibiotic prophylaxis in paediatric cardiothoracic surgery

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Abstract

General Principles for prescribing:

  • Administer the dose of pre-operative IV antibiotic prophylaxis within the 60 minutes prior to skin incision/intervention.
  • Administer antibiotic doses intravenously and NOT into the cardiac bypass circuit or arterial line.
  • To reduce the risk of post-operative drug errors, prescribe antibiotics on the ‘Once Only’ section of the drug Kardex and also on the anaesthetic record.
  • Seek Microbiology or ID opinion for patients on existing antimicrobial therapy or with complex microbiological problems.
  • Follow RHC Glasgow monographs or Medusa monograph for drug reconstitution and administration.
  • For patients with a history of teicoplanin resistant coagulase negative staphylococcus please discuss with Microbiology
  • Ongoing use of antibiotics for delayed chest closures is not warranted, except at time of exploration/closure as outlined below
Editorial Information

Last reviewed: 23 March 2021

Next review: 28 February 2024

Author(s): Greater Glasgow & Clyde Antimicrobial Utilisation Committee

Approved By: Antimicrobial Utilisation Committee