Surgical antibiotic prophylaxis protocol

Hospital Infection Control

KEIT DAY HOSPITAL

Surgical antibiotic prophylaxis protocol

Official Manual of Clinical, Care and Organizational Protocols

1. Document Control Information

2. Scope of Application

This protocol applies to surgical procedures for which antibiotic prophylaxis is indicated or considered appropriate according to the procedure, patient risk and specialist clinical judgment.

3. Responsibilities

• Operating surgeon: clinical indication and selection of prophylaxis in accordance with the protocol.
• Anesthesiologist and operating room nurse: verification of administration timing before the incision.
• Ward physician: reassessment of any postoperative continuation when clinically indicated.

4. Operating Procedure

• Verify allergies, body weight, renal function and previous adverse reactions.
• Confirm the indication for prophylaxis based on the procedure and infection risk.
• Administer the antibiotic at the appropriate time before the surgical incision.
• Assess the need for intraoperative redosing in the event of a prolonged procedure or significant blood loss.
• Avoid unnecessary continuation; when postoperative coverage is planned, provide clinical justification and document it in the medical record.
• Monitor side effects, allergic reactions and compliance with the protocol.
• Periodically review the antimicrobial agents used and internal microbiological patterns.

5. KEIT Operational Standards

• KEIT applies preoperative antibiotic prophylaxis according to the procedure and the individual clinical plan.
• Any postoperative therapy is defined and documented by the surgeon and the Clinical Directorate as a justified, non-automatic decision.
• In protocols involving implants, particular attention is maintained toward the prevention of perioperative contamination.

6. Records and Documentation

• Prescription and administration record.
• Adverse event reporting.
• Antibiotic appropriateness audit.

7. Review and Updates

Update at least annually or earlier if changes emerge in antimicrobial resistance, regulations or scientific literature.

8. Related Attachments and Forms

• Operational checklists, recording forms, audit sheets and maintenance registers applicable to this protocol.
• Any department-specific or equipment-specific technical attachments are referenced in the relevant local operating instructions.

9. Final Approval