Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Timing of preoperative antibiotics for knee arthroplasties : Improving the routines in Sweden

W-Dahl, Annette LU ; Robertsson, Otto LU ; Stefánsdóttir, Anna LU ; Gustafson, Pelle LU and Lidgren, Lars LU (2011) In Patient Safety in Surgery 5(1).
Abstract

Background: A slight increase in revisions for infected joint arthroplasties has been observed in the Nordic countries since 2000 for which the reasons are unclear. However, in 2007 a Swedish study of the timing for prophylactic antibiotics in a random sample of knee arthroplasties found that only 57% of the patients had received the antibiotic during the optimal time interval 45-15 minutes before surgery. The purpose of the report was to evaluate the effect of measures taken to improve the timing of prophylactic antibiotics.Findings: Reporting this finding to surgeons at national meetings during 2008 the Swedish Knee Arthroplasty Register (SKAR) introduced a new report form from January 2009 including the time for administration of... (More)

Background: A slight increase in revisions for infected joint arthroplasties has been observed in the Nordic countries since 2000 for which the reasons are unclear. However, in 2007 a Swedish study of the timing for prophylactic antibiotics in a random sample of knee arthroplasties found that only 57% of the patients had received the antibiotic during the optimal time interval 45-15 minutes before surgery. The purpose of the report was to evaluate the effect of measures taken to improve the timing of prophylactic antibiotics.Findings: Reporting this finding to surgeons at national meetings during 2008 the Swedish Knee Arthroplasty Register (SKAR) introduced a new report form from January 2009 including the time for administration of preoperative antibiotics. Furthermore, the WHO's surgical checklist was introduced during 2009 and a national project was started to reduce infections in arthroplasty surgery (PRISS). The effect of these measures was found to be positive showing that in 2009, 69% of the 12,707 primary knee arthroplasties were reported to have received the prophylaxis within the 45-15 min time interval and 79% of the first 7,000 knee arthroplasties in 2010. A survey concerning the use of the WHO checklist at Swedish hospitals showed that 73 of 75 clinics had introduced a surgical checklist.Conclusions: By registration and bringing back information to surgeons on the state of infection prophylaxis in combination with the introduction of the WHO checklist and the preventive work done by the PRISS project, the timing of preoperative prophylactic antibiotics in knee arthroplasty surgery was clearly improved.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Infection prophylaxis, Knee arthroplasty, Preoperative routines, Prophylactic antibiotics
in
Patient Safety in Surgery
volume
5
issue
1
article number
22
publisher
BioMed Central (BMC)
external identifiers
  • scopus:80053271547
ISSN
1754-9493
DOI
10.1186/1754-9493-5-22
language
English
LU publication?
yes
id
5efbd795-f707-48d1-b67d-d4ab73500da5
date added to LUP
2019-05-28 14:30:50
date last changed
2021-05-26 01:34:56
@article{5efbd795-f707-48d1-b67d-d4ab73500da5,
  abstract     = {<p>Background: A slight increase in revisions for infected joint arthroplasties has been observed in the Nordic countries since 2000 for which the reasons are unclear. However, in 2007 a Swedish study of the timing for prophylactic antibiotics in a random sample of knee arthroplasties found that only 57% of the patients had received the antibiotic during the optimal time interval 45-15 minutes before surgery. The purpose of the report was to evaluate the effect of measures taken to improve the timing of prophylactic antibiotics.Findings: Reporting this finding to surgeons at national meetings during 2008 the Swedish Knee Arthroplasty Register (SKAR) introduced a new report form from January 2009 including the time for administration of preoperative antibiotics. Furthermore, the WHO's surgical checklist was introduced during 2009 and a national project was started to reduce infections in arthroplasty surgery (PRISS). The effect of these measures was found to be positive showing that in 2009, 69% of the 12,707 primary knee arthroplasties were reported to have received the prophylaxis within the 45-15 min time interval and 79% of the first 7,000 knee arthroplasties in 2010. A survey concerning the use of the WHO checklist at Swedish hospitals showed that 73 of 75 clinics had introduced a surgical checklist.Conclusions: By registration and bringing back information to surgeons on the state of infection prophylaxis in combination with the introduction of the WHO checklist and the preventive work done by the PRISS project, the timing of preoperative prophylactic antibiotics in knee arthroplasty surgery was clearly improved.</p>},
  author       = {W-Dahl, Annette and Robertsson, Otto and Stefánsdóttir, Anna and Gustafson, Pelle and Lidgren, Lars},
  issn         = {1754-9493},
  language     = {eng},
  month        = {09},
  number       = {1},
  publisher    = {BioMed Central (BMC)},
  series       = {Patient Safety in Surgery},
  title        = {Timing of preoperative antibiotics for knee arthroplasties : Improving the routines in Sweden},
  url          = {http://dx.doi.org/10.1186/1754-9493-5-22},
  doi          = {10.1186/1754-9493-5-22},
  volume       = {5},
  year         = {2011},
}