ArticlePathogens (Basel, Switzerland)2020
Effectiveness and Sustainability of an Antimicrobial Stewardship Program for Perioperative Prophylaxis in Pediatric Surgery.
Article in Pathogens (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Antimicrobial stewardship for surgical antibiotic prophylaxis and surgical site infections: a systematic review.International journal of clinical pharmacy · 2022Pooled it
- Antibiotic Stewardship Interventions Improve Choice of Antibiotic Prophylaxis in Total Joint Arthroplasty in Patients with Reported Penicillin Allergies.Clinical orthopaedics and related research · 2021Trial
- Impact of pediatric obesity on abdominal surgery outcome: a narrative review.Frontiers in pediatrics · 2026Review
- Adherence to Surgical Antimicrobial Prophylaxis Guidelines and Improvement Efforts: A Single-Center, Pre- and Post-Intervention Comparison Study.Health science reports · 2026Article
- Adherence to Perioperative Antimicrobial Prophylaxis in Children in the Settings of Neurosurgery, Otorhinolaryngology, and Orthopedics.Antibiotics (Basel, Switzerland) · 2025Article
- Better care for children with appendicitis: implementation of antibiotic stewardship optimizes postoperative therapy.GMS hygiene and infection control · 2025Article
- Impact of antibiotic prophylaxis on gut microbiota in colorectal surgery: insights from an Eastern European stewardship study.Frontiers in cellular and infection microbiology · 2024Article
- Antimicrobial stewardship program for gastrointestinal surgeries at a Vietnamese tertiary hospital.Frontiers in medicine · 2024Article
- Suboptimal antimicrobial discharge prescriptions at a tertiary referral children's hospital.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Antibiotic Prescribing Patterns in Paediatric Primary Care in Italy: Findings from 2012-2018.Antibiotics (Basel, Switzerland) · 2021Article
- Impact and Sustainability of Antibiotic Stewardship on Antibiotic Prescribing in Visceral Surgery.Antibiotics (Basel, Switzerland) · 2021Article
- Impact of bronchiolitis guidelines publication on primary care prescriptions in the Italian pediatric population.NPJ primary care respiratory medicine · 2021Article
- Multistep antimicrobial stewardship intervention on antibiotic prescriptions and treatment duration in children with pneumonia.PloS one · 2021Article
- Impact and Sustainability of Antibiotic Stewardship in Pediatric Emergency Departments: Why Persistence Is the Key to Success.Antibiotics (Basel, Switzerland) · 2020Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background-Appropriate perioperative antibiotic prophylaxis (PAP) is essential to prevent surgical site infections (SSIs) and to avoid antibiotics misuse. Aim-The aim of this study is to determine the effectiveness and long-term sustainability of an antimicrobial stewardship program (ASP), based on a clinical pathway (CP) and periodic education, to improve adherence to the guidelines for PAP in a tertiary care pediatric surgery center. Methods-We assessed the changes in PAP correctness and its effect on SSIs between the six months before and the 24 months after the implementation of ASP in the Pediatric Surgery Unit of the Department of Women's and Children's Health of Padova. The ASP was addressed to all surgeons and anesthesiologists of the Pediatric Surgery Unit. The primary outcome was appropriateness of PAP (agent, timing of the first dose, and duration). SSI rate was the secondary outcome. Results-1771 patients were included in the study and 676 received PAP. The overall correctness of the PAP, in terms of agent, timing, and duration, increased significantly after the CP implementation. What changed most was the PAP discontinuation within 24 h (
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