Retrospective assessment of antibiotic and tourniquet use in an ambulatory surgery center.
In this study, 459 lower extremity surgeries were evaluated to assess and improve the quality of patient care at the Carnegie Surgery Center, Cleveland, Ohio. Two aspects of surgery were studied: the antibiotic usage and tourniquet application. The authors analyzed the rate of infection and the number of tourniquet complications that resulted from the surgeries. The infection rate was 0.65%, and there were no tourniquet complications. Using the information learned from the study and reviewing pertinent literature, recommendations were made to further enhance patient care.
Reyes
C
C
Department of Surgery, Ohio College of Podiatric Medicine, Cleveland 44106, USA.
Barnauskas
S
S
Hetherington
V
V
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D019072:Antibiotic Prophylaxis; D002437:Cefazolin / Q000627:therapeutic use*; D002511:Cephalosporins / Q000627:therapeutic use*; D005528:Foot / Q000601:surgery*; D006801:Humans; D007239:Infections / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D019736:Prostheses and Implants; D012189:Retrospective Studies; D012307:Risk Factors; D014111:Tourniquets / Q000009:adverse effects*; D014640:Vancomycin / Q000627:therapeutic use*
D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D014640:Vancomycin; D002437:Cefazolin