title: [Antibiotic prophylaxis in the operating room].
abstract: BACKGROUND
  There are growing interests in perioperative preventation of surgical site infection, since the World Health Organization has published surgical safety checklist with the slogan "safe surgery saves lives" in 2008. According to the surgical safety checklist, the surgical team needs to check whether antibiotic prophylaxis has been given within 60 minutes of skin incision. In this study, we investigated whether anesthesiologists in our institution completed the administration of antibiotics before skin incision.
  
  
  METHODS
  Anesthetic records of patients who had undergone elective surgery between April to October 2011 were collected. The records were retrospectively analyzed to examine whether administration of antibiotics had been completed before skin incision or not.
  
  
  RESULTS
  Although all the anesthesiologists were aware of the necessity of antibiotic prophylaxis, the administration of antibiotics before skin incision was not completed in 22.8% of 880 patients. The administration of antibiotics tended to delay patients receiving general surgery.
  
  
  CONCLUSIONS
  Anesthesiologists should have knowledge on the preventation of surgical site infection especially on antibiotic prophylaxis, because it starts in the operating room.
authors.affiliation: Department of Anesthesiology, Kyorin University, School of Medicine, Mitaka 181-8611.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Moriyama
authors.affiliation: Department of Anesthesiology, Kyorin University, School of Medicine, Mitaka 181-8611.
authors.forename: Harumasa
authors.initials: H
authors.lastname: Nakazawa
authors.affiliation: Department of Anesthesiology, Kyorin University, School of Medicine, Mitaka 181-8611.
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Kawada
authors.affiliation: Department of Anesthesiology, Kyorin University, School of Medicine, Mitaka 181-8611.
authors.forename: Youhei
authors.initials: Y
authors.lastname: Kasuya
authors.affiliation: Department of Anesthesiology, Kyorin University, School of Medicine, Mitaka 181-8611.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Yorozu
mesh_terms: D000761:Anesthesia Department, Hospital / Q000706:statistics & numerical data; D000776:Anesthesiology; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data*; D007722:Health Knowledge, Attitudes, Practice; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan / Q000453:epidemiology; D009873:Operating Rooms / Q000706:statistics & numerical data*; D010820:Physicians / Q000523:psychology* / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D011300:Preoperative Care; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D013997:Time Factors; D014944:World Health Organization
chemical_list: D000900:Anti-Bacterial Agents