Guideline for Surgical Antimicrobial Prophylaxis Developed

HealthDay News — An adapted clinical practice guideline (CPG), published in the Journal of Evaluation in Clinical Practice, has been developed for surgical antimicrobial prophylaxis (SAP), using two validated tools.1

Tariq I. Altokhais, MBBS, from the King Saud University Medical City in Riyadh, Saudi Arabia, and colleagues assessed the implementability of a CPG adapted for SAP. The methodology was based on two validated tools for CPGs (ADAPTE and the Guideline Implementability Appraisal [GLIA]).

The researchers utilized the ADAPTE CPG process methodology to produce an adapted CPG for SAP, which was based on the 2013 CPG from the American Society of Health System Pharmacists. To identify any possible barriers for implementation, the finalized CPG was assessed by an external review panel from all relevant stakeholders, including consultants of urology, vascular surgery, thoracic surgery, plastic surgery, ophthalmology, orthopedic surgery, obstetrics and gynecology, anesthesiology, infectious diseases, and microbiology.

“In conclusion, the ADAPTE tool is a practical and successful tool for production of CPGs. The GLIA tool is useful for assessing and preparing the finalized adapted CPG for the transition from the production stage to the implementation stage,” the authors write. “GLIA could be added to the ADAPTE process either as a final step or to check the draft of the CPG before finalization.”

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  1. Altokhais TI, Al-Obaid OA, Kattan AE, Amer YS; CPG Collaborative Groups. Assessment of implementability of an adapted clinical practice guideline for surgical antimicrobial prophylaxis at a tertiary care university hospital. J Eval Clin Pract. 2016 Nov 3. doi: 10.1111/jep.12658. [Epub ahead of print]