EP 669 Postoperative Antibiotic Stewardship in General Surgery: Compliance with NICE NG125 Guidelines
Clicks: 1
ID: 324063
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
0.0
/100
1 views
0 readers
AI Quality Assessment
Not analyzed
Readership in this journal
Ranked #413 of 432 articles by views in the british journal of surgery
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Abstract Background NICE guideline NG125 recommends that postoperative antibiotics are used only when infection is present, prophylactic antibiotics are discontinued within 24 hours, treatment is reviewed early, IV antibiotics are switched to oral promptly, & microbiology advice is sought for prolonged courses. This audit assessed compliance with NICE NG125 in our practice at DGH. Methods A retrospective audit of 60 adult general surgical patients over a two-month period was conducted. Data was collected & assessed against NG125-aligned standards, including documentation of indication, duration of therapy, timing of review, IV-to-oral switch, & microbiology involvement for antibiotic courses exceeding five days. Elective/ emergency surgery were compared, & multivariable logistic regression was used to identify predictors of inappropriate antibiotic use. Results Postoperative antibiotics were prescribed in 66.7% of patients (70% elective, 30% emergency). Compliance with NICE NG125 standards was poor. A clear indication for antibiotics was documented in 80% of cases. Only 30% of prophylactic antibiotics were discontinued within 24 hours. IV antibiotics were reviewed within 48 hours in 65% of patients, and IV-to-oral switch within 72 hours occurred in 75% of eligible cases. Microbiology input for antibiotic courses longer than five days was documented in only 8.3%. Therapeutic antibiotic use for sepsis or peritonitis was more appropriate in emergency surgery than elective surgery (55.6% vs 19.0%; p = 0.004). Prolonged prophylactic antibiotic use was more common following elective surgery (47.6% vs 22.2%; p = 0.048). Conclusion Compliance with NICE NG125 was poor, especially in elective surgery, with unnecessary prolonged prophylaxis and delayed review requiring targeted stewardship.
| Reference Key |
openalex_W7172526110
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Altaf Haji, Vanojan Juwanwarnag, Ali Butt, Ali Mohamed, Aleksandra Laguna, Bala Piramanayagam |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.640
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.