Surgical Antimicrobial Prophylaxis Prescribing Guideline
Version 3.0, approved 7 December 2021
Surgical antimicrobial prophylaxis is an accepted part of surgical practice in some procedures to prevent infections at the surgical site and optimise postoperative recovery. The use of antimicrobials for the prevention of infection must be weighed against any harm associated with their use (such as allergic and adverse drug reactions) and potential contribution to the development of antimicrobial resistance.
This Surgical Antimicrobial Prophylaxis Prescribing Guideline (PDF 1218KB) has been developed and endorsed by the SAAGAR to assist clinicians with recommendations on appropriate antimicrobial dosage and administration, risks and contraindications, and postoperative care for a range of surgical procedures.
The recommendations within this guideline are in accordance with guidance published in the Australian Therapeutic Guidelines1, and are intended to allow for some variations for South Australian patient demographics and resistance patterns.
Individual appendices
- Abdominal, Gastrointestinal, & Biliary Surgery (PDF 86KB)
- Antibiotic Prophylaxis for Prevention of Endocarditis in High Risk Patients (PDF 105KB)
- Breast Procedures / Insertion of Infusaport / Skin Excision / Biopsy Procedures (PDF 77KB)
- Cardiac Surgery (PDF 77.8KB)
- Cardiology Procedures Performed in the Cardiac Interventional Suite (PDF 77KB)
- Endoscopic Gastrointestinal Procedures (PDF 104KB)
- Gynaecological & Obstetric Surgery (PDF 98KB)
- Neurosurgery (PDF 72KB)
- Ophthalmic Surgery (PDF 86KB)
- Oral and Maxillofacial Surgery (PDF 80KB)
- Orthopaedic & Spinal Surgery (PDF 110KB)
- Otorhinolaryngology / Head & Neck Surgery (PDF 110KB)
- Paediatric Surgical Procedures (PDF 123KB)
- Plastic and Reconstructive Surgery (including open fractures) (PDF 108KB)
- Thoracic Surgery (PDF 75KB)
- Urological Surgery (PDF 87.7KB)
- Vascular Surgery (PDF 76.5KB)
Roles and responsibility
The Surgical Antimicrobial Prophylaxis Prescribing Guideline applies to surgery performed in all South Australian public hospitals. The guideline may also be used in private surgical facilities.
Notes
1 - Antibiotic Expert Groups. Therapeutic Guidelines: Antibiotic (version 16). Melbourne, 2019