Prophylactic Antibiotic Selection for Surgical Patients

• Patients less than 18 years of age
• Patients who have a Length of Stay greater than 120 days
• Patients whose Principal Procedure was on Table 5.25
• Patients who had a principal diagnosis suggestive of preoperative infectious diseases (as defined in Appendix A, Table 5.09 for ICD-9-CM codes)
• Patients enrolled in clinical trials
• Patients whose ICD-9-CM principal procedure occurred prior to the date of admission
• Patients with physician/advanced practice nurse/physician assistant (physician/APN/PA) documented infection prior to surgical procedure of interest
• Patients who expired perioperatively
• Patients who had other procedures requiring general or spinal anesthesia that occurred within 3 days (4 days for CABG or Other Cardiac Surgery) prior to or after the procedure of interest (during separate surgical episodes) during this hospital stay
• Patients who did not receive any antibiotics within the timeframe 24 hours before Surgical Incision Date and Time (i.e., patient did not receive prophylactic antibiotics) through discharge
• Patients who received antibiotics prior to arrival and did not receive any antibiotics during this hospitalization
• Patients who received ONLY oral or intramuscular (IM) antibiotics or the route was unable to be determined
• Patients who received ALL antibiotics greater than 1440 minutes prior to Surgical Incision Date and Time