Surgeons around the world often prescribe antibiotics for surgical
prophylaxis. Approximately 15% of antibiotic
prescribing in hospitals takes place prior to surgery to prevent
Overuse and misuse of antimicrobial agents is an urgent problem. Surgeons across the world need to take a leadership role in the effort to promote antimicrobial stewardship (ASP).
‘Antimicrobial overuse is an urgent problem, and surgeons who often prescribe antibiotics for surgical prophylaxis, need to take a leadership role in the effort to promote antimicrobial stewardship (ASP).’
A team of experts from the Surgical
Infection Society and the World Society of emergency Surgery has issued
"A Call to Action for Surgeons," published in Surgical Infections
peer-reviewed journal published by Mary Ann Liebert, Inc, publishers.
is the Official Journal of the Surgical Infection Society (SIS),
SIS-Europe, SIS-Latin America, and the Chinese Society of Surgical
Infection and Intensive Care.
The article, entitled "Antimicrobial Stewardship: A Call to Action for Surgeons,"
is coauthored by Massimo Sartelli, Macerata Hospital (Italy), and
colleagues from John Peter Smith Health Network (Fort Worth, TX),
Maggiore Hospital (Parma, Italy), Papa XXIII (Bergamo, Italy),
University of Texas Health Science Center (Houston), UNIVPM (Ancona,
Italy), Vanderbilt University Medical Center (Nashville, TN), and
Washington University School of Medicine (St. Louis, MO).
The authors emphasize the urgent need to standardize the use of
antimicrobial agents in hospitals and for surgeons to take an active
role in defining their role within ASPS. Surgeons need to promote and participate in ASP efforts in
their institutions and to support multidisciplinary collaborations
within the healthcare system.
The U.S. Centers for Disease Control and Prevention's (CDC) "Get
Smart About Antibiotics Week," November 14-20, 2016, aims to improve the
antibiotic prescribing habits of clinicians to help combat the rise of
resistant strains of pathogenic bacteria.
"In addition to emerging resistance, the adverse events of decades
of antibiotic use may have led to a number of other adverse
consequences," says Surgical Infections
Editor-in-Chief Donald E.
Fry, MD, Northwestern University Feinberg School of Medicine, and
Executive Vice-President MPA Healthcare Solutions, Chicago, IL, in the
Editorial entitled "The Unintended Consequences of Antibiotic Use."