Antimicrobial stewardship & healthcare epidemiology : ASHE
From overlooked to just right: putting the focus on metronidazole infusion timing for colorectal surgical prophylaxis.
Peter Oakes, Lindsay E Donohue, Sunny Chiao, Susan Ketcham, Traci Hedrick, Rachele Olivier, Amy J Mathers
Published: 202610.1017/ash.2025.10260
Abstract
Open AccessPreoperative prophylaxis efficacy depends on antibiotic infusion completion before incision. In our colorectal program, metronidazole often wasn't completed on time, in contrast to cefazolin. A multidisciplinary effort standardized its administration timing, improving infusion completion rates. We evaluated the impact of this intervention on surgical site infections in colorectal surgery.