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De-Implementation of Unnecessary Surgical Antibiotic Prophylaxis in Children
Sponsor: Washington University School of Medicine
Summary
The overall objective of this study is to identify the best strategy to eliminate unnecessary antibiotic use after surgery in pediatric surgical procedures considered low-risk for an SSI. Based on literature and our preliminary data suggesting surgeons will not fully accept standardized order sets based on current guidelines, the investigators hypothesize that order set modification combined with ASP facilitation will outperform standard order set modification alone in de-implementing unnecessary postoperative antibiotic use.
Key Details
Gender
All
Age Range
0 Days - 75 Years
Study Type
INTERVENTIONAL
Enrollment
18267
Start Date
2020-11-01
Completion Date
2024-11-30
Last Updated
2026-07-09
Healthy Volunteers
No
Conditions
Interventions
Order set review and modification with facilitation
The antimicrobial stewardship program will receive facilitation training to aid in reviewing and changing order sets of clean or clean-contaminated procedures to eliminate unnecessary post-operative antibiotics.
Order set review and modification
The antimicrobial stewardship program will work to eliminate unnecessary post-operative antibiotics by reviewing and changing order sets of clean or clean-contaminated procedures.
Locations (10)
Johns Hopkins University School of Medicine / Johns Hopkins All Children's Hospital
St. Petersburg, Florida, United States
Harvard Medical School / Boston Children's Hospital
Boston, Massachusetts, United States
University of Michigan / CS Mott Children's Hospital
Ann Arbor, Michigan, United States
University of Missouri - Kansas City / The Children's Mercy Hospital
Kansas City, Missouri, United States
Washington University in St. Louis / St. Louis Children's Hospital
St Louis, Missouri, United States
The Ohio State University College of Medicine / Nationwide Children's Hospital
Columbus, Ohio, United States
Vanderbilt University / Monroe Carell Jr. Children's Hospital at Vanderbilt
Nashville, Tennessee, United States
Baylor College of Medicine / Texas Children's Hospital
Houston, Texas, United States
University of Utah / Primary Children's Hospital
Salt Lake City, Utah, United States
University of Washington / Seattle Children's Hospital
Seattle, Washington, United States