Percent of patients aged 18 years and older undergoing cardiac surgery who received prophylactic antibiotics within one hour of surgical incision or start of procedure if no incision was required (two hours if receiving vancomycin or fluoroquinolone)
Measure Specs
General Information
Numerator
Number of patients undergoing cardiac surgery patients who received prophylactic antibiotics within one hour of surgical incision or start of procedure if no incision was required (two hours if vancomycin or fluoroquinolone)
Denominator
Number of patients undergoing cardiac surgery
Exclusions
Cases are removed from the denominator if the patient had a documented contraindication or rationale for not administering antibiotic in medical record.
Other exclusions include:
- Patients who had a principal diagnosis suggestive of preoperative infectious diseases
- Patients whose ICD-9-CM principal procedure was performed entirely by Laparoscope
- Patients enrolled in clinical trials
- Patients with documented infection prior to surgical procedure of interest
- Patients who were receiving antibiotics more than 24 hours prior to surgery
- Patients who were receiving antibiotics within 24 hours prior to arrival
This list will be provided in the STS Adult Cardiac Surgery Database Data Manager’s Training Manual as acceptable exclusions.
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