Percentage of adult patients undergoing an open cardiac procedure with an antibiotic redose initiated within four hours after initial antibiotic administration (cephalosporins only).
Surgical site infections are associated with significant morbidity and mortality.1-4 Administration of on-time antibiotic prophylaxis redosing is one mechanism to prevent surgical site infections.1-4
120 minutes before Anesthesia Start through Surgery End. If Surgery End is not available, Anesthesia End.
Documentation of cephalosporin re-dose within 180-255 minutes after each cephalosporin administration.
For longer cases, a second re-dose within 180-255 minutes after initial re-dose is required unless the last cephalosporin dose is ≤255 minutes before Surgery End. If Surgery End is not available, Anesthesia End.
Acceptable Antibiotics and Associated Timing:
Antibiotic | MPOG Concept ID |
Cefamandole | 10106 |
Cefazolin | 10107 |
Cefepime | 10108 |
Cefotaxime | 10109 |
Cefotetan | 10110 |
Cefoxitin | 10111 |
Ceftazidime | 10112 |
Ceftizoxime | 10113 |
Ceftriaxone | 10114 |
Cefuroxime | 10115 |
*This measure will include valid MPOG cases defined by the Is Valid Case phenotype.
Not applicable
Provider(s) signed in at the time of each re-dose (If not given: 255 minutes after initial cephalosporin dose, and/or if not given: 255 minutes after the first re-dose).
Measure Author | Institution |
---|---|
Mike Mathis, MD | University of Michigan |
Allison Janda, MD | University of Michigan |
Kate Buehler, MS, RN | University of Michigan |
Bethany Pennington, PharmD, BCPS | Washington University |
Henrietta Addo, MSN-NI, RN | University of Michigan |
Rob Coleman | University of Michigan |
MPOG Cardiac Anesthesia Subcommittee |
Date Reviewed | Reviewer | Institution | Summary | QC Vote |
---|---|---|---|---|
Date | Criteria | Revision |
---|---|---|
1/23/2024 | Initial Publication |