Who prescribes surgical prophylactic antibiotics? Improving compliance for Lower Section caesarian section.

Mrs Helen Willing1 , Emmajane O’Donoghue2

1Norwest Private Hospital, Healthscope., Bellavista, Australia
2HICMR Pty Ltd



Antimicrobial stewardship is a challenging area in which to bring about improvement. Results of audits need to be communicated to the prescriber but, who is the prescriber?


Prophylactic antibiotics for patients that underwent a lower section caesarean section were reviewed for a given month. Antibiotic, dose and timing were recorded. This was in accordance with the current version of the Therapeutic Guideline Antibiotic. A report including two graphs was presented to the Obstetricians. One by obstetrician and the other by anaesthetist, both de-identified. Prescribing did not appear to be under the direction of the obstetricians.


Compliance for correct dosage was at 72%. A knowledge gap was identified in obstetricians in regards to the correct dose. A repeat audit conducted four months after the information was shared demonstrated a significant improvement.


Presentation of data can make a difference.


I am a Registered Nurse and have worked in the field of infection prevention and control for almost five years. I have the responsibility of coordinating and implementing the infection control program, including staff health at a large Sydney Private Hospital.

In March this year I completed my graduate certificate in Infection Prevention and Control with Griffith University.

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