Antibiotic prophylaxis in paediatric cardiothoracic surgery (478) | Right Decisions

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Antibiotic prophylaxis in paediatric cardiothoracic surgery (478)

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

General Principles for prescribing:

Administer the dose of pre-operative IV antibiotic prophylaxis within the 60 minutes prior to skin incision/intervention.
Administer antibiotic doses intravenously and NOT into the cardiac bypass circuit or arterial line.
To reduce the risk of post-operative drug errors, prescribe antibiotics on the ‘Once Only’ section of the drug Kardex and also on the anaesthetic record.
Seek Microbiology or ID opinion for patients on existing antimicrobial therapy or with complex microbiological problems.
Follow RHC Glasgow monographs or Medusa monograph for drug reconstitution and administration.
For patients with a history of teicoplanin resistant coagulase negative staphylococcus please discuss with Microbiology
Ongoing use of antibiotics for delayed chest closures is not warranted, except at time of exploration/closure as outlined below

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Last reviewed: 23/03/2021

Next review date: 28/02/2024

Author(s): Greater Glasgow & Clyde Antimicrobial Utilisation Committee.

Approved By: Antimicrobial Utilisation Committee

Document Id: 478