Abstract Aim Guideline-adherent antimicrobial usage is associated with a 35% relative risk reduction in mortality and superior post-surgical outcomes. This audit assessed: 1/adherence to local antimicrobial surgical prophylaxis guidelines 2/documentation of antimicrobial indication 3/duration 4/ review outcomes. This was re-audited following teaching sessions to surgical departments. Method Data was obtained from drug charts and medical notes of post-surgical inpatients. Data collection periods were: 9/10/23- 20/10/23 (initial audit, 64 patient) and 13/11/23- 17/11/23 (re-audit, 40 patients). Patients were identified from theatre lists for colorectal, hepatobiliary and upper GI surgery. Exclusion criteria included: 1/ age <16 years 2/ long term steroid use or immunocompromised 3/ known colonisation/infection with multidrug resistant organisms. Data was electronically encrypted. Presentation of findings to local surgical and microbiology audit/quality improvement programmes (QIPS) 25/10-7/11/23. Comparison of re-audit findings with the initial audit.
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