Survey of surgical infections currently known (SOSICK): A multicenter examination of antimicrobial use from the Surgical Infection Society Scientific Studies Committee

Nicholas Namias, Jonathan P. Meizoso, David H. Livingston, Charles Adams, Gregory J. Beilman, Walter Biffl, Juan J. Blondet, Patrick Blute, Jessica Bollinger, Susan A. Brundage, Jeffrey G. Chipman, Jeffrey A. Claridge, Raul Coimbra, Charles H. Cook, Joseph Cuschieri, Daniel L. Dent, Lynn Derting, Shaleagh Earl, Anthony Gerlach, Laura HennessyJeanne Lee, Yanumei Li, Pamela Lipsett, Frederick Luchette, John E. Mazuski, Chet A. Morrison, Claudio Nunes, Kim Overton, Mary Ann Purtill, Marline Santos, Orla N. Smith, Sandy Swoboda, Ton That Hieu, Shirin Towfigh, Wael N. Yacoub, Charles J. Yowler

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: The Scientific Studies Committee of the Surgical Infection Society undertook the present study to examine the prevalence of and indications for antimicrobial use in intensive care units where members of the Society practice. Methods: Information and data collection sheets were posted on the Internet for download by members interested in participating. All centers were required to obtain approval from their local human subjects research office or equivalent. A one-week time was set during which the center could collect information on any one day, at the center's convenience. Data collection sheets were then sent to the lead author for analysis. Seventeen centers reported data for 371 patients in 22 intensive care units. Results: Trauma and general surgical patients comprised 224 of the patients (60%). The indications for anti-infective agents were prophylactic (22%), empiric (27%), therapeutic with known pathogen (41%), therapeutic without known pathogen (e.g., cellulitis) (4%), insistence of influential practitioner (4%), or non-anti-infective purposes (e.g., erythromycin for gastric motility) (2%). Only 44%, 29%, and 54% of the orders for prophylactic, empiric, and therapeutic antibiotics, respectively, had date-certain stop dates. The antimicrobial drugs most commonly used were vancomycin, piperacillin-tazobactam, and fluconazole. Conclusion: Most patients were receiving antimicrobial agents. Polypharmacy was common. Most patients did not have a date-certain stop date. This study sets the benchmark for future study regarding antibiotic prescribing behavior in surgical intensive care units.

Original languageEnglish (US)
Pages (from-to)509-514
Number of pages6
JournalSurgical Infections
Volume9
Issue number5
DOIs
StatePublished - Oct 1 2008

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Intensive Care Units
Infection
Anti-Infective Agents
Anti-Bacterial Agents
Benchmarking
Polypharmacy
Cellulitis
Fluconazole
Erythromycin
Vancomycin
Critical Care
Internet
Stomach
Therapeutics
Surveys and Questionnaires
Wounds and Injuries
Research
Pharmaceutical Preparations
tazobactam drug combination piperacillin

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases
  • Surgery

Cite this

Namias, Nicholas ; Meizoso, Jonathan P. ; Livingston, David H. ; Adams, Charles ; Beilman, Gregory J. ; Biffl, Walter ; Blondet, Juan J. ; Blute, Patrick ; Bollinger, Jessica ; Brundage, Susan A. ; Chipman, Jeffrey G. ; Claridge, Jeffrey A. ; Coimbra, Raul ; Cook, Charles H. ; Cuschieri, Joseph ; Dent, Daniel L. ; Derting, Lynn ; Earl, Shaleagh ; Gerlach, Anthony ; Hennessy, Laura ; Lee, Jeanne ; Li, Yanumei ; Lipsett, Pamela ; Luchette, Frederick ; Mazuski, John E. ; Morrison, Chet A. ; Nunes, Claudio ; Overton, Kim ; Purtill, Mary Ann ; Santos, Marline ; Smith, Orla N. ; Swoboda, Sandy ; Hieu, Ton That ; Towfigh, Shirin ; Yacoub, Wael N. ; Yowler, Charles J. / Survey of surgical infections currently known (SOSICK) : A multicenter examination of antimicrobial use from the Surgical Infection Society Scientific Studies Committee. In: Surgical Infections. 2008 ; Vol. 9, No. 5. pp. 509-514.
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title = "Survey of surgical infections currently known (SOSICK): A multicenter examination of antimicrobial use from the Surgical Infection Society Scientific Studies Committee",
abstract = "Purpose: The Scientific Studies Committee of the Surgical Infection Society undertook the present study to examine the prevalence of and indications for antimicrobial use in intensive care units where members of the Society practice. Methods: Information and data collection sheets were posted on the Internet for download by members interested in participating. All centers were required to obtain approval from their local human subjects research office or equivalent. A one-week time was set during which the center could collect information on any one day, at the center's convenience. Data collection sheets were then sent to the lead author for analysis. Seventeen centers reported data for 371 patients in 22 intensive care units. Results: Trauma and general surgical patients comprised 224 of the patients (60{\%}). The indications for anti-infective agents were prophylactic (22{\%}), empiric (27{\%}), therapeutic with known pathogen (41{\%}), therapeutic without known pathogen (e.g., cellulitis) (4{\%}), insistence of influential practitioner (4{\%}), or non-anti-infective purposes (e.g., erythromycin for gastric motility) (2{\%}). Only 44{\%}, 29{\%}, and 54{\%} of the orders for prophylactic, empiric, and therapeutic antibiotics, respectively, had date-certain stop dates. The antimicrobial drugs most commonly used were vancomycin, piperacillin-tazobactam, and fluconazole. Conclusion: Most patients were receiving antimicrobial agents. Polypharmacy was common. Most patients did not have a date-certain stop date. This study sets the benchmark for future study regarding antibiotic prescribing behavior in surgical intensive care units.",
author = "Nicholas Namias and Meizoso, {Jonathan P.} and Livingston, {David H.} and Charles Adams and Beilman, {Gregory J.} and Walter Biffl and Blondet, {Juan J.} and Patrick Blute and Jessica Bollinger and Brundage, {Susan A.} and Chipman, {Jeffrey G.} and Claridge, {Jeffrey A.} and Raul Coimbra and Cook, {Charles H.} and Joseph Cuschieri and Dent, {Daniel L.} and Lynn Derting and Shaleagh Earl and Anthony Gerlach and Laura Hennessy and Jeanne Lee and Yanumei Li and Pamela Lipsett and Frederick Luchette and Mazuski, {John E.} and Morrison, {Chet A.} and Claudio Nunes and Kim Overton and Purtill, {Mary Ann} and Marline Santos and Smith, {Orla N.} and Sandy Swoboda and Hieu, {Ton That} and Shirin Towfigh and Yacoub, {Wael N.} and Yowler, {Charles J.}",
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Namias, N, Meizoso, JP, Livingston, DH, Adams, C, Beilman, GJ, Biffl, W, Blondet, JJ, Blute, P, Bollinger, J, Brundage, SA, Chipman, JG, Claridge, JA, Coimbra, R, Cook, CH, Cuschieri, J, Dent, DL, Derting, L, Earl, S, Gerlach, A, Hennessy, L, Lee, J, Li, Y, Lipsett, P, Luchette, F, Mazuski, JE, Morrison, CA, Nunes, C, Overton, K, Purtill, MA, Santos, M, Smith, ON, Swoboda, S, Hieu, TT, Towfigh, S, Yacoub, WN & Yowler, CJ 2008, 'Survey of surgical infections currently known (SOSICK): A multicenter examination of antimicrobial use from the Surgical Infection Society Scientific Studies Committee', Surgical Infections, vol. 9, no. 5, pp. 509-514. https://doi.org/10.1089/sur.2007.078

Survey of surgical infections currently known (SOSICK) : A multicenter examination of antimicrobial use from the Surgical Infection Society Scientific Studies Committee. / Namias, Nicholas; Meizoso, Jonathan P.; Livingston, David H.; Adams, Charles; Beilman, Gregory J.; Biffl, Walter; Blondet, Juan J.; Blute, Patrick; Bollinger, Jessica; Brundage, Susan A.; Chipman, Jeffrey G.; Claridge, Jeffrey A.; Coimbra, Raul; Cook, Charles H.; Cuschieri, Joseph; Dent, Daniel L.; Derting, Lynn; Earl, Shaleagh; Gerlach, Anthony; Hennessy, Laura; Lee, Jeanne; Li, Yanumei; Lipsett, Pamela; Luchette, Frederick; Mazuski, John E.; Morrison, Chet A.; Nunes, Claudio; Overton, Kim; Purtill, Mary Ann; Santos, Marline; Smith, Orla N.; Swoboda, Sandy; Hieu, Ton That; Towfigh, Shirin; Yacoub, Wael N.; Yowler, Charles J.

In: Surgical Infections, Vol. 9, No. 5, 01.10.2008, p. 509-514.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Survey of surgical infections currently known (SOSICK)

T2 - A multicenter examination of antimicrobial use from the Surgical Infection Society Scientific Studies Committee

AU - Namias, Nicholas

AU - Meizoso, Jonathan P.

AU - Livingston, David H.

AU - Adams, Charles

AU - Beilman, Gregory J.

AU - Biffl, Walter

AU - Blondet, Juan J.

AU - Blute, Patrick

AU - Bollinger, Jessica

AU - Brundage, Susan A.

AU - Chipman, Jeffrey G.

AU - Claridge, Jeffrey A.

AU - Coimbra, Raul

AU - Cook, Charles H.

AU - Cuschieri, Joseph

AU - Dent, Daniel L.

AU - Derting, Lynn

AU - Earl, Shaleagh

AU - Gerlach, Anthony

AU - Hennessy, Laura

AU - Lee, Jeanne

AU - Li, Yanumei

AU - Lipsett, Pamela

AU - Luchette, Frederick

AU - Mazuski, John E.

AU - Morrison, Chet A.

AU - Nunes, Claudio

AU - Overton, Kim

AU - Purtill, Mary Ann

AU - Santos, Marline

AU - Smith, Orla N.

AU - Swoboda, Sandy

AU - Hieu, Ton That

AU - Towfigh, Shirin

AU - Yacoub, Wael N.

AU - Yowler, Charles J.

PY - 2008/10/1

Y1 - 2008/10/1

N2 - Purpose: The Scientific Studies Committee of the Surgical Infection Society undertook the present study to examine the prevalence of and indications for antimicrobial use in intensive care units where members of the Society practice. Methods: Information and data collection sheets were posted on the Internet for download by members interested in participating. All centers were required to obtain approval from their local human subjects research office or equivalent. A one-week time was set during which the center could collect information on any one day, at the center's convenience. Data collection sheets were then sent to the lead author for analysis. Seventeen centers reported data for 371 patients in 22 intensive care units. Results: Trauma and general surgical patients comprised 224 of the patients (60%). The indications for anti-infective agents were prophylactic (22%), empiric (27%), therapeutic with known pathogen (41%), therapeutic without known pathogen (e.g., cellulitis) (4%), insistence of influential practitioner (4%), or non-anti-infective purposes (e.g., erythromycin for gastric motility) (2%). Only 44%, 29%, and 54% of the orders for prophylactic, empiric, and therapeutic antibiotics, respectively, had date-certain stop dates. The antimicrobial drugs most commonly used were vancomycin, piperacillin-tazobactam, and fluconazole. Conclusion: Most patients were receiving antimicrobial agents. Polypharmacy was common. Most patients did not have a date-certain stop date. This study sets the benchmark for future study regarding antibiotic prescribing behavior in surgical intensive care units.

AB - Purpose: The Scientific Studies Committee of the Surgical Infection Society undertook the present study to examine the prevalence of and indications for antimicrobial use in intensive care units where members of the Society practice. Methods: Information and data collection sheets were posted on the Internet for download by members interested in participating. All centers were required to obtain approval from their local human subjects research office or equivalent. A one-week time was set during which the center could collect information on any one day, at the center's convenience. Data collection sheets were then sent to the lead author for analysis. Seventeen centers reported data for 371 patients in 22 intensive care units. Results: Trauma and general surgical patients comprised 224 of the patients (60%). The indications for anti-infective agents were prophylactic (22%), empiric (27%), therapeutic with known pathogen (41%), therapeutic without known pathogen (e.g., cellulitis) (4%), insistence of influential practitioner (4%), or non-anti-infective purposes (e.g., erythromycin for gastric motility) (2%). Only 44%, 29%, and 54% of the orders for prophylactic, empiric, and therapeutic antibiotics, respectively, had date-certain stop dates. The antimicrobial drugs most commonly used were vancomycin, piperacillin-tazobactam, and fluconazole. Conclusion: Most patients were receiving antimicrobial agents. Polypharmacy was common. Most patients did not have a date-certain stop date. This study sets the benchmark for future study regarding antibiotic prescribing behavior in surgical intensive care units.

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