Abdominal Surgical Site Infections - Primary Care

Publication: 27/11/2012  
Next review: 01/04/2018  
Clinical Guideline
UNDER REVIEW 
ID: 3165 
Approved By: Trust Clinical Guidelines Group 
Copyright© Leeds Teaching Hospitals NHS Trust 2012  

 

This Clinical Guideline is intended for use by healthcare professionals within Leeds unless otherwise stated.
For healthcare professionals in other trusts, please ensure that you consult relevant local and national guidance.

Abdominal Surgical Site Infections

Illness

Comments

Preferred Option

Penicillin allergic

MRSA colonised

Abdominal surgical site infection
First presentation

If clinical assessment suggests deep surgical site infection or abscess refer to hospital.

If superficial surgical site infection and systemically well empirically treat with oral antibiotics

Flucloxacillin electronic Medicines Compendium information on Flucloxacillin PO
1g QDS
7 days

Doxycycline electronic Medicines Compendium information on Doxycycline PO 200mg OD
7 days

Doxycycline electronic Medicines Compendium information on Doxycycline PO 200mg OD
7 days

 

If slow response continue for 10-14 days

 

 

Preferred Option

Penicillin allergy

MRSA colonised

Abdominal surgical site infection
Failed to respond to empirical antibiotics

Swab wound if there is discharge or pus.

Review wound cultures at 72 hours

Co-amoxiclav electronic Medicines Compendium information on Co-amoxiclav PO
625mg TDS
7 days

Discuss with microbiology

(0113) 392 3962

Discuss with microbiology

(0113) 392 3962

Failure to respond:  Inactive empirical therapy may be the cause of failing to respond e.g. flucloxacillin prescribed for MRSA infection. It may also be due to an infection which may not respond to antibiotics alone. Such infections include Mesh infections and abscesses where a surgical referral should be considered.

This guidance is based on consensus of opinion and microbiology recommendation

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Provenance

Record: 3165
Objective:
  • to provide a simple, empirical approach to the treatment of common infections
  • to promote the safe, effective and economic use of antibiotics
  • to minimise the emergence of bacterial resistance and reduce the incidence of Healthcare Associated Infections in the community
Clinical condition:

Surgical site infections
Target patient group: Primary care patients
Target professional group(s): Pharmacists
Primary Care Doctors
Adapted from:

Evidence base

Not supplied

Approved By

Trust Clinical Guidelines Group

Document history

LHP version 1.0

Related information

Not supplied

 

 

 

 

 

 

 

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