DOI: 10.1093/bjs/znad241.096 ISSN:

SP8.10 Auditing periprocedural antibiotic prophylaxis (PAP) in emergency surgery using NAPS surgical ™

Khalid Adnan Shamiyah, Hans Yu, Helen Yan, Giles Bond-smith, Nicola Jones
  • Surgery



The study aimed to investigate the compliance with guidelines and the appropriateness of periprocedural antibiotic prophylaxis (PAP) in emergency surgery at the John Radcliffe Hospital. The study also aimed to determine the usefulness of NAPS surgical™ in monitoring and evaluating PAP usage.


The study conducted a retrospective analysis of medical charts for 97 consecutive emergency general surgical operations in August 2022. Data collected included the type of surgery, antibiotics administered, and compliance with local guidelines. The data was analyzed using NAPS surgical™.


In 97 cases, 40 patients did not receive PAP, 26 of which were deemed appropriate. 57 patients received 76 doses of antibiotics, 51 of which were deemed inappropriate, mainly due to the administration of PAP to low-risk cases or outside of the recommended timing. Cefazolin was the most commonly used drug and no adverse effects were reported.


The study highlights the value of NAPS surgical™ in monitoring prophylactic antibiotic usage and the need for ongoing monitoring and education. NAPS surgical™ provides a comprehensive evaluation of antibiotic use, is cost-effective, and allows for direct comparison with other hospitals, providing insight into best practices. The hospital found NAPS surgical™ useful in assessing antibiotic stewardship and monitoring stewardship interventions.

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