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    viii32 | Abstracts

    were subsequently found to be non-smokers and 6 remained smokers


    despite being given smoking cessation advice. Furthermore, in 10%
    (N=6) of these cases, there was poor diabetic control (HbA1c > 48),
    which was not addressed in clinic pre-operatively.

    Abstract citation ID: znae197.119 1,2 1 3 3

    Downloaded from https://academic.oup.com/bjs/article/111/Supplement_8/znae197.119/7753184 by guest on 01 October 2024


    1
    WP1.9 - An audit of prophylactic antibiotic use in elective Ninwells Hospital
    2
    inguinal hernia repair Golden Jubilee National Hospital
    3
    School of Medicine, University of Dundee
    Claire Johnston Hume, Hannah Dunlop
    University Hospital North Durham

    Aims: National guidance states that antibiotic prophylaxis is not


    indicated in low-risk patients undergoing inguinal hernia repairs and
    that high-risk patients require a single dose. This audit aimed to
    compare the use of prophylactic antibiotics by general surgeons in a
    district general hospital performing elective inguinal hernia repair, to
    the current national guidance. The rate of post-operative wound
    infection was also recorded.
    Method: All patients who underwent an elective inguinal hernia repair
    in the six months between January and June 2023, were identified
    retrospectively via the hospital database. Data was collected via the
    electronic patient record system on whether patients were prescribed
    antibiotics prophylactically at the time of surgery. Data was also
    collected on patient demographics including sex, age, BMI and rate of
    post-operative wound infection.
    Results: The patient cohort was 94% male with an average age of 64.
    94.79% of repairs were open. 53.33% of patients received antibiotics in
    line with national guidelines. Overall, 50.00% of patients in this audit
    had prophylactic antibiotics.
    The rate of post-operative wound infection was 1.04%, with 0% in
    patients who received prophylactic antibiotics and 2.08% in those who
    did not, which is not a statistically significant difference (P = 0.175).
    Conclusions: Current evidence for antibiotic use is weak and therefore
    auditing local practice is essential in antibiotic stewardship. This audit
    is limited by the reliance on accurate record keeping, with regards to
    antibiotic prescribing and documentation of post-operative wound
    infections. Furthermore, patients may have had post-operative wound
    infections managed in the community setting.

    1,2 1 3
    1,4 1
    1
    Leeds Institute of Emergency General Surgery, St James’s University Hospital,
    Leeds, UK
    2
    Leeds Institute of Medical Research, St James’s University Hospital, University of
    Leeds, UK
    3
    Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
    4
    Bristol Centre for Surgical Research, University of Bristol, Bristol, UK

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