Specifications Manual for Joint Commission National Quality Core Measures (2010B)

Release Notes:
Prophylactic Antibiotic Regimen Selection For Surgery
Version 2010B

Prophylactic Antibiotic Regimen Selection For Surgery

Surgical Procedure	Approved Antibiotics
CABG, Other Cardiac or Vascular	Cefazolin, Cefuroxime Appendix C Table 3.1 or Vancomycin** Appendix C Table 3.8 If β-lactam allergy: Vancomycin* Appendix C Table 3.8 or Clindamycin* Appendix C Table 3.9
Hip/Knee Arthroplasty	Cefazolin or Cefuroxime Appendix C Table 3.2 or Vancomycin** Appendix C Table 3.8 If β-lactam allergy: Vancomycin* Appendix C Table 3.8 or Clindamycin* Appendix C Table 3.9
Colon	Cefotetan, Cefoxitin, Ampicillin/Sulbactam Appendix C Table 3.5, or Ertapenem† Appendix C Table 3.6b OR Cefazolin or Cefuroxime Appendix C Table 3.2 + Metronidazole Appendix C Table 3.6a If β-lactam allergy: Clindamycin Appendix C Table 3.9 + Aminoglycoside Appendix C Table 2.11 , or Clindamycin Appendix C Table 3.9 + Quinolone Appendix C Table 3.12, or Clindamycin Appendix C Table 3.9 + Aztreonam Appendix C Table 2.7 OR Metronidazole Appendix C Table 3.6a with Aminoglycoside Appendix C Table 2.11, or Metronidazole Appendix C Table 3.6a + Quinolone Appendix C Table 3.12
Hysterectomy	Cefotetan, Cefazolin, Cefoxitin, Cefuroxime, or Ampicillin/Sulbactam Appendix C Table 3.7 If β-lactam allergy: Clindamycin Appendix C Table 3.9 OR Metronidazole Appendix C Table 3.6a
Special Considerations	* For cardiac, orthopedic, and vascular surgery, if the patient is allergic to β-lactam antibiotics, Vancomycin or Clindamycin are acceptable substitutes. **Vancomycin is acceptable with a physician/APN/PA documented justification for its use (see data element Vancomycin) † A single dose of ertapenem is recommended for colon procedures.

See Appendix C: Medication Tables.

Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)