Michael da Silva NetoRANA SALEM A ALHARBI2022-05-292022-05-29https://drepo.sdl.edu.sa/handle/20.500.14154/45509Introduction While surgical antibiotic prophylaxis is an effective way to reduce surgical site infections, its use plastic surgery remains nebulous. Unnecessary prophylaxis of plastic surgery and the administration of antibiotics post-surgery exacerbates the global antibiotic resistance crisis, which may also harm patients by restricting future antimicrobial options. This audit shall identify plastic surgeon compliance with Greater Glasgow and Clyde (GGC) guidelines during the choice, dose and route of antibiotic administration pre- and post-plastic surgery. Method Information related to patients who underwent elective inpatient plastic surgery was collected from. Data related to prescribed preoperative prophylaxes antibiotics and postoperative antibiotics prescribed within 24 hours after surgery, including a documented signs of infection review, were obtained via a clinical portal system. GGC guideline compliance was assessed. Results Of the 184 patients included in this audit, only 55% received preoperative prophylactic antibiotics as directed by GGC guidelines. Of the 69 patients given postoperative antibiotics, almost 9% received antibiotics with clearly documented signs of infection. Conclusion This audit reports poor compliance with GGC guidelines regarding prophylactic antibiotic prescription. In view of this audit’s limitations, future audits should consider collecting more data points, such as the training and background of surgical staff involved and the type of surgery underwent by patients. Future audits should also consider expanding the timeframe to include a larger sample size, allowing more potential associations to be discovered while following a robust statistical analysis plan.en