Table 4 Indications for prophylaxis per specialty

Haematology

1. Long-term neutropaenia/selective decontamination of the digestive tract

2. Antiviral prophylaxis after chemotherapy

1. Yes

2. Yes

Internal medicine

1. PCP and CMV prophylaxis after kidney transplantation

2. Voiding cysto-urethrography after kidney transplantation

3. Other PCP-prophylaxis

1. Yes, protocol on intranet

2. No protocol on intranet

3. Yes/no, depends on indication.

Gastro-enterology

1. ERCP

2. Esophaegeal varix haemorrhage

3. Immunosuppression for inflammatory bowel disease

4. Spontaneous bacterial peritonitis prophylaxis

1. Yes

2. Yes

3. Yes

4. Yes

Pulmonology

1. Exacerbation COPD

1. Yes

Cardiology

1. Mitraclip

2. ICD/pacemaker implantation

3. TAVI-procedure

4. Endocarditis prophylaxis

1. Yes

2. Yes

3. Yes

4. Yes

General paediatrics (including subspecialties)

1. NUSS-procedure

2. Adenotonsillectomy

3. Recurrent urinary tract infections

4. ERCP

5. HIV-prophylaxis in newborns

6. Prophylactic antibiotics in cystic fibrosis

1. Yes

2. No

3. Yes

4. No

5. Yes

6. No

Paediatric oncology

1. Long-term neutropaenia/selective decontamination of the digestive tract

2. PCP-prophylaxis

1. Yes

2. Yes

General surgery

1. Stoma reversal

2. Chronic anastomotic leakage

3. Non-surgical prophylaxis after Whipple operation

4. After amputation for osteomyelitis

1. No protocol

2. No protocol

3. No protocol

4. No protocol

Urology

1. TURP

2. Ureterorenoscopy

3. Double-J-catheter replacement

4. Percutaneous kidney stone removal

5. Laparoscopic/open nephrectomy

6. Cryo-ablation of tumor

7. Bricker bladder surgery

No internal protocols, prescriptions seem based on international guidelines, no documentation. Standard surgical prophylaxis according to general surgical guidelines.

Orthopaedic surgery

1. Use of osteosynthesis/joint replacement material

1. Yes

Gynaecology and obstetrics

1. Third and fourth degree rupture

2. Inguinal lymph node dissection

1. Protocol on intranet, contradicted by local antibiotics guideline

2. No mention of antibiotics in protocol

Oral & maxillofacial surgery

1. Skull fracture

1. Antibiotics mentioned in protocol, no specifics

ENT-surgery

1. Surgical prophylaxis

2. After DRAF-procedure

1. Yes

2. No protocol, expert opinion

Thoracic surgery

1. TAAA-procedure

2. No protocol

Neurosurgery

1. Deep Brain Stimulation placement

2. CNS Leakage

1. Yes

2. No protocol