Perioperative cefazolin prophylaxis in patients with β-lactam allergy: a quality improvement project

Can J AnaesthPublished Quality improvement study

Authors' conclusion

Adaptation of a two-question β-lactam antibiotic allergy assessment tool, along with targeted education, was associated with significantly increased rates of cefazolin use for perioperative prophylaxis in patients with a β-lactam antibiotic allergy label.

Study context

Population
Elective surgical patients with a self-reported β-lactam antibiotic allergy (SRBA), University Health Network, Toronto, Canada
Comparison
ModACCEPT history-based allergy assessment tool plus targeted education vs pre-intervention baseline
Outcome
Proportion of patients with SRBA receiving cefazolin perioperative prophylaxis
Methodological detailsinterrupted time series analysis
  • Interrupted time series analysis

Main finding

As reported in the abstract

Cefazolin perioperative prophylaxis rate, primary hospital site

Further findings

Cefazolin use rate, second hospital site

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Perioperative cefazolin prophylaxis in patients with β-lactam allergy: a quality improvement project. Can J Anaesth. Published 7 May 2026. doi:10.1007/s12630-026-03119-1

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