# From overlooked to just right: putting the focus on metronidazole infusion timing for colorectal surgical prophylaxis

**Authors:** Peter Oakes, Lindsay E. Donohue, Sunny Chiao, Susan Ketcham, Traci Hedrick, Rachele Olivier, Amy J. Mathers

PMC · DOI: 10.1017/ash.2025.10260 · 2026-01-02

## TL;DR

This paper shows how adjusting the timing of metronidazole administration improved infection prevention in colorectal surgery.

## Contribution

A multidisciplinary approach standardized metronidazole infusion timing, leading to better surgical site infection outcomes.

## Key findings

- Standardizing metronidazole infusion timing increased completion rates before surgery.
- The intervention reduced surgical site infection rates in colorectal surgery patients.

## Abstract

Preoperative prophylaxis efficacy depends on antibiotic infusion completion before incision. In our colorectal program, metronidazole often wasn’t completed on time, in contrast to cefazolin. A multidisciplinary effort standardized its administration timing, improving infusion completion rates. We evaluated the impact of this intervention on surgical site infections in colorectal surgery.

## Linked entities

- **Chemicals:** metronidazole (PubChem CID 4173), cefazolin (PubChem CID 33255)

## Full-text entities

- **Diseases:** infections (MESH:D007239)
- **Chemicals:** cefazolin (MESH:D002437), metronidazole (MESH:D008795)

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12766523/full.md

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Source: https://tomesphere.com/paper/PMC12766523