Table 4.

Reasons given by hospitals for a change in orthopaedic surgery antimicrobial prophylaxis regimes

Reasons	Elective	Trauma
Clostridium difficile	48 (54.5%)	56 (56.0%)
Reduce use of cephalosporins	10 (11.4%)	10 (10.0%)
Microbiology advice	7 (8.0%)	8 (8.0%)
Antibiotic policy review	6 (6.8%)	6 (6.0%)
Unsure why changed	5 (5.7%)	7 (7.0%)
Scottish Intercollegiate Guidelines Network	3 (3.4%)	5 (5.0%)
Supply shortages	2 (2.3%)	1 (1.0%)
Surveillance/resistance patterns	2 (2.3%)	1 (1.0%)
Department of Health advice	1 (1.1%)	2 (2.0%)
Methicillin resistant Staphylococcus aureus	1 (1.1%)	1 (1.0%)
New regime started	1 (1.1%)	1 (1.0%)
Trust board advice	1 (1.1%)	1 (1.0%)
Reduce spectrum of coverage	1 (1.1%)	–
Ease of use	–	1 (1.0%)
Total responses	88	100