Surgical site infection prevention: a survey to identify the gap between evidence and practice in University of Toronto teaching hospitals
| Autor: | Robin S. McLeod, Marg McKenzie, Anna R. Gagliardi, Cagla Eskicioglu, Shawn S. Forbes, Avery B. Nathens, Darlene S. Fenech |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Hospitals University Nursing Knowledge translation Surveys and Questionnaires Outcome Assessment Health Care medicine Medical Staff Hospital Infection control Humans Surgical Wound Infection Antibiotic prophylaxis Practice Patterns Physicians' Hospitals Teaching Ontario Cross Infection Infection Control Evidence-Based Medicine business.industry Research Incidence Internship and Residency Evidence-based medicine Antibiotic Prophylaxis Middle Aged Cross-Sectional Studies Family medicine General Surgery Needs assessment Surgery Female Best evidence business Surgical site infection Needs Assessment |
| Popis: | A gap exists between the best evidence and practice with regards to surgical site infection (SSI) prevention. Awareness of evidence is the first step in knowledge translation.A web-based survey was distributed to 59 general surgeons and 68 residents at University of Toronto teaching hospitals. Five domains pertaining to SSI prevention with questions addressing knowledge of prevention strategies, efficacy of antibiotics, strategies for changing practice and barriers to implementation of SSI prevention strategies were investigated.Seventy-six individuals (60%) responded. More than 90% of respondents stated there was evidence for antibiotic prophylaxis and perioperative normothermia and reported use of these strategies. There was a discrepancy in the perceived evidence for and the self-reported use of perioperative hyperoxia, omission of hair removal and bowel preparation. Eighty-three percent of respondents felt that consulting published guidelines is important in making decisions regarding antibiotics. There was also a discrepancy between what respondents felt were important strategies to ensure timely administration of antibiotics and what strategies were in place. Checklists, standardized orders, protocols and formal surveillance programs were rated most highly by 75%-90% of respondents, but less than 50% stated that these strategies were in place at their institutions.Broad-reaching initiatives that increase surgeon and trainee awareness and implementation of multifaceted hospital strategies that engage residents and attending surgeons are needed to change practice. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|