Perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania

Autor: Elizabeth E. Mmari, Muzdalifat Abeid, Dereck A. Kaale, Eunice S. Pallangyo, Isaac H. Mawalla, Athar Ali
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Health Care Providers
Antibiotics
Social Sciences
Pharmacists
Tanzania
Tertiary Care Centers
Antimicrobial Stewardship
Cognition
Surveys and Questionnaires
Medicine and Health Sciences
Psychology
Public and Occupational Health
Medical Personnel
Practice Patterns
Physicians'
Antibiotic prophylaxis
Multidisciplinary
biology
Antimicrobials
Drugs
Middle Aged
Anti-Bacterial Agents
Professions
Medicine
Female
Clinical Competence
Guideline Adherence
Surgical site infection
Research Article
Adult
medicine.medical_specialty
medicine.drug_class
Science
Decision Making
Surgical and Invasive Medical Procedures
Microbiology
Surgical prophylaxis
Antibiotic resistance
Physicians
Microbial Control
medicine
Humans
Surgical Wound Infection
Antibiotic use
Intensive care medicine
Aged
Surgeons
Pharmacology
Prophylaxis
business.industry
Cognitive Psychology
Biology and Life Sciences
Antibiotic Prophylaxis
biology.organism_classification
Otolaryngological Procedures
Health Care
Antibiotic Resistance
People and Places
Cognitive Science
Population Groupings
Preventive Medicine
Antimicrobial Resistance
business
Neuroscience
Qualitative research
Zdroj: PLoS ONE, Vol 16, Iss 8, p e0256134 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: Background Surgical Site Infections are a major cause of morbidity and mortality among operated patients. In spite of the accessibility of universal and national guidelines for surgical prophylaxis, recent studies surveying the present routine of prophylaxis have demonstrated overutilization of a wide range antibacterial medication for a single patient. Few studies have shown qualitatively factors influencing this and perceptions of surgeons on surgical antibiotic prophylaxis use. Unfortunately, none of these studies have been done in Tanzania. Objective To describe the perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital. Methods A qualitative study involving in-depth interviews with surgeons was conducted in English by the primary investigator. The interviews were audio-recorded and transcribed verbatim. Systematic text condensation by Malterud was used for data analysis. Findings Fourteen surgeons and obstetrics and gynaecologists participated. Their perceptions were summarized into three main categories: Inadequate data to support practice; one who sees the patient decides the antibiotic prophylaxis; prolonged antibiotic use for fear of unknown. The participants perceived that choice of antibiotic should be based on local hospital data for bacterial resistance pattern, however the hospital guidelines and data for surgical site infection rates are unknown. Fear of getting infection and anticipating complications led to prolonged antibiotics use. Conclusion The study provides an understanding of surgical antibiotic prophylaxis use and its implementation challenges. This was partly expressed by unavailability of local data and guidelines to enhance practice. To improve this, there is a need of guidelines that incorporates local resistance surveillance data and enhanced antibiotic stewardship programmes. A strong consideration should be placed into ways to combat the fears of surgeons for complications, as these significantly affect the current practise with use of surgical antibiotic prophylaxis.
Databáze: OpenAIRE
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