Surgical Antibiotic Prophylaxis: A Descriptive Study among Thoracic Surgeons.
Shadi Baniasadi1, Zeinab Alaeen2, Mohammad Behgam Shadmehr1
1Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Tanaffos
|February 18, 2017
Summary
This study found that while thoracic surgeons in Iran have a positive attitude towards antibiotic prophylaxis, their knowledge and practice regarding surgical antibiotic prophylaxis (SAP) need improvement for optimal patient outcomes.
Area of Science:
- Infectious Diseases
- Surgical Infections
- Pharmacology
Background:
- Surgical site infections (SSIs) are significant causes of morbidity, mortality, and increased healthcare expenses.
- Antimicrobial prophylaxis is a critical strategy for preventing SSIs.
Purpose of the Study:
- To assess the knowledge, attitude, and practice (KAP) of thoracic surgeons in Iran regarding surgical antibiotic prophylaxis (SAP).
Main Methods:
- A descriptive study utilizing a multiple-choice questionnaire distributed to thoracic surgeons.
- Surgeons' responses were evaluated against American Society of Health-System Pharmacist (ASHP) guidelines.
Main Results:
- 70% of surgeons demonstrated good knowledge of appropriate SAP.
- Awareness of SAP for penicillin allergies and Gram-negative infections was limited in less than half of respondents.
- While adherence to SAP timing was acceptable, correct intraoperative dosing was only 40% compliant with ASHP guidelines.
Conclusions:
- Thoracic surgeons exhibit a favorable attitude towards antibiotic prophylaxis guidelines.
- Improvements in knowledge and practical application of SAP are necessary for Iranian thoracic surgeons.
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