Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/5223
Title: A national survey of surgical antibiotic prophylaxis in Turkey
Authors: Hoşoğlu, Salih
Sünbül, Mustafa
Erol, S.
Altindis, M.
Caylan, R.
Demirdag, K.
Ucmak, H.
Keywords: antibiotic agent
cefazolin
cephalosporin derivative
ciprofloxacin
meropenem
quinoline derived antiinfective agent
abdominal hysterectomy
antibiotic prophylaxis
appendectomy
brain tumor
breast surgery
cardiovascular surgery
cholecystectomy
coronary artery bypass graft
cystoscopy
general hospital
general surgery
gynecologic surgery
hernia
hernioplasty
human
major clinical study
mediastinum tumor
medical decision making
neurosurgery
orthopedic surgery
prostatectomy
prosthesis
review
spine surgery
surgeon
surgical infection
transurethral resection
Turkey (republic)
university hospital
urologic surgery
uterus myoma
varicocele
Antibiotic Prophylaxis
Cross-Sectional Studies
Health Care Surveys
Hospitals
Humans
Infection Control
Questionnaires
Specialties, Surgical
Surgical Procedures, Operative
Surgical Wound Infection
Turkey
Abstract: OBJECTIVE: To assess the quality of antibiotic prophylaxis for clean and clean-contaminated elective surgical procedures. DESIGN: A cross-sectional, country-wide survey. SETTING: Thirty-six hospitals in 12 cities in Turkey. PARTICIPANTS: Four hundred thirty-nine surgeons from 6 different specialties who performed selected procedures of interest. METHODS: A random sample of surgeons from different hospitals was selected. A standardized data collection form was used to record the type of procedure, the names, doses, timing of the first doses, and duration of antibiotics, important decisive factors, and problems in the management of prophylactic antibiotic use for surgical procedures. RESULTS: Fifty-five percent of surgeons addressed completed the survey. For clean-contaminated procedures, 6% of surgeons did not use antibiotic prophylaxis, whereas 88% used more than a single dose. Inappropriate antibiotics were chosen for 32% of procedures. In 39% of procedures, the first dose of antibiotics was not administered during induction of anesthesia. Duration of prophylaxis was longer than 24 hours in 80% and longer than 48 hours in 46% of all procedures. Only 112 surgeons (26%) were using definitely appropriate prophylaxis in all ways. Multivariate analysis revealed that surgeons in university hospitals (OR, 2.353; CI95, 1.426-3.884; P = .001) and general surgeons (OR, 4.986; CI95, 2.890-8.604; P < .001) used antibiotic prophylaxis more appropriately. Patients not covered by health insurance (OR, 0.417; CI95, 0.225-0.772; P < .001) were associated with inappropriate prophylaxis. CONCLUSION: Given the high frequency of antibiotics prescribed for surgical prophylaxis in Turkey, adherence to surgical prophylaxis guidelines is urgently needed.
URI: https://hdl.handle.net/11499/5223
https://doi.org/10.1086/502127
ISSN: 0899-823X
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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