Preoperative antibiotic prophylaxis practice and guideline adherence in Jordan: a multi-centre study in Jordanian hospitals
The use of antimicrobial prophylaxis for surgical procedures is one of the measures employed to prevent the development of surgical site infections (SSI). The appropriate choice of antimicrobial agents, dosage regimen, timing, duration and use of intravenous route must be evidence based. This study...
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Veröffentlicht in: | Journal of infection in developing countries 2012-10, Vol.6 (10), p.715-720 |
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creator | Al-Azzam, Sayer I Alzoubi, Karem H Mhaidat, Nizar M Haddadin, Rania D Masadeh, Majed M Tumah, Haitham N Magableh, Arabieh Maraqa, Noor K |
description | The use of antimicrobial prophylaxis for surgical procedures is one of the measures employed to prevent the development of surgical site infections (SSI). The appropriate choice of antimicrobial agents, dosage regimen, timing, duration and use of intravenous route must be evidence based. This study aimed to assess the practice of surgical antibiotic prophylaxis and adherence of practitioners to the American Society of Health-System Pharmacists (ASHP) guidelines for antimicrobial prophylaxis in surgery and to explore reasons for non-compliance.
A cross-sectional study was conducted in 20 Jordanian hospitals from October 2006 to June 2007. A questionnaire was designed to collect information from physicians regarding the practice of surgical antibiotic prophylaxis (SAP), references used for guiding SAP practice, prevalence of surgical site infection (SSI), and causative microorganisms.
SAP was employed in almost all surgical departments of hospitals. The improper timing of antimicrobial administration for SAP was attributed to lack of knowledge of the guidelines (46.1%), while the improper antimicrobial choice was ascribed to drug unavailability (61.8%).
This study shows that physicians are aware of the importance of antimicrobial prophylaxis before surgical procedures. However, further efforts are needed to ensure the implementation of the standard SAP guidelines in Jordanian hospitals. |
doi_str_mv | 10.3855/jidc.1676 |
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A cross-sectional study was conducted in 20 Jordanian hospitals from October 2006 to June 2007. A questionnaire was designed to collect information from physicians regarding the practice of surgical antibiotic prophylaxis (SAP), references used for guiding SAP practice, prevalence of surgical site infection (SSI), and causative microorganisms.
SAP was employed in almost all surgical departments of hospitals. The improper timing of antimicrobial administration for SAP was attributed to lack of knowledge of the guidelines (46.1%), while the improper antimicrobial choice was ascribed to drug unavailability (61.8%).
This study shows that physicians are aware of the importance of antimicrobial prophylaxis before surgical procedures. However, further efforts are needed to ensure the implementation of the standard SAP guidelines in Jordanian hospitals.</description><identifier>ISSN: 1972-2680</identifier><identifier>ISSN: 2036-6590</identifier><identifier>EISSN: 1972-2680</identifier><identifier>DOI: 10.3855/jidc.1676</identifier><identifier>PMID: 23103893</identifier><language>eng</language><publisher>Italy: Journal of Infection in Developing Countries</publisher><subject>Anti-Bacterial Agents - administration & dosage ; Antibiotic Prophylaxis - methods ; Antibiotics ; Antimicrobial agents ; Cross-Sectional Studies ; Disease prevention ; Guideline Adherence ; Hospitals ; Humans ; Jordan ; Preoperative Care - methods ; Surveys and Questionnaires</subject><ispartof>Journal of infection in developing countries, 2012-10, Vol.6 (10), p.715-720</ispartof><rights>2012. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c313t-67df8eb86e658381dc59acfc7851c699b6859b840aeff3b41730645559263283</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23103893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al-Azzam, Sayer I</creatorcontrib><creatorcontrib>Alzoubi, Karem H</creatorcontrib><creatorcontrib>Mhaidat, Nizar M</creatorcontrib><creatorcontrib>Haddadin, Rania D</creatorcontrib><creatorcontrib>Masadeh, Majed M</creatorcontrib><creatorcontrib>Tumah, Haitham N</creatorcontrib><creatorcontrib>Magableh, Arabieh</creatorcontrib><creatorcontrib>Maraqa, Noor K</creatorcontrib><title>Preoperative antibiotic prophylaxis practice and guideline adherence in Jordan: a multi-centre study in Jordanian hospitals</title><title>Journal of infection in developing countries</title><addtitle>J Infect Dev Ctries</addtitle><description>The use of antimicrobial prophylaxis for surgical procedures is one of the measures employed to prevent the development of surgical site infections (SSI). The appropriate choice of antimicrobial agents, dosage regimen, timing, duration and use of intravenous route must be evidence based. This study aimed to assess the practice of surgical antibiotic prophylaxis and adherence of practitioners to the American Society of Health-System Pharmacists (ASHP) guidelines for antimicrobial prophylaxis in surgery and to explore reasons for non-compliance.
A cross-sectional study was conducted in 20 Jordanian hospitals from October 2006 to June 2007. A questionnaire was designed to collect information from physicians regarding the practice of surgical antibiotic prophylaxis (SAP), references used for guiding SAP practice, prevalence of surgical site infection (SSI), and causative microorganisms.
SAP was employed in almost all surgical departments of hospitals. The improper timing of antimicrobial administration for SAP was attributed to lack of knowledge of the guidelines (46.1%), while the improper antimicrobial choice was ascribed to drug unavailability (61.8%).
This study shows that physicians are aware of the importance of antimicrobial prophylaxis before surgical procedures. However, further efforts are needed to ensure the implementation of the standard SAP guidelines in Jordanian hospitals.</description><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Antibiotic Prophylaxis - methods</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>Cross-Sectional Studies</subject><subject>Disease prevention</subject><subject>Guideline Adherence</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Jordan</subject><subject>Preoperative Care - methods</subject><subject>Surveys and Questionnaires</subject><issn>1972-2680</issn><issn>2036-6590</issn><issn>1972-2680</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkclOwzAQhi0EomU58AIoEhc4pHipHYcbqliFBAfukWNPqKvUCbaDqHh5XFEWcZrtm18z-hE6InjCJOfnC2v0hIhCbKExKQuaUyHx9p98hPZCWGDMS8bJLhpRRjCTJRujjycPXQ9eRfsGmXLR1raLVme97_r5qlXvNqRc6dRbz032MlgDrXWpMnPw4FLfuuy-80a5i0xly6GNNtfgoocsxMGsfudWuWzehd5G1YYDtNOkAIebuI-er6-eZ7f5w-PN3ezyIdeMsJiLwjQSailAcMkkMZqXSje6kJxoUZa1kLys5RQraBpWT0nBsJhyzksqGJVsH51-yaaXXgcIsVraoKFtlYNuCBUhlArK0lJCT_6hi27wLh1XUS4wlUkcJ-rsi9K-C8FDU_XeLpVfVQRXa0OqtSHV2pDEHm8Uh3oJ5of8doB9Aocmh08</recordid><startdate>20121019</startdate><enddate>20121019</enddate><creator>Al-Azzam, Sayer I</creator><creator>Alzoubi, Karem H</creator><creator>Mhaidat, Nizar M</creator><creator>Haddadin, Rania D</creator><creator>Masadeh, Majed M</creator><creator>Tumah, Haitham N</creator><creator>Magableh, Arabieh</creator><creator>Maraqa, Noor K</creator><general>Journal of Infection in Developing Countries</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8C1</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20121019</creationdate><title>Preoperative antibiotic prophylaxis practice and guideline adherence in Jordan: a multi-centre study in Jordanian hospitals</title><author>Al-Azzam, Sayer I ; Alzoubi, Karem H ; Mhaidat, Nizar M ; Haddadin, Rania D ; Masadeh, Majed M ; Tumah, Haitham N ; Magableh, Arabieh ; Maraqa, Noor K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c313t-67df8eb86e658381dc59acfc7851c699b6859b840aeff3b41730645559263283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Anti-Bacterial Agents - administration & dosage</topic><topic>Antibiotic Prophylaxis - methods</topic><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>Cross-Sectional Studies</topic><topic>Disease prevention</topic><topic>Guideline Adherence</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Jordan</topic><topic>Preoperative Care - methods</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al-Azzam, Sayer I</creatorcontrib><creatorcontrib>Alzoubi, Karem H</creatorcontrib><creatorcontrib>Mhaidat, Nizar M</creatorcontrib><creatorcontrib>Haddadin, Rania D</creatorcontrib><creatorcontrib>Masadeh, Majed M</creatorcontrib><creatorcontrib>Tumah, Haitham N</creatorcontrib><creatorcontrib>Magableh, Arabieh</creatorcontrib><creatorcontrib>Maraqa, Noor K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Public Health Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of infection in developing countries</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al-Azzam, Sayer I</au><au>Alzoubi, Karem H</au><au>Mhaidat, Nizar M</au><au>Haddadin, Rania D</au><au>Masadeh, Majed M</au><au>Tumah, Haitham N</au><au>Magableh, Arabieh</au><au>Maraqa, Noor K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative antibiotic prophylaxis practice and guideline adherence in Jordan: a multi-centre study in Jordanian hospitals</atitle><jtitle>Journal of infection in developing countries</jtitle><addtitle>J Infect Dev Ctries</addtitle><date>2012-10-19</date><risdate>2012</risdate><volume>6</volume><issue>10</issue><spage>715</spage><epage>720</epage><pages>715-720</pages><issn>1972-2680</issn><issn>2036-6590</issn><eissn>1972-2680</eissn><abstract>The use of antimicrobial prophylaxis for surgical procedures is one of the measures employed to prevent the development of surgical site infections (SSI). The appropriate choice of antimicrobial agents, dosage regimen, timing, duration and use of intravenous route must be evidence based. This study aimed to assess the practice of surgical antibiotic prophylaxis and adherence of practitioners to the American Society of Health-System Pharmacists (ASHP) guidelines for antimicrobial prophylaxis in surgery and to explore reasons for non-compliance.
A cross-sectional study was conducted in 20 Jordanian hospitals from October 2006 to June 2007. A questionnaire was designed to collect information from physicians regarding the practice of surgical antibiotic prophylaxis (SAP), references used for guiding SAP practice, prevalence of surgical site infection (SSI), and causative microorganisms.
SAP was employed in almost all surgical departments of hospitals. The improper timing of antimicrobial administration for SAP was attributed to lack of knowledge of the guidelines (46.1%), while the improper antimicrobial choice was ascribed to drug unavailability (61.8%).
This study shows that physicians are aware of the importance of antimicrobial prophylaxis before surgical procedures. However, further efforts are needed to ensure the implementation of the standard SAP guidelines in Jordanian hospitals.</abstract><cop>Italy</cop><pub>Journal of Infection in Developing Countries</pub><pmid>23103893</pmid><doi>10.3855/jidc.1676</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anti-Bacterial Agents - administration & dosage Antibiotic Prophylaxis - methods Antibiotics Antimicrobial agents Cross-Sectional Studies Disease prevention Guideline Adherence Hospitals Humans Jordan Preoperative Care - methods Surveys and Questionnaires |
title | Preoperative antibiotic prophylaxis practice and guideline adherence in Jordan: a multi-centre study in Jordanian hospitals |
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