Q64729399
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Background: Surgical site infection (SSI) is one of the most common causes of healthcare-associated infection. Although the use of topical antibiotics to prevent SSI is not recommended by current guidelines, published studies document conflicting results and conclusions. Objectives: The objectives of this survey were to: (i) determine the extent of the use of topical antibiotics to prevent SSI in clinical practice; and (ii) gather the opinions of healthcare professionals most likely to be involved in their use. Methods: A questionnaire was circulated to members of BSAC and the European Wound Management Association (EWMA). Results: The questionnaire received 160 responses from a variety of healthcare professionals around the world. Most respondents (70%) did not have guidelines for the use of topical antibiotics for the prevention of SSI in their institution; if present, local guidance was based on national guidelines (20/31, 65%). Most respondents did not use or recommend topical antibiotics to prevent SSI; of those that did, gentamicin collagen sponges were most commonly used (24/96 responses, 25%). Over half of the surgeons (18/33, 55%) who responded to the survey did not use topical antibiotics for the prevention of SSI but, when used, contaminated surgery (8/33, 24%) was the most commonly stated indication. Conclusions: There are diverse opinions and practices among healthcare professionals about the use of topical antibiotics for the prevention of SSI. This considerable, and possibly inappropriate, variation in clinical practice needs to be addressed as part of antibiotic stewardship.
- MeSH
- antibakteriální látky aplikace a dávkování MeSH
- antibiotická politika MeSH
- antibiotická profylaxe metody MeSH
- aplikace lokální * MeSH
- gentamiciny aplikace a dávkování MeSH
- infekce chirurgické rány prevence a kontrola MeSH
- infekce spojené se zdravotní péčí prevence a kontrola MeSH
- konsensus MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- směrnice pro lékařskou praxi jako téma MeSH
- zdravotnický personál * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
The journal of hospital infection, ISSN 0195-6701 Volume 63, Supplementum 1, May 2006
70 stran : ilustrace, tabulky ; 28 cm
- MeSH
- infekce spojené se zdravotní péčí prevence a kontrola MeSH
- kontrola infekčních nemocí MeSH
- methicilin rezistentní Staphylococcus aureus MeSH
- primární prevence MeSH
- směrnice pro lékařskou praxi jako téma MeSH
- stafylokokové infekce prevence a kontrola MeSH
- Publikační typ
- přehledy MeSH
- Konspekt
- Veřejné zdraví a hygiena
- NLK Obory
- infekční lékařství
- management, organizace a řízení zdravotnictví
- preventivní medicína
- NLK Publikační typ
- brožury