Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Dec 11:13:42.
doi: 10.1186/s13037-019-0224-2. eCollection 2019.

Knowledge, attitude and practice of surgical staff towards preoperative surgical antibiotic prophylaxis at an academic tertiary hospital in Sudan

Ali Mohammed Ahmed  1 , Sara Nasr  1 , Almegdad Mohamed Ahmed  1 , Osama Elkhidir  2
Affiliations

Knowledge, attitude and practice of surgical staff towards preoperative surgical antibiotic prophylaxis at an academic tertiary hospital in Sudan

Ali Mohammed Ahmed et al. Patient Saf Surg. .

Abstract

Background: Surgical site infections (SSIs) are among the most common serious complications after surgery and associated with preventable morbidity, mortality, and increased health care costs. The use of surgical antimicrobial prophylaxis (SAP) is an effective measure that helps to protect against SSIs. This study aims to evaluate the knowledge, attitude, and practice of surgical staff towards preoperative antibiotic prophylaxis in surgery department at an academic tertiary hospital in Sudan.

Methodology: An observational descriptive study was conducted among doctors in the surgery department at an academic tertiary hospital in Sudan in order to assess their knowledge, attitude, and practice (KAP) towards surgical antibiotic prophylaxis (SAP). A four-section multiple-choice questionnaire was designed and hand-delivered to registered doctors in the surgery department at an academic tertiary hospital in Sudan. The WHO guidelines were used to evaluate the answers of the participants.

Results: Out of 56 doctors requested to participate in this study, only 49 responded and their response rate was 87.5%. Six (12.5%) surgeons had good knowledge about appropriate SAP. However, 16.3 and 24.5% of the respondents were aware of appropriate SAP in the case of Ig E-mediated reaction to penicillin and risk of Gram-negative infections, respectively. The surgeon's attitude score about the need for local and national guidelines for SAP was 98 and 100%, respectively. Accordance of the physician's practice with ASHP guidelines regarding timing of the first dosage of SAP was 35.4% while correct administration of an intraoperative dose was 42.9% in agreement with the guideline. 53.1% knows when to stop SAP after surgery correctly.

Conclusion: Although the participants in this study showed a positive attitude towards antibiotic prophylaxis guidelines, their knowledge and strict adherence to a protocolized practice per WHO checklist should be improved in order to reduce the incidence of preventable surgical site infections.

Keywords: Antibiotic prophylaxis; Attitude; Knowledge; Practice; Surgeons; Surgery.

PubMed Disclaimer

Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

References

    1. Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263–269. doi: 10.1001/archsurg.2010.249. - DOI - PubMed
    1. Askarian M, Moravveji AR, Mirkhani H, Namazi S, Weed H. Adherence to American Society of Health-System Pharmacists surgical antibiotic prophylaxis guidelines in Iran. Infect Control Hosp Epidemiol. 2006;27(8):876–878. doi: 10.1086/506405. - DOI - PubMed
    1. Blomstedt GC. Infection in neurosurgery: a restrospective study of 1143 patients and 1517 operations. Acta Neurochir. 1985;78:81–90. doi: 10.1007/BF01808684. - DOI - PubMed
    1. Albright L, Reigel DH. Management hydrocephalus secondary to posterior fossa tumours. J Neurosurg. 1977;46:52–55. doi: 10.3171/jns.1977.46.1.0052. - DOI - PubMed
    1. Green JW, Wenzel RG. Post-operative wound infections: a controlled study on the duration of hospital stay and direct cost of hospitalization. Ann Surg. 1977;185:264. doi: 10.1097/00000658-197703000-00002. - DOI - PMC - PubMed

LinkOut - more resources