Perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania.

<h4>Background</h4>Surgical Site Infections are a major cause of morbidity and mortality among operated patients. In spite of the accessibility of universal and national guidelines for surgical prophylaxis, recent studies surveying the present routine of prophylaxis have demonstrated ove...

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Autores principales:	Elizabeth E Mmari, Eunice S Pallangyo, Athar Ali, Dereck A Kaale, Isaac H Mawalla, Muzdalifat S Abeid
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ecbf66ff23db4384803caed0c77bf8e9
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spelling	oai:doaj.org-article:ecbf66ff23db4384803caed0c77bf8e92021-12-02T20:17:32ZPerceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania.1932-620310.1371/journal.pone.0256134https://doaj.org/article/ecbf66ff23db4384803caed0c77bf8e92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256134https://doaj.org/toc/1932-6203<h4>Background</h4>Surgical Site Infections are a major cause of morbidity and mortality among operated patients. In spite of the accessibility of universal and national guidelines for surgical prophylaxis, recent studies surveying the present routine of prophylaxis have demonstrated overutilization of a wide range antibacterial medication for a single patient. Few studies have shown qualitatively factors influencing this and perceptions of surgeons on surgical antibiotic prophylaxis use. Unfortunately, none of these studies have been done in Tanzania.<h4>Objective</h4>To describe the perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital.<h4>Methods</h4>A qualitative study involving in-depth interviews with surgeons was conducted in English by the primary investigator. The interviews were audio-recorded and transcribed verbatim. Systematic text condensation by Malterud was used for data analysis.<h4>Findings</h4>Fourteen surgeons and obstetrics and gynaecologists participated. Their perceptions were summarized into three main categories: Inadequate data to support practice; one who sees the patient decides the antibiotic prophylaxis; prolonged antibiotic use for fear of unknown. The participants perceived that choice of antibiotic should be based on local hospital data for bacterial resistance pattern, however the hospital guidelines and data for surgical site infection rates are unknown. Fear of getting infection and anticipating complications led to prolonged antibiotics use.<h4>Conclusion</h4>The study provides an understanding of surgical antibiotic prophylaxis use and its implementation challenges. This was partly expressed by unavailability of local data and guidelines to enhance practice. To improve this, there is a need of guidelines that incorporates local resistance surveillance data and enhanced antibiotic stewardship programmes. A strong consideration should be placed into ways to combat the fears of surgeons for complications, as these significantly affect the current practise with use of surgical antibiotic prophylaxis.Elizabeth E MmariEunice S PallangyoAthar AliDereck A KaaleIsaac H MawallaMuzdalifat S AbeidPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0256134 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Elizabeth E Mmari Eunice S Pallangyo Athar Ali Dereck A Kaale Isaac H Mawalla Muzdalifat S Abeid Perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania.
description	<h4>Background</h4>Surgical Site Infections are a major cause of morbidity and mortality among operated patients. In spite of the accessibility of universal and national guidelines for surgical prophylaxis, recent studies surveying the present routine of prophylaxis have demonstrated overutilization of a wide range antibacterial medication for a single patient. Few studies have shown qualitatively factors influencing this and perceptions of surgeons on surgical antibiotic prophylaxis use. Unfortunately, none of these studies have been done in Tanzania.<h4>Objective</h4>To describe the perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital.<h4>Methods</h4>A qualitative study involving in-depth interviews with surgeons was conducted in English by the primary investigator. The interviews were audio-recorded and transcribed verbatim. Systematic text condensation by Malterud was used for data analysis.<h4>Findings</h4>Fourteen surgeons and obstetrics and gynaecologists participated. Their perceptions were summarized into three main categories: Inadequate data to support practice; one who sees the patient decides the antibiotic prophylaxis; prolonged antibiotic use for fear of unknown. The participants perceived that choice of antibiotic should be based on local hospital data for bacterial resistance pattern, however the hospital guidelines and data for surgical site infection rates are unknown. Fear of getting infection and anticipating complications led to prolonged antibiotics use.<h4>Conclusion</h4>The study provides an understanding of surgical antibiotic prophylaxis use and its implementation challenges. This was partly expressed by unavailability of local data and guidelines to enhance practice. To improve this, there is a need of guidelines that incorporates local resistance surveillance data and enhanced antibiotic stewardship programmes. A strong consideration should be placed into ways to combat the fears of surgeons for complications, as these significantly affect the current practise with use of surgical antibiotic prophylaxis.
format	article
author	Elizabeth E Mmari Eunice S Pallangyo Athar Ali Dereck A Kaale Isaac H Mawalla Muzdalifat S Abeid
author_facet	Elizabeth E Mmari Eunice S Pallangyo Athar Ali Dereck A Kaale Isaac H Mawalla Muzdalifat S Abeid
author_sort	Elizabeth E Mmari
title	Perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania.
title_short	Perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania.
title_full	Perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania.
title_fullStr	Perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania.
title_full_unstemmed	Perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania.
title_sort	perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in tanzania.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ecbf66ff23db4384803caed0c77bf8e9
work_keys_str_mv	AT elizabethemmari perceptionsofsurgeonsonsurgicalantibioticprophylaxisuseatanurbantertiaryhospitalintanzania AT eunicespallangyo perceptionsofsurgeonsonsurgicalantibioticprophylaxisuseatanurbantertiaryhospitalintanzania AT atharali perceptionsofsurgeonsonsurgicalantibioticprophylaxisuseatanurbantertiaryhospitalintanzania AT dereckakaale perceptionsofsurgeonsonsurgicalantibioticprophylaxisuseatanurbantertiaryhospitalintanzania AT isaachmawalla perceptionsofsurgeonsonsurgicalantibioticprophylaxisuseatanurbantertiaryhospitalintanzania AT muzdalifatsabeid perceptionsofsurgeonsonsurgicalantibioticprophylaxisuseatanurbantertiaryhospitalintanzania
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Perceptions of surgeons on surgical antibiotic prophylaxis use at an urban tertiary hospital in Tanzania.

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