Surgical Antimicrobial Prophylaxis Compliance in Turkey: Data from the Prospective, Observational, Multicenter Survey Including 7,978 Surgical Patients.

التفاصيل البيبلوغرافية
العنوان:	Surgical Antimicrobial Prophylaxis Compliance in Turkey: Data from the Prospective, Observational, Multicenter Survey Including 7,978 Surgical Patients.
المؤلفون:	Çelik Ekinci S; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Ataşehir, İstanbul, Turkey., Yenilmez E; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Ataşehir, İstanbul, Turkey., Akengin Öcal G; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Turkey., Sönmezer MÇ; Department of Infectious Diseases and Clinical Microbiology, Hacettepe University, Faculty of Medicine, Ankara, Turkey., Tarakçı A; Department of Infectious Diseases and Clinical Microbiology, Konya City Hospital, Konya, Turkey., Aygün C; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Samsun Training and Research Hospital, Samsun, Turkey., Akdağ D; Department of Infectious Diseases and Clinical Microbiology, Başakşehir Çam ve Sakura City Hospital, İstanbul, Turkey., Seyman D; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey., Aşık C; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey., Zerdali E; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Haseki Training and Research Hospital, İstanbul, Turkey., Yılmaz Karadağ F; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Turkey., Kaya Ş; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey., Çelik M; Department of Infectious Diseases and Clinical Microbiology, Harran University, Faculty of Medicine, Şanlıurfa, Turkey., Çifci Ş; Department of Infectious Diseases and Clinical Microbiology, Nevşehir State Hospital, Nevşehir, Turkey., Yıldız İE; Department of Infectious Diseases and Clinical Microbiology, Recep Tayyip Erdoğan University, Faculty of Medicine, Rize, Turkey., Çölkesen F; Department of Infectious Diseases and Clinical Microbiology, Konya Numune Hospital, Konya, Turkey., Akgül F; Department of Infectious Diseases and Clinical Microbiology, Batman Training and Research Hospital, Batman, Turkey., Aldemir Ö; Department of Infectious Diseases and Clinical Microbiology, Sivas Numune Hospital, Sivas, Turkey., Bozdağ M; Department of Infectious Diseases and Clinical Microbiology University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey., Özer D; Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey., Hızmalı L; Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Kırşehir Ahi Evran University, Kırşehir, Turkey., Canbolat Ünlü E; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey., Gür Altunay D; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Van Training and Research Hospital, Van, Turkey., Şahin A; Department of Infectious Diseases and Clinical Microbiology, Gaziantep Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey., Ünlü G; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey., Gençalioğlu AE; Department of Infectious Diseases and Clinical Microbiology, Trabzon Fatih State Hospital, Trabzon, Turkey., Tekin Şahin S; Department of Infectious Diseases and Clinical Microbiology, Alanya Training and Research Hospital, Antalya, Turkey., Özdemir Y; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Bozyaka Training and Research Hospital, İzmir, Turkey., Ünlü S; Department of Infectious Diseases and Clinical Microbiology, Mersin Toros State Hospital, Mersin, Turkey., Singil S; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey., Altıntaş J; Department of Infectious Diseases and Clinical Microbiology, Gebze Fatih State Hospital, Kocaeli, Turkey., Akkaya Işık S; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Sultan 2.Abdülhamid Han Training and Research Hospital, İstanbul, Turkey., Gül Ö; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey., Tuna N; Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Tekirdağ Namık Kemal University, Tekirdağ, Turkey., Şimşek S; Department of Infectious Diseases and Clinical Microbiology, Çorlu State Hospital, Tekirdağ, Turkey., Özgüler M; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Elazığ Fethi Sekin City Hospital, Elazığ, Turkey., Elbir Kılıç P; Department of Infectious Diseases and Clinical Microbiology, Tuzla State Hospital, İstanbul, Turkey., Işık ME; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Koşuyolu High Specialization Education and Research Hospital, İstanbul, Turkey., Karakuş A; Department of Infectious Diseases and Clinical Microbiology, Hendek State Hospital, Sakarya, Turkey., Kıratlı K; Department of Infectious Diseases and Clinical Microbiology, Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey., Yardımcı AC; Department of Infectious Diseases and Clinical Microbiology, VM Medical Park Mersin Hospital, Mersin, Turkey., Volkan S; Department of Infectious Diseases and Clinical Microbiology, Aydın State Hospital, Aydın, Turkey., Olçar Y; Department of Infectious Diseases and Clinical Microbiology, Kastamonu Training and Research Hospital, Kastamonu, Turkey., Çakır Y; Department of Infectious Diseases and Clinical Microbiology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Turkey., Özer Yılmaz N; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Süreyyapaşa Chest Diseases and Thoracic Surgery Training And Research Hospital, İstanbul, Turkey., Karaayvaz S; Department of Infectious Diseases and Clinical Microbiology, Ezine State Hospital, Çanakkale, Turkey., Batırel A; Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Turkey., Duran ZC; Department of Infectious Diseases and Clinical Microbiology, Hacettepe University, Faculty of Medicine, Ankara, Turkey., Raşa HK; Department of General Surgery, Anadolu Medical Center Gebze, Kocaeli, Turkey., Köse Ş; Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey.
المصدر:	Surgical infections [Surg Infect (Larchmt)] 2024 Apr; Vol. 25 (3), pp. 231-239.
نوع المنشور:	Observational Study; Multicenter Study; Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9815642 Publication Model: Print Cited Medium: Internet ISSN: 1557-8674 (Electronic) Linking ISSN: 10962964 NLM ISO Abbreviation: Surg Infect (Larchmt) Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1999-
مواضيع طبية MeSH:	Antibiotic Prophylaxis/methods , Surgical Wound Infection/epidemiology , Surgical Wound Infection/prevention & control , Surgical Wound Infection/drug therapy, Adult ; Humans ; Anti-Bacterial Agents/therapeutic use ; Guideline Adherence ; Prospective Studies ; Turkey/epidemiology
مستخلص:	Background: Surgical antimicrobial prophylaxis (SAP) is the peri-operative administration of antimicrobial agents. Compliance rates vary worldwide from 15% to 84.3%, with studies in Turkey not exceeding 35%. The aim of this multicenter study was to determine the rate of appropriate antibiotic class, timing, and duration as well as discharge prescriptions in Turkey. Thus, we aimed to determine the rate of full compliance with SAP procedures in our country Patients and Methods: This multicenter, prospective, observational, descriptive study was conducted in 47 hospitals from 28 provinces in seven different regions of Turkey. Patients over 18 years of age in all surgical units between June 6, 2022, and June 10, 2022, were included in the study. Results: Of the 7,978 patients included in the study, 332 were excluded from further analyses because of pre-existing infection, and SAP compliance analyses were performed on the remaining 7,646 cases. The antibiotic most commonly used for SAP was cefazolin (n = 4,701; 61.5%), followed by third-generation cephalosporins (n = 596; 7.8%). The most common time to start SAP was within 30 minutes before surgery (n = 2,252; 32.5%), followed by 30 to 60 minutes before surgery (n = 1,638; 23.6%). Surgical antimicrobial prophylaxis duration was <24 hours in 3,516 (50.7%) patients and prolonged until discharge in 1,505 (21.7%) patients. Finally, the actual proportion of patients compliant with SAP was 19% (n = 1,452) after omitting 4,458 (58.3%) patients who were prescribed oral antibiotic agents at discharge as part of a prolonged SAP. Conclusions: Surgical antimicrobial prophylaxis compliance rates are still very low in Turkey. Prolonged duration of SAP and especially high rate of antibiotic prescription at discharge are the main reasons for non-compliance with SAP.
فهرسة مساهمة:	Keywords: antibiotic resistance; antimicrobial stewardship; compliance rate of SAP; peri-operative care; surgical antimicrobial prophylaxis
المشرفين على المادة:	0 (Anti-Bacterial Agents)
تواريخ الأحداث:	Date Created: 20240408 Date Completed: 20240410 Latest Revision: 20240410
رمز التحديث:	20240410
DOI:	10.1089/sur.2023.243
PMID:	38588521
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	1557-8674
DOI:	10.1089/sur.2023.243