An Evaluation of Surgical Prophylaxis Procedures in Turkey: A Multi-Center Point Prevalence Study

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dc.contributor.authorKaya, Selcuk
dc.contributor.authorAktas, Seyhan
dc.contributor.authorSenbayrak, Seniha
dc.contributor.authorTekin, Recep
dc.contributor.authorOztoprak, Nefise
dc.contributor.authorAksoy, Firdevs
dc.contributor.authorFirat, Pinar
dc.date.accessioned2024-04-24T17:27:27Z
dc.date.available2024-04-24T17:27:27Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: The purpose of this study was to evaluate compliance with guidelines in surgical prophylaxis (SP) procedures in Turkey. Materials and Methods: A point prevalence study involving 4 university, 5 education and research and 7 public hospitals was performed assessing compliance with guidelines for antibiotic use in SP. Compliance was based on the Clinical Practice Guidelines for Antimicrobial Surgery (CPGAS) 2013 guideline. Results: Sixteen centers were included in the study, with 166 operations performed at these being evaluated. Parenteral antibiotic for SP was applied in 161 (96.9%) of these. Type of antibiotic was inappropriate in 66 (40.9%) cases and duration of use in 47 (29.1%). The main antibiotics used inappropriately in SP were ceftriaxone, glycopeptides and aminoglycosides. No significant difference was observed between secondary and tertiary hospitals in terms of inappropriate selection. Duration of prophylaxis was also incompatible with guideline recommendations in approximately half of surgical procedures performed in both secondary and tertiary hospitals, however statistical significance was observed between institutions in favor of tertiary hospitals. Conclusion: Antibiotics are to a considerable extent used in a manner incompatible with guidelines even in tertiary hospitals in Turkey. It must not be forgotten that several pre-, intra- and postoperative factors can be involved in the development of surgical site infections (SSI), and antibiotics are not the only option available for preventing these. A significant improvement can be achieved in prophylaxis with close observation, educational activities, collaboration with the surgical team and increasing compliance with guidelines. All health institutions must establish and apply their own SP consensus accompanied by the guidelines in order to achieve success in SP.en_US
dc.identifier.doi10.5152/eurasianjmed.2015.15222
dc.identifier.endpage28en_US
dc.identifier.issn1308-8734
dc.identifier.issn1308-8742
dc.identifier.issue1en_US
dc.identifier.pmid27026760
dc.identifier.scopus2-s2.0-84960108712
dc.identifier.scopusqualityQ2
dc.identifier.startpage24en_US
dc.identifier.trdizinid207875
dc.identifier.urihttps://doi.org/10.5152/eurasianjmed.2015.15222
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/207875
dc.identifier.urihttps://hdl.handle.net/11468/19945
dc.identifier.volume48en_US
dc.identifier.wosWOS:000373481300007
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofEurasian Journal of Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSurgical Prophylaxisen_US
dc.subjectAntibioticsen_US
dc.subjectTurkeyen_US
dc.titleAn Evaluation of Surgical Prophylaxis Procedures in Turkey: A Multi-Center Point Prevalence Studyen_US
dc.titleAn Evaluation of Surgical Prophylaxis Procedures in Turkey: A Multi-Center Point Prevalence Study
dc.typeArticleen_US

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