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Systematic Reviews

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Open Access 01-12-2021 | Antibiotic | Research

Factors that influence adherence to surgical antimicrobial prophylaxis (SAP) guidelines: a systematic review

Authors: Sarah Hassan, Vincent Chan, Julie Stevens, Ieva Stupans

Published in: Systematic Reviews | Issue 1/2021

Abstract

Background

Despite the extensive research that has been conducted to date, practice often differs from established guidelines and will vary between individuals and organisations. It has been noted that the global uptake of local and international surgical antimicrobial prophylaxis (SAP) guidelines is poor with limited research investigating factors that affect guideline adherence. The purpose of this systematic review was to determine the reported barriers and enablers to the adherence of SAP guidelines.

Methods

A search of the literature was performed using four electronic databases (CINAHL, EMBASE, PubMed and SCOPUS) for articles published in the English language from January 1998 to December 2018. Articles were included if they were solely related to SAP and discussed the barriers or enablers to SAP guideline adherence. Articles that assessed the adherence to a range of infection control measures or discussed adherence to antibiotic treatment guidelines rather than SAP guidelines were excluded from this review. Barriers and enablers were mapped to the Theoretical Domains Framework (TDF). The Mixed Methods Appraisal Tool was used to assess the quality of included studies.

Results

A total of 1489 papers were originally retrieved, with 48 papers meeting the eligibility criteria. Barriers and enablers were mapped to 11 out of 14 TDF domains: knowledge, skills, social/professional role and identity, beliefs about capabilities, beliefs about consequences, reinforcement, memory, attention and decision processes, environmental context and resources, social influences, emotion and behavioural regulation. Barriers were further categorised into personal or organisational barriers, while enablers were arranged under commonly trialled interventions.

Conclusions

There are numerous factors that can determine the uptake of SAP guidelines. An identification and understanding of these factors at a local level is required to develop tailored interventions to enhance guideline adherence. Interventions, when used in combination, can be considered as a means of improving guideline use.

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Title: Factors that influence adherence to surgical antimicrobial prophylaxis (SAP) guidelines: a systematic review
Authors: Sarah Hassan
Vincent Chan
Julie Stevens
Ieva Stupans
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Antibiotic
Published in: Systematic Reviews / Issue 1/2021
Electronic ISSN: 2046-4053
DOI: https://doi.org/10.1186/s13643-021-01577-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Factors that influence adherence to surgical antimicrobial prophylaxis (SAP) guidelines: a systematic review

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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