Skip to main content
Top
Published in: World Journal of Emergency Surgery 1/2018

Open Access 01-12-2018 | Commentary

Knowledge, awareness, and attitude towards infection prevention and management among surgeons: identifying the surgeon champion

Authors: Massimo Sartelli, Yoram Kluger, Luca Ansaloni, Federico Coccolini, Gian Luca Baiocchi, Timothy C. Hardcastle, Ernest E. Moore, Addison K. May, Kamal M. F. Itani, Donald E. Fry, Marja A. Boermeester, Xavier Guirao, Lena Napolitano, Robert G. Sawyer, Kemal Rasa, Fikri M. Abu-Zidan, Abdulrashid K. Adesunkanmi, Boyko Atanasov, Goran Augustin, Miklosh Bala, Miguel A. Cainzos, Alain Chichom-Mefire, Francesco Cortese, Dimitris Damaskos, Samir Delibegovic, Zaza Demetrashvili, Belinda De Simone, Therese M. Duane, Wagih Ghnnam, George Gkiokas, Carlos A. Gomes, Andreas Hecker, Aleksandar Karamarkovic, Jakub Kenig, Vladimir Khokha, Victor Kong, Arda Isik, Ari Leppäniemi, Andrey Litvin, Eftychios Lostoridis, Gustavo M. Machain, Sanjay Marwah, Michael McFarlane, Cristian Mesina, Ionut Negoi, Iyiade Olaoye, Tadeja Pintar, Guntars Pupelis, Miran Rems, Ines Rubio-Perez, Boris Sakakushev, Helmut Segovia-Lohse, Boonying Siribumrungwong, Peep Talving, Jan Ulrych, András G. Vereczkei, Francesco M. Labricciosa, Fausto Catena

Published in: World Journal of Emergency Surgery | Issue 1/2018

Login to get access

Abstract

Despite evidence supporting the effectiveness of best practices of infection prevention and management, many surgeons worldwide fail to implement them. Evidence-based practices tend to be underused in routine practice. Surgeons with knowledge in surgical infections should provide feedback to prescribers and integrate best practices among surgeons and implement changes within their team. Identifying a local opinion leader to serve as a champion within the surgical department may be important. The “surgeon champion” can integrate best clinical practices of infection prevention and management, drive behavior change in their colleagues, and interact with both infection control teams in promoting antimicrobial stewardship.
Appendix
Available only for authorised users
Literature
1.
go back to reference Global Alliance for Infections in Surgery Working Group. A Global Declaration on Appropriate Use of Antimicrobial Agents across the Surgical Pathway. Surg Infect (Larchmt). 2017;18:846-53. Global Alliance for Infections in Surgery Working Group. A Global Declaration on Appropriate Use of Antimicrobial Agents across the Surgical Pathway. Surg Infect (Larchmt). 2017;18:846-53.
2.
go back to reference Itani KMF, May AK. Surgical Infection Society: we endorse antimicrobial stewardship we stand by our international colleagues and societies in the fight for proper antimicrobial therapy. Surg Infect (Larchmt). 2017;18:843–5.CrossRef Itani KMF, May AK. Surgical Infection Society: we endorse antimicrobial stewardship we stand by our international colleagues and societies in the fight for proper antimicrobial therapy. Surg Infect (Larchmt). 2017;18:843–5.CrossRef
3.
go back to reference Zimlichman E, Henderson D, Tamir O, Franz C, Song P, Yamin CK, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med. 2013;173:2039–46.CrossRefPubMed Zimlichman E, Henderson D, Tamir O, Franz C, Song P, Yamin CK, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med. 2013;173:2039–46.CrossRefPubMed
4.
go back to reference GlobalSurg Collaborative. Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study. Lancet Infect Dis. 2018;18:516–25.CrossRef GlobalSurg Collaborative. Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study. Lancet Infect Dis. 2018;18:516–25.CrossRef
5.
go back to reference Allegranzi B, Zayed B, Bischoff P, Kubilay NZ, de Jonge S, de Vries F, et al. New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis. 2016;16:e288–303.CrossRefPubMed Allegranzi B, Zayed B, Bischoff P, Kubilay NZ, de Jonge S, de Vries F, et al. New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis. 2016;16:e288–303.CrossRefPubMed
6.
go back to reference Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017. JAMA Surg. 2017;152:784–91.CrossRefPubMed Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017. JAMA Surg. 2017;152:784–91.CrossRefPubMed
7.
go back to reference Ban KA, Minei JP, Laronga C, Harbrecht BG, Jensen EH, Fry DE, et al. American College of Surgeons and Surgical Infection Society: surgical site infection guidelines, 2016 update. J Am Coll Surg. 2017;224:59–74.CrossRefPubMed Ban KA, Minei JP, Laronga C, Harbrecht BG, Jensen EH, Fry DE, et al. American College of Surgeons and Surgical Infection Society: surgical site infection guidelines, 2016 update. J Am Coll Surg. 2017;224:59–74.CrossRefPubMed
8.
go back to reference Ban KA, Laronga C, Harbrecht BG, Jensen EH, Fry DE, Itani KMF, et al. Executive summary of the American College of Surgeons/Surgical Infection Society Surgical Site Infection Guidelines-2016 update. Surg Infect. 2017;18:379–82.CrossRef Ban KA, Laronga C, Harbrecht BG, Jensen EH, Fry DE, Itani KMF, et al. Executive summary of the American College of Surgeons/Surgical Infection Society Surgical Site Infection Guidelines-2016 update. Surg Infect. 2017;18:379–82.CrossRef
9.
go back to reference Badia JM, Casey AL, Rubio-Pérez I, Crosby C, Arroyo-García N, Del Castillo JB. A survey to identify the breach between evidence and practice in the prevention of surgical infection: time to take action. Int J Surg. 2018;54(Pt A):290–7.CrossRefPubMed Badia JM, Casey AL, Rubio-Pérez I, Crosby C, Arroyo-García N, Del Castillo JB. A survey to identify the breach between evidence and practice in the prevention of surgical infection: time to take action. Int J Surg. 2018;54(Pt A):290–7.CrossRefPubMed
10.
go back to reference Sartelli M, Weber DG, Ruppé E, Bassetti M, Wright BJ, Ansaloni L, et al. Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA). World J Emerg Surg. 2016;11:33.CrossRefPubMedPubMedCentral Sartelli M, Weber DG, Ruppé E, Bassetti M, Wright BJ, Ansaloni L, et al. Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA). World J Emerg Surg. 2016;11:33.CrossRefPubMedPubMedCentral
11.
go back to reference Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med. 2017;43:304–77.CrossRefPubMed Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med. 2017;43:304–77.CrossRefPubMed
12.
go back to reference Sartelli M, Duane TM, Catena F, Tessier JM, Coccolini F, Kao LS, et al. Antimicrobial stewardship: a call to action for surgeons. Surg Infect. 2016;17:625–31.CrossRef Sartelli M, Duane TM, Catena F, Tessier JM, Coccolini F, Kao LS, et al. Antimicrobial stewardship: a call to action for surgeons. Surg Infect. 2016;17:625–31.CrossRef
13.
go back to reference Liu J, Li N, Hao J, Li Y, Liu A, Wu Y, Cai M. Impact of the antibiotic stewardship program on prevention and control of surgical site infection during peri-operative clean surgery. Surg Infect. 2018;19:326–33.CrossRef Liu J, Li N, Hao J, Li Y, Liu A, Wu Y, Cai M. Impact of the antibiotic stewardship program on prevention and control of surgical site infection during peri-operative clean surgery. Surg Infect. 2018;19:326–33.CrossRef
14.
go back to reference Van Kasteren ME, Mannien J, Kullberg BJ, de Boer AS, Nagelkerke NJ, Ridderhof M, et al. Quality improvement of surgical prophylaxis in Dutch hospitals: evaluation of a multi-site intervention by time series analysis. J Antimicrob Chemother. 2005;56:1094–102.CrossRefPubMed Van Kasteren ME, Mannien J, Kullberg BJ, de Boer AS, Nagelkerke NJ, Ridderhof M, et al. Quality improvement of surgical prophylaxis in Dutch hospitals: evaluation of a multi-site intervention by time series analysis. J Antimicrob Chemother. 2005;56:1094–102.CrossRefPubMed
15.
go back to reference Huang Y, Gu J, Zhang M, Ren Z, Yang W, Chen Y, et al. Knowledge, attitude and practice of antibiotics: a questionnaire study among 2500 Chinese students. BMC Med Educ. 2013;13:163.CrossRefPubMedPubMedCentral Huang Y, Gu J, Zhang M, Ren Z, Yang W, Chen Y, et al. Knowledge, attitude and practice of antibiotics: a questionnaire study among 2500 Chinese students. BMC Med Educ. 2013;13:163.CrossRefPubMedPubMedCentral
16.
go back to reference Dortch MJ, Fleming SB, Kauffmann RM, Dossett LA, Talbot TR, May AK. Infection reduction strategies including antibiotic stewardship protocols in surgical and trauma intensive care units are associated with reduced resistant gram-negative healthcare-associated infections. Surg Infect (Larchmt). 2011;12:15–25.CrossRef Dortch MJ, Fleming SB, Kauffmann RM, Dossett LA, Talbot TR, May AK. Infection reduction strategies including antibiotic stewardship protocols in surgical and trauma intensive care units are associated with reduced resistant gram-negative healthcare-associated infections. Surg Infect (Larchmt). 2011;12:15–25.CrossRef
17.
go back to reference Çakmakçi M. Antibiotic stewardship programmes and the surgeon’s role. J Hosp Infect. 2015;89:264–6.CrossRefPubMed Çakmakçi M. Antibiotic stewardship programmes and the surgeon’s role. J Hosp Infect. 2015;89:264–6.CrossRefPubMed
18.
go back to reference Duane TM, Zuo JX, Wolfe LG, Bearman G, Edmond MB, Lee K, et al. Surgeons do not listen: evaluation of compliance with antimicrobial stewardship program recommendations. Am Surg. 2013;79:1269–72.PubMed Duane TM, Zuo JX, Wolfe LG, Bearman G, Edmond MB, Lee K, et al. Surgeons do not listen: evaluation of compliance with antimicrobial stewardship program recommendations. Am Surg. 2013;79:1269–72.PubMed
19.
go back to reference Sartelli M, Labricciosa FM, Scoccia L, Bellesi J, Mazzoccanti MR, Scaloni G, et al. Non-restrictive antimicrobial stewardship program in a general and emergency surgery unit. Surg Infect (Larchmt). 2016;17:485–90.CrossRef Sartelli M, Labricciosa FM, Scoccia L, Bellesi J, Mazzoccanti MR, Scaloni G, et al. Non-restrictive antimicrobial stewardship program in a general and emergency surgery unit. Surg Infect (Larchmt). 2016;17:485–90.CrossRef
20.
go back to reference Sartelli M, Viale P, Catena F, Ansaloni L, Moore E, Malangoni M, et al. 2013 WSES guidelines for management of intra-abdominal infections. World J Emerg Surg. 2013;8:3.CrossRefPubMedPubMedCentral Sartelli M, Viale P, Catena F, Ansaloni L, Moore E, Malangoni M, et al. 2013 WSES guidelines for management of intra-abdominal infections. World J Emerg Surg. 2013;8:3.CrossRefPubMedPubMedCentral
21.
go back to reference Raval MV, Bentrem DJ, Eskandari MK, Ingraham AM, Hall BL, Randolph B, et al. The role of surgical champions in the American College of Surgeons National Surgical Quality Improvement Program--a national survey. J Surg Res. 2011;166:e15–25.CrossRefPubMed Raval MV, Bentrem DJ, Eskandari MK, Ingraham AM, Hall BL, Randolph B, et al. The role of surgical champions in the American College of Surgeons National Surgical Quality Improvement Program--a national survey. J Surg Res. 2011;166:e15–25.CrossRefPubMed
22.
go back to reference Davey P, Brown E, Charani E, Fenelon L, Gould IM, Holmes A, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev. 2013;4:CD003543. Davey P, Brown E, Charani E, Fenelon L, Gould IM, Holmes A, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev. 2013;4:CD003543.
Metadata
Title
Knowledge, awareness, and attitude towards infection prevention and management among surgeons: identifying the surgeon champion
Authors
Massimo Sartelli
Yoram Kluger
Luca Ansaloni
Federico Coccolini
Gian Luca Baiocchi
Timothy C. Hardcastle
Ernest E. Moore
Addison K. May
Kamal M. F. Itani
Donald E. Fry
Marja A. Boermeester
Xavier Guirao
Lena Napolitano
Robert G. Sawyer
Kemal Rasa
Fikri M. Abu-Zidan
Abdulrashid K. Adesunkanmi
Boyko Atanasov
Goran Augustin
Miklosh Bala
Miguel A. Cainzos
Alain Chichom-Mefire
Francesco Cortese
Dimitris Damaskos
Samir Delibegovic
Zaza Demetrashvili
Belinda De Simone
Therese M. Duane
Wagih Ghnnam
George Gkiokas
Carlos A. Gomes
Andreas Hecker
Aleksandar Karamarkovic
Jakub Kenig
Vladimir Khokha
Victor Kong
Arda Isik
Ari Leppäniemi
Andrey Litvin
Eftychios Lostoridis
Gustavo M. Machain
Sanjay Marwah
Michael McFarlane
Cristian Mesina
Ionut Negoi
Iyiade Olaoye
Tadeja Pintar
Guntars Pupelis
Miran Rems
Ines Rubio-Perez
Boris Sakakushev
Helmut Segovia-Lohse
Boonying Siribumrungwong
Peep Talving
Jan Ulrych
András G. Vereczkei
Francesco M. Labricciosa
Fausto Catena
Publication date
01-12-2018
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2018
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-018-0198-x

Other articles of this Issue 1/2018

World Journal of Emergency Surgery 1/2018 Go to the issue