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World J Emerg Surg. 2018 Aug 17;13:37. doi: 10.1186/s13017-018-0198-x. eCollection 2018.

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

Author information

1
Department of Surgery, Macerata Hospital, Via Santa Lucia, 62100 Macerata, Italy.
2
2Department of General Surgery, Division of Surgery, Rambam Health Care Campus, Haifa, Israel.
3
General Surgery Department, "M. Bufalini" Cesena Hospital, Cesena, Italy.
4
4Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
5
Department of Surgery, Trauma Service, Inkosi Albert Luthuli Central Hospital, Nelson R Mandela School of Clinical Medicine, Durban, South Africa.
6
6Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, CO USA.
7
7Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN USA.
8
Department of Surgery, VA Boston Health Care System, Boston University, Harvard Medical School, Boston, MA USA.
9
9Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL USA.
10
10University of New Mexico School of Medicine, Albuquerque, NM USA.
11
11Department of Surgery, Academic Medical Center, Amsterdam, Netherlands.
12
Unit of Endocrine, Head, and Neck Surgery and Unit of Surgical Infections Support, Department of General Surgery, ParcTaulí, Hospital University, Sabadell, Spain.
13
13Department of Surgery, University of Michigan, Ann Arbor, MI USA.
14
14Department of Surgery, Western Michigan University School of Medicine, Kalamazoo, MI USA.
15
Department of Surgery, Anadolu Medical Center, Kocaali, Turkey.
16
16Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
17
17Department of Surgery, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
18
18Department of General Surgery, Medical University of Plovdiv, UMHAT Eurohospital, Plovdiv, Bulgaria.
19
19Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
20
20Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
21
21Department of Surgery, Hospital Clínico Universitario, Santiago de Compostela, Spain.
22
Department of Surgery and Obstetrics/Gynaecology, Regional Hospital, Limbe, Cameroon.
23
23Emergency Surgery Unit, San Filippo Neri Hospital, Rome, Italy.
24
24Department of Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
25
25Department of Surgery, University Clinical Center of Tuzla, Tuzla, Bosnia and Herzegovina.
26
Department General Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia.
27
27Department of Digestive Surgery, Cannes Hospital, Cannes, France.
28
Department of Surgery, John Peter Smith Health Network, Fort Worth, TX USA.
29
29Department of General Surgery, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
30
30Second Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
31
Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Department of Surgery, Hospital Universitário Terezinha de Jesus, Juiz de Fora, Brazil.
32
32Department of General and Thoracic Surgery, University Hospital Giessen, Giessen, Germany.
33
Clinic for Surgery, University Clinical Center "Zvezdara", Belgrade, Serbia.
34
34Third Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
35
Department of Emergency Surgery, City Hospital, Mozyr, Belarus.
36
36Department of Surgery, Edendale Hospital, Pietermaritzburg, South Africa.
37
37General Surgery Department, Magee Womens Hospital, UPMC, Pittsburgh, USA.
38
Abdominal Center, University Hospital Meilahti, Helsinki, Finland.
39
39Surgical Disciplines, Immanuel Kant Baltic Federal University/Regional Clinical Hospital, Kaliningrad, Russian Federation.
40
1st Department of Surgery, Kavala General Hospital, Kavala, Greece.
41
41Department of Surgery, II Cátedra de Clínica Quirúrgica, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
42
42Department of Surgery, Post-Graduate Institute of Medical Sciences, Rohtak, India.
43
43Department of Surgery, Radiology, University Hospital of the West Indies, Kingston, Jamaica.
44
Second Surgical Clinic, Emergency Hospital of Craiova, Craiova, Romania.
45
Department of Surgery, Emergency Hospital of Bucharest, Bucharest, Romania.
46
46Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
47
47Department of Surgery, UMC Ljubljana, Ljubljana, Slovenia.
48
48Department of General and Emergency Surgery, Riga East University Hospital "Gailezers", Riga, Latvia.
49
Department of General Surgery, Jesenice General Hospital, Jesenice, Slovenia.
50
50Colorectal Surgery Unit, General Surgery Department, La Paz University Hospital, Madrid, Spain.
51
General Surgery Department, Medical University, University Hospital St George, Plovdiv, Bulgaria.
52
52Faculty of Medicine, Department of Surgery, Thammasat University Hospital, Thammasat University, Amphoe Khlong Luang, Pathum Thani Thailand.
53
Department of Surgery, North Estonia Medical Center, Tallinn, Estonia.
54
54First Department of Surgery-Department of Abdominal, Thoracic Surgery and Traumatology, General University Hospital, Prague, Czech Republic.
55
55Department of Surgery, Medical School University of Pécs, Pécs, Hungary.
56
Global Alliance for Infections in Surgery, Porto, Portugal.
57
Department of Emergency Surgery, Maggiore Hospital, Parma, Italy.

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.

KEYWORDS:

Antibiotic therapy; Infection; Prevention; Surgeon

Conflict of interest statement

Not applicable.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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