Akademik Veri Yönetim Sistemi
Hacettepe Sağlık İdaresi Dergisi, cilt.26, sa.2, ss.379-392, 2023 (Hakemli Dergi)
This study aimed to examine the reasons for using and not using surgical antibiotic prophylaxis (SAP), the reasons for inappropriate use, and the opinions and recommendations of the surgeons working in two public hospitals on the use of antibiotics. For this purpose, a questionnaire consisting of open and closed-ended questions developed using the literature was used. Between February 5 and September 6, 2019, when the research was carried out, 54 surgeons from a total of 58 surgeons working in these hospitals were reached and the questionnaire was applied one-to-one. Surgeons mostly rely on the recommendations of books or scientific articles (25.4%). They stated that avoidance of increasing the postoperative infection rate the most in their decision to apply SAP (8.3±2) and the fact that the conditions that fully comply with the information sources (5.9±3.7) were effective in their decision not to apply SAP. Most surgeons stated that they see the inappropriate use of SAP as a major problem and that inappropriate use is mostly due to unnecessary prophylaxis. 75.9% of surgeons think that an antibiotic management program is necessary. In a possible program, it is recommended to use the toolkit and antibiogram package as a strategy to monitor the use and provide feedback and to determine patient risk stratification as a tool. It is thought that the research findings will help the development of antibiotic management and education programs to improve antibiotic use. Also, the results obtained will be beneficial for the antibiotic control team or antibiotic management program planned to be established in hospitals. There is a need for training programs specifically targeting surgeons