| Yazarlar (50) |
Semiha Celik Ekinci
University of Health Sciences Turkey, Türkiye |
|
Ercan Yenilmez
University of Health Sciences Turkey, Türkiye |
|
Gulfem Akengin Ocal
University of Health Sciences Turkey, Türkiye |
|
Meliha Cagla Sonmezer
Hacettepe University, Türkiye |
|
Arzu Tarakci
Konya City Hospital, Türkiye |
|
Cemanur Aygun
University of Health Sciences Turkey, Türkiye |
|
Damla Akdag
Basaksehir Cam & Sakura City Hosp, Türkiye |
|
Derya Seyman
Antalya Training & Research Hospital, Türkiye |
|
Cansu Asik
Istanbul Haydarpasa Numune Training & Research Hospital, Türkiye |
|
Esra Zerdali
University of Health Sciences Turkey, Türkiye |
|
Fatma Yilmaz Karadag
University of Health Sciences Turkey, Türkiye |
|
Safak Kaya
Diyarbakir Training & Research Hospital, Türkiye |
|
Mehmet Celik
Harran University, Türkiye |
|
Seyma Cifci
Nevsehir State Hospital, Türkiye |
|
Ilknur Esen Yildiz
Recep Tayyip Erdogan University, Türkiye |
|
Fatma Colkesen
Konya Numune Hospital, Türkiye |
|
Fethiye Akgul
Batman Training & Res Hosp, Türkiye |
|
Ozlem Aldemir
Sivas Numune Hospital, Türkiye |
|
Merve Bozdag
Gulhane Training & Research Hospital, Türkiye |
|
Deniz Ozer
Celal Bayar University, Türkiye |
Dr. Öğr. Üyesi Lokman HİZMALİ
Kırşehir Ahi Evran Üniversitesi, Türkiye |
|
Esra Canbolat Unlu
Bakirkoy Dr. Sadi Konuk Research & Training Hospital, Türkiye |
|
Deniz Gur Altunay
University of Health Sciences Turkey, Türkiye |
|
Ahmet Sahin
Dr. Ersin Arslan Education & Research Hospital, Türkiye |
|
Gulten Unlue
Kocaeli Derince Training & Research Hospital, Türkiye |
|
Ayse Eda Gencalioglu
Fatih State Hospital, Türkiye |
|
Sema Tekin Sahin
Alanya Training & Res Hosp, Türkiye |
|
Yeliz Ozdemir
Izmir Bozyaka Training & Research Hospital, Türkiye |
|
Sibel Unlu
Mersin Toros State Hospital, Türkiye |
|
Sarp Singil
University of Health Sciences Turkey, Türkiye |
|
Jale Altintas
Gebze Fatih State Hospital, Türkiye |
|
Sinem Akkaya Isik
University of Health Sciences Turkey, Türkiye |
|
Ozlem Gul
University of Health Sciences Turkey, Türkiye |
|
Nazan Tuna
Namik Kemal University, Türkiye |
|
Suemeyra Simsek
Tekirdag Corlu State Hospital, Türkiye |
|
Muge Ozguler
University of Health Sciences Turkey, Türkiye |
|
Pinar Elbir Kilic
Tuzla State Hospital, Türkiye |
|
Mehmet Emirhan Isik
University of Health Sciences Turkey, Türkiye |
|
Ayse Karakus
Hendek State Hospital, Türkiye |
|
Kazim Kiratli
Izmir Ataturk Training & Research Hospital, Türkiye |
|
Ahmet Cem Yardimci
VM Med Pk Mersin Hosp, Türkiye |
|
Serkan Volkan
Aydin State Hospital, Türkiye |
|
Yildiz Olcar
Kastamonu Training & Res Hosp, Türkiye |
|
Yasemin Cakir
Cumhuriyet University, Türkiye |
|
Nermin Ozer Yilmaz
University of Health Sciences Turkey, Türkiye |
|
Serhat Karaayvaz
Ezine State Hospital, Türkiye |
|
Ayse Batirel
University of Health Sciences Turkey, Türkiye |
|
Zeynep Cansu Duran
Hacettepe University, Türkiye |
|
Huseyin Kemal Rasa
Anadolu Med Ctr Gebze, Türkiye |
|
Sukran Kose
Dokuz Eylul University, Türkiye |
| Özet |
| Background: Surgical antimicrobial prophylaxis (SAP) is the peri-operative administration of antimicrobial agents. Compliance rates vary worldwide from 15% to 84.3%, with studies in Turkey not exceeding 35%. The aim of this multicenter study was to determine the rate of appropriate antibiotic class, timing, and duration as well as discharge prescriptions in Turkey. Thus, we aimed to determine the rate of full compliance with SAP procedures in our country Patients and Methods: This multicenter, prospective, observational, descriptive study was conducted in 47 hospitals from 28 provinces in seven different regions of Turkey. Patients over 18 years of age in all surgical units between June 6, 2022, and June 10, 2022, were included in the study. Results: Of the 7,978 patients included in the study, 332 were excluded from further analyses because of pre-existing infection, and SAP compliance analyses were performed on the remaining 7,646 cases. The antibiotic most commonly used for SAP was cefazolin (n = 4,701; 61.5%), followed by third-generation cephalosporins (n = 596; 7.8%). The most common time to start SAP was within 30 minutes before surgery (n = 2,252; 32.5%), followed by 30 to 60 minutes before surgery (n = 1,638; 23.6%). Surgical antimicrobial prophylaxis duration was <24 hours in 3,516 (50.7%) patients and prolonged until discharge in 1,505 (21.7%) patients. Finally, the actual proportion of patients compliant with SAP was 19% (n = 1,452) after omitting 4,458 (58.3%) patients who were prescribed oral antibiotic agents at discharge as part of a prolonged SAP. Conclusions: Surgical antimicrobial prophylaxis compliance rates are still very low in Turkey. Prolonged duration of SAP and especially high rate of antibiotic prescription at discharge are the main reasons for non-compliance with SAP. |
| Anahtar Kelimeler |
| antibiotic resistance | antimicrobial stewardship | compliance rate of SAP | peri-operative care | surgical antimicrobial prophylaxis |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale |
| Dergi Adı | SURGICAL INFECTIONS |
| Dergi ISSN | 1096-2964 Wos Dergi Scopus Dergi |
| Dergi Grubu | Q3 |
| Makale Dili | İngilizce |
| Basım Tarihi | 04-2024 |
| Cilt No | 25 |
| Sayı | 3 |
| Sayfalar | 231 / 239 |
| DOI Numarası | 10.1089/sur.2023.243 |
| Atıf Sayıları | |
| WoS | 2 |
