Journal article

Influences on surgical antimicrobial prophylaxis decision making by surgical craft groups, anaesthetists, pharmacists and nurses in public and private hospitals

Courtney Ierano, Karin Thursky, Trisha Peel, Arjun Rajkhowa, Caroline Marshall, Darshini Ayton

PLoS One | PLOS | Published : 2019

Abstract

BACKGROUND: Surgical antimicrobial prophylaxis (SAP) is a leading indication for antibiotic use in the hospital setting, with demonstrated high rates of inappropriateness. Decision-making for SAP is complex and multifactorial. A greater understanding of these factors is needed to inform the design of targeted antimicrobial stewardship interventions and strategies to support the optimization of SAP and its impacts on patient care. METHODS: A qualitative case study exploring the phenomenon of SAP decision-making. Focus groups were conducted with surgeons, anaesthetists, theatre nurses and pharmacists across one private and two public hospitals in Australia. Thematic analysis was guided by the ..

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Grants

Awarded by National Health and Medical Research Council (NHMRC) funds the Centre of Research Excellence-National Centre of Antimicrobial Stewardship (NCAS)


Funding Acknowledgements

The National Health and Medical Research Council (NHMRC) funds the Centre of Research Excellence-National Centre of Antimicrobial Stewardship (NCAS) (Grant number: 1079625 to KT). NCAS provided funding of

250.00to cover the costs of transcription services and catering at focus groups as a token of appreciation for the participants time taken for the project. Authors KT, TP and CM are chief investigators for NCAS; author CI is a PhD Fellow receiving stipend from NCAS and had a role in the study design, data collection and analysis, decision to publish and manuscript preparation.