EFFECT OF EDUCATIONAL, MANAGERIAL AND REGULATORY INTERVENTIONS ON CARDIAC SURGEON’S ADHERENCE TO THE GUIDELINES FOR PREOPERATIVE ANTIBIOTIC PROPHYLAXIS

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NAJARI HAMIDREZA; AFHAMI SHIRIN; ESMAILPOURBAZAZ NEGIN; MANDEGAR MOHAMADHOSEIN; RASTGOO MARYAM

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Journal: Journal of Mazandaran University of Medical Sciences Year:2016 | Volume:26 | Issue:136 Page(s): 54-62

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Title

EFFECT OF EDUCATIONAL, MANAGERIAL AND REGULATORY INTERVENTIONS ON CARDIAC SURGEON’S ADHERENCE TO THE GUIDELINES FOR PREOPERATIVE ANTIBIOTIC PROPHYLAXIS

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Keywords

PREOPERATIVE ANTIBIOTIC PROPHYLAXISQ1

SURGERYQ2

ADHERENCEQ3

SURGEONQ2

INTERVENTIONQ2

Abstract

Background and purpose: To prevent Surgical Site Infection (SSI), a short duration of antimicrobial agents is prescribed just before the SURGERY which is known as PREOPERATIVE ANTIBIOTIC PROPHYLAXIS (PAP). In spite of evidenced-based guidelines for PAP administration, many studies have shown poor ADHERENCE to the guidelines. The aim of this study was to determine an effective INTERVENTION in improving SURGEONs’ ADHERENCE to the standard guideline of PAP administration in cardiac surgeries.Materials and methods: An INTERVENTIONal prospective study (before-after design) was performed in 335 patients undergoing cardiac SURGERY during 2011-2012. Three consecutive INTERVENTIONs were conducted including educational, managerial and regulatory INTERVENTIONs. The outcome measures were the duration and type of the PAP administration which was measured before and after each INTERVENTION. The changes were also monitored through a 5 months follow up.Results: No significant changes were detected after the educational INTERVENTION. After the managerial INTERVENTION significant changes in the type and duration of the PAP were detected in coronary artery bypass grafting (CABG) (P=0.03), but no significant change was observed for PAP administration in valve repair/replacement surgeries (P=0.54). Regulatory INTERVENTION caused significant changes in the type and duration of PAP in both CABG and the valve repair/replacement surgeries (P=0.01). The improvements lasted for at least 5 months after the regulatory INTERVENTION.Conclusion: Managerial and regulatory INTERVENTIONs in addition to educational INTERVENTION could be of benefit in optimizing the PAP administration.

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APA: Copy

NAJARI, HAMIDREZA, AFHAMI, SHIRIN, ESMAILPOURBAZAZ, NEGIN, MANDEGAR, MOHAMADHOSEIN, & RASTGOO, MARYAM. (2016). EFFECT OF EDUCATIONAL, MANAGERIAL AND REGULATORY INTERVENTIONS ON CARDIAC SURGEON’S ADHERENCE TO THE GUIDELINES FOR PREOPERATIVE ANTIBIOTIC PROPHYLAXIS. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 26(136), 54-62. SID. https://sid.ir/paper/44998/en

Vancouver: Copy

NAJARI HAMIDREZA, AFHAMI SHIRIN, ESMAILPOURBAZAZ NEGIN, MANDEGAR MOHAMADHOSEIN, RASTGOO MARYAM. EFFECT OF EDUCATIONAL, MANAGERIAL AND REGULATORY INTERVENTIONS ON CARDIAC SURGEON’S ADHERENCE TO THE GUIDELINES FOR PREOPERATIVE ANTIBIOTIC PROPHYLAXIS. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2016;26(136):54-62. Available from: https://sid.ir/paper/44998/en

IEEE: Copy

HAMIDREZA NAJARI, SHIRIN AFHAMI, NEGIN ESMAILPOURBAZAZ, MOHAMADHOSEIN MANDEGAR, and MARYAM RASTGOO, “EFFECT OF EDUCATIONAL, MANAGERIAL AND REGULATORY INTERVENTIONS ON CARDIAC SURGEON’S ADHERENCE TO THE GUIDELINES FOR PREOPERATIVE ANTIBIOTIC PROPHYLAXIS,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 26, no. 136, pp. 54–62, 2016, [Online]. Available: https://sid.ir/paper/44998/en

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