Exploring barriers to guideline implementation for prescription of surgical antibiotic prophylaxis in Nigeria.
Journal
JAC-antimicrobial resistance
ISSN: 2632-1823
Titre abrégé: JAC Antimicrob Resist
Pays: England
ID NLM: 101765283
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
07
10
2021
accepted:
29
03
2022
entrez:
21
4
2022
pubmed:
22
4
2022
medline:
22
4
2022
Statut:
epublish
Résumé
In Nigeria, the prescription of surgical antibiotic prophylaxis for prevention of surgical site infection tends to be driven by local policy rather than by published guidelines (e.g. WHO and Sanford). To triangulate three datasets and understand key barriers to implementation using a behavioural science framework. Surgeons ( Knowledge of guidelines and intention to implement them in practice was high. Key barriers to implementation were related to environmental context and resources and concern over potential consequences of implementing recommendations within the Nigerian context applicable for similar settings in low-to-middle-income countries. The environmental context and limited resource setting of Nigerian hospitals currently presents a significant barrier to implementation of WHO and Sanford guidelines. Research and data collected from the local context must directly inform the writing of future international guidelines to increase rates of implementation.
Sections du résumé
Background
UNASSIGNED
In Nigeria, the prescription of surgical antibiotic prophylaxis for prevention of surgical site infection tends to be driven by local policy rather than by published guidelines (e.g. WHO and Sanford).
Objectives
UNASSIGNED
To triangulate three datasets and understand key barriers to implementation using a behavioural science framework.
Methods
UNASSIGNED
Surgeons (
Results
UNASSIGNED
Knowledge of guidelines and intention to implement them in practice was high. Key barriers to implementation were related to environmental context and resources and concern over potential consequences of implementing recommendations within the Nigerian context applicable for similar settings in low-to-middle-income countries.
Conclusions
UNASSIGNED
The environmental context and limited resource setting of Nigerian hospitals currently presents a significant barrier to implementation of WHO and Sanford guidelines. Research and data collected from the local context must directly inform the writing of future international guidelines to increase rates of implementation.
Identifiants
pubmed: 35445194
doi: 10.1093/jacamr/dlac044
pii: dlac044
pmc: PMC9015911
doi:
Types de publication
Journal Article
Langues
eng
Pagination
dlac044Informations de copyright
© The Author(s) 2022. Published by Oxford University Press on behalf of British Society for Antimicrobial Chemotherapy.
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