Cultural differences in attitudes towards surgical site infections among French anesthetists and surgeons in digestive surgery in 2022.

IF 4.8 2区 医学 Q1 INFECTIOUS DISEASES
Antoine Deslandes, Niki Christou, Patrice Baillet, Joseph Hajjar, Philippe Marre, Hubert Johanet, Marc Leone, Gabriel Birgand
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Abstract

Background: Although it generates a significant burden, little attention has been paid to preventing Surgical Site Infection (SSI) in digestive surgery.

Objective: This study explored the factors underpinning anesthetists' and surgeons' attitudes toward SSI prevention in digestive surgery, focusing on their perceptions of SSI, preventive measures, guidelines, and cooperation across both specialties.

Methods: Qualitative semi-structured interviews were conducted with 15 surgeons and 19 anesthetists working in digestive surgery. Participants were approached through established mailing lists and snowball sampling. Interviews were recorded and transcribed verbatim. Transcripts were coded and analyzed thematically using a constant comparative approach.

Results: SSI in digestive surgery was perceived as an inevitable consequence and ranked down in the priorities of surgeons. A paradox existed between the low consideration of superficial infections that are easily manageable through antibiotics and the strong awareness of the antibiotic resistance threat. Global trust appeared regarding the guidelines, but a knowledge gap of the guidelines was observed among surgeons in comparison with anesthetists. SSI ownership was perceived as collective, but the responsibility belonged to the surgeon alone. Surgeons focused on actions and short-term tasks within a culture of individualism, whereas anesthetists worked collectively with systemic approaches. Overall, the cooperation between both specialties was positive, but tightly reliant on teamwork, workload, and organization in the operating theatre.

Conclusions: The cultural differences between surgeons and anesthetists should be recognized as a key overarching factor in defining their respective roles in the prevention of SSI and in establishing accountability in digestive surgery - including aspects such as adherence to guidelines, and the implementation of preventive measures.

2022年法国消化外科麻醉师和外科医生对手术部位感染态度的文化差异
背景:消化外科手术中手术部位感染(SSI)的预防虽然造成了很大的负担,但很少受到重视。目的:本研究探讨影响消化外科麻醉师和外科医生对SSI预防态度的因素,重点关注他们对SSI的看法、预防措施、指导方针以及两科之间的合作。方法:对消化外科15名外科医生和19名麻醉师进行定性半结构化访谈。参与者通过建立的邮件列表和滚雪球抽样来联系。采访被逐字记录和抄写。转录本编码和分析主题使用恒定的比较方法。结果:SSI在消化外科手术中被认为是不可避免的结果,在外科医生的优先级中排名较低。对通过抗生素容易控制的表面感染的重视程度较低,而对抗生素耐药性威胁的认识却很高,这两者之间存在矛盾。对于指南,出现了全球信任,但与麻醉师相比,外科医生对指南的了解存在差距。SSI的所有权被认为是集体的,但责任只属于外科医生。外科医生专注于个人主义文化下的行动和短期任务,而麻醉师则采用系统方法进行集体工作。总的来说,两个专业之间的合作是积极的,但密切依赖于团队合作、工作量和手术室的组织。结论:外科医生和麻醉师之间的文化差异应被视为确定各自在预防SSI和建立消化外科责任方面的作用的关键因素,包括遵守指南和实施预防措施等方面。
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来源期刊
Antimicrobial Resistance and Infection Control
Antimicrobial Resistance and Infection Control PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES
CiteScore
9.70
自引率
3.60%
发文量
140
审稿时长
13 weeks
期刊介绍: Antimicrobial Resistance and Infection Control is a global forum for all those working on the prevention, diagnostic and treatment of health-care associated infections and antimicrobial resistance development in all health-care settings. The journal covers a broad spectrum of preeminent practices and best available data to the top interventional and translational research, and innovative developments in the field of infection control.
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