Surgical Site Infection Clinical Trial
Official title:
Awareness of Practice and Comparison With Best Evidence in Surgical Site Infection Prevention in Colorectal Surgery
Web-based survey to colorectal surgeons assessing knowledge, beliefs and practices regarding the use of preventative measures for SSI.
A web-based survey (SurveyMonkey©; https://es.surveymonkey.com/r/FBVR59C) to the members of
the Colorectal Chapter of the Spanish Association of Surgeons (AEC) and the Spanish
Association of Coloproctology (AECP). A link to the web page containing the survey is
disseminated via email, newsletter and Twitter.
A board from the Surgical Infection Section did a review of evidence and previous guidelines
to be used in the evaluation of the results. The most recent clinical practice guidelines
have been analysed. Furthermore, an extensive review of specific measures for colorectal
surgery has been published and used for evaluation. According to the review, the preventive
measures analysed in the survey have been distributed into two groups: high or low level of
evidence.
The survey aim to assess knowledge, beliefs, and practices of attending colorectal surgeons
on preventative measures including mechanical bowel preparation (MBP), oral antibiotic
prophylaxis and the use of drains. Furthermore, the questions address the level of accordance
between their beliefs and the protocols or the usual practice of their units. The agreement
rate between the beliefs and usual practice of all respondents will be calculated on a scale
from 0 to 100. For discussion, the responses on the implementation of major surgical site
infection (SSI) prevention measures will be compared with the recommendations of the expert
group. Other questions are related to the types of complications that surgeons believe are
prevented by the use of oral antibiotic prophylaxis or MBP, reasons for not using either of
them, type of oral and systemic antibiotics and cathartics used, and strategies already in
place or that should be implemented to reduce SSI rates at respondents' hospitals.
The results will be expressed in percentages on the total answers obtained. Responses will be
entered into a computerized database that will be analysed using the SPSS program (v.10.0,
Chicago, IL, USA). The results will be analysed using the chi-square test with statistical
significance defined as p <0.05.
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