Evidence map›Paper›PMID 32000748›Full record

ArticleBMC surgery2020

Determinants of surgeons' adherence to preventive intraoperative measures of surgical site infection in Gaza Strip hospitals: a multi-centre cross-sectional study.

Mohamedraed Elshami, Bettina Bottcher, Issam Awadallah, Ahmed Alnaji, Basel Aljedaili, Haytham Abu Sulttan, Mohamed Hwaihi

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

Mohamedraed ElshamiPhysician, Ministry of Health, Gaza, Palestine. dr.mohamed.raed@gmail.com.ORCID http://orcid.org/0000-0002-9977-0923
Bettina BottcherFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Issam AwadallahShifaa Hospital, Gaza, Palestine.
Ahmed AlnajiNasser Hospital, Gaza, Palestine.
Basel AljedailiEuropean Gaza Hospital, Gaza, Palestine.
Haytham Abu SulttanShifaa Hospital, Gaza, Palestine.
Mohamed HwaihiEuropean Gaza Hospital, Gaza, Palestine.
Dar Al-Shifa Hospital · PSUniversity of Palestine · PSAsser Institute · NLHarvard University · USIslamic University of Gaza · PS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infection (SSI) is one of the most common hospital-acquired infections and is associated with serious impact on the rates of morbidity, mortality as well as healthcare costs. This study examined factors influencing the application of several intraoperative preventive measures of SSI by surgeons and surgical residents in the Gaza Strip.

methodsA cross-sectional study was conducted from December 2016 to February 2017 at the operation rooms of the three major hospitals located in the Gaza-Strip, Palestine. Inclusion criteria for patients were being adult (aged ≥18 years), no history of wound infection at time of operation and surgical procedure under general anaesthesia with endotracheal intubation. The association between different patient- and procedure-related SSI risk factors and adherence to several intraoperative SSI preventive measures was tested.

resultsIn total, 281 operations were observed. The mean patient age ± standard deviation (SD) was 38.4 ± 14.6 years and the mean duration of surgery ± SD was 58.2 ± 32.1 minutes. A hundred-thirty-two patients (47.0%) were male. Location and time of the operation were found to have significant associations with adherence to all SSI preventive measures except for antibiotic prophylaxis. Type of operation had a significant association with performing all measures except changing surgical instruments. Patient age did not have a statistically significant association with adherence to any measure.

conclusionThe results suggest that the surgeon could be a major factor that can lead to a better outcome of surgical procedures by reducing postoperative complications of SSI. Operating department professionals would benefit from clinical guidance and continuous training, highlighting the importance of persistent implementation of SSI preventive measures in everyday practice to improve the quality of care provided to surgical patients.

Indexed as

AdolescentAdultAgedAged, 80 and overAntibiotic ProphylaxisCross-Sectional StudiesFemaleHumansMaleMiddle AgedMiddle EastRisk FactorsSurgeonsSurgical Wound InfectionYoung AdultAdherenceGazaGuidelinesInfection controlPalestinePatient safetySurgical site infectionWound infection

Identifiers

PMID32000748
PMCPMC6993375
OpenAlexW3013762576

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.