ArticleInfection control and hospital epidemiology2020
Understanding antibiotic prophylaxis prescribing in pediatric surgical specialties.
Article in Infection control and hospital epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Eliminating Inappropriate Postoperative Antibiotics: A Stepped-Wedge Cluster Randomized Trial.Pediatrics · 2026Trial
- Facilitation as an effective strategy to reduce excessive antibiotic prophylaxis in Children's hospitals: A stepped-wedge cluster randomized controlled trial.Implementation science : IS · 2025Trial
- Is Preoperative Antimicrobial Prophylaxis Necessary in Testicular Torsion Surgery? Results from the National Surgical Quality Improvement Program Pediatric.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2026Article
- Optimizing antimicrobial stewardship in urology: a qualitative study on needs, values and requirements for clinical decision support.Infection prevention in practice · 2026Article
- Between Patient Pressure and Professional Responsibility: Antibiotic Prescribing Practices in Primary Care.Healthcare (Basel, Switzerland) · 2026Article
- Prophylactic Intravenous Antibiotic Use in Thyroglossal Duct and Branchial Cleft Cyst Excision: A NSQIP-P Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- Strategies to improve antimicrobial stewardship in surgery: insights from an ethnographic study.BMJ open · 2026Article
- Dissemination of a facilitation strategy to de-implement unnecessary post-operative antibiotics at children's hospitals: The Optimizing Perioperative Antibiotic in Children (OPerAtiC) trial 2.0.Implementation science : IS · 2025Article
- Better care for children with appendicitis: implementation of antibiotic stewardship optimizes postoperative therapy.GMS hygiene and infection control · 2025Article
- Rationalizing irrational prescribing-infection-related attitudes and practices across paediatric surgery specialties in a hospital in South India.JAC-antimicrobial resistance · 2024Article
- Development and application of a nomogram model for the prediction of carbapenem-resistantMicrobiology spectrum · 2024Article
- Recurrent Infections After Percutaneous Pinning of a Proximal Radius and Ulna Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Sustainability in pediatric hospitals: An exploration at the intersection of quality improvement and implementation science.Frontiers in health services · 2022Article
- Antimicrobial Stewardship in Surgery: A Literature Bibliometric Analysis.Frontiers in public health · 2022Article
- Effects of restrictive-prescribing stewardship on antibiotic consumption in primary care in China: an interrupted time series analysis, 2012-2017.Antimicrobial resistance and infection control · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundOveruse of antibiotics has caused secondary poor outcomes and has led to a current rate of antibiotic resistant infections that constitutes a public health crisis. In pediatric surgical specialties, children continue to receive unnecessary antibiotics.
objectiveTo understand the factors that contribute to pediatric surgeons' decisions regarding the use of perioperative antibiotic prophylaxis.
methodsFocus groups included pediatric proceduralists/surgeons from the following specialties: interventional cardiology, otolaryngology, orthopedic surgery, cardiothoracic surgery, and general surgery.
resultsA total of 23 surgeons with a median of 9 years of experience (range, 0.5-29 years) participated in the focus groups that lasted 30-90 minutes each. Five themes emerged influencing beliefs about antibiotic prescribing practices: (1) reliance on previous experience and early education, (2) balancing antibiotic use with risk of infection, (3) uncertainty about the state of the scientific evidence, (4) understanding importance of communication and team collaboration, and (5) a prevalence of hospital-level concerns.
conclusionsSurgeons describe a complex set of factors that impact their antibiotic prescribing in pediatric surgical cases. They reported initial, but not ongoing, training and a use of individual weight of risk and benefit as a major dictator of prescribing practices. Antimicrobial stewardship programs should work with surgeons to develop acceptable implementation strategies to optimize antibiotic prescribing.
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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.