Knowledge attitude and practice of obstetricians and gynaecologists towards appropriate surgical antibiotic prophylaxis prescribing in obstetric and gynaecological surgery in Kuwait : a national cross-sectional survey
Alshatti, Fahad and Kurdi, Amanj and Boyter, Anne and Taqi, Ahmad (2024) Knowledge attitude and practice of obstetricians and gynaecologists towards appropriate surgical antibiotic prophylaxis prescribing in obstetric and gynaecological surgery in Kuwait : a national cross-sectional survey. In: International Society for Pharmacoepidemiology Annual Meeting 2024, 2024-08-24 - 2024-08-28, Estrel Congress Center Berlin. (https://2024ispe.eventscribe.net/posterspeakers.as...)
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Abstract
Background: Surgical antibiotic prophylaxis (SAP) plays a vital role in obstetric and gynaecological (OB/GYN) surgery to prevent surgical site infections (SSIs). Despite the availability of evidence-based guidelines, studies have highlighted inadequate awareness and suboptimal adherence to these guidelines. However, the knowledge, attitude, and practice (KAP) of OB/GYN surgeons regarding SAP are unknown in Kuwait. Objectives: This study assessed the overall baseline KAP of gynaecologists and obstetricians to appropriate surgical antibiotic prophylaxis. Methods: Design: A national cross-sectional survey among OB/GYN specialists, with various distributions from July 9th to October 10th, 2023. Setting: All public (n=5) and private hospitals (n=21) in Kuwait. Participants: OB/GYN surgeons at a variety of grades in both public and private hospitals. Data Collection: A validated 46-item standardised self-administered KAP questionnaire, in both hard copy and electronic format via Qualtrics. Outcome measures: The primary outcomes were KAP among OB/GYN surgeons based on the American OB/GYN guideline (ACOG), with categorisation using modified Blooms cut-off points. Results: A total of 89 respondents (response rate: 11.6%) completed the survey, with the majority being female (57.3%, n=51). Most participants were from the public sector (78.7%, n=70), predominantly registrars or specialists (60.1%, n=54). The majority were trained in the Middle East (mainly Egypt and Kuwait) (78.8%, n=70). A significant proportion of participants were unaware of international guidelines (55%, n=49), although 60.7% (n=54) were familiar with local guidelines. Knowledge gaps were evident, particularly regarding SAP indications for different surgery types and appropriate timing and duration. Attitude and practice scores tended toward neutrality attitude and basic practice, with a notable consensus on the necessity for national SAP guidelines in Kuwait and staff education. Conclusions: This survey revealed insufficient knowledge and neutral attitudes and practices among respondents regarding appropriate SAP. These findings underscore the need for targeted educational initiatives to enhance SAP prescribing practice and guideline adherence in Kuwait's healthcare settings. Further research and development of educational interventions are warranted to bridge these knowledge gaps and improve SAP practices effectively.
ORCID iDs
Alshatti, Fahad, Kurdi, Amanj ORCID: https://orcid.org/0000-0001-5036-1988, Boyter, Anne ORCID: https://orcid.org/0000-0002-6088-5571 and Taqi, Ahmad;-
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Item type: Conference or Workshop Item(Poster) ID code: 90335 Dates: DateEvent24 August 2024PublishedSubjects: Medicine > Gynecology and obstetrics
Medicine > Pharmacy and materia medicaDepartment: Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences
Strategic Research Themes > Health and WellbeingDepositing user: Pure Administrator Date deposited: 23 Aug 2024 13:53 Last modified: 10 Sep 2024 13:50 URI: https://strathprints.strath.ac.uk/id/eprint/90335