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The effect of change in educational model on surgical antimicrobial prophylaxis

机译：教育模型变化对外科抗菌预防的影响

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Background/Aim: Surgical antibiotic prophylaxis is one of the important steps in preventing surgical site infections. Compliance with the guidelines is particularly important and there are problems in this regard. Innovative approaches are needed in education. In our study, the effects of the novel face-to-face training and feedback model, with which we obtained positive results, were shown. Methods: In this retrospective cross-sectional study, surgical site infections and the use of antibiotics in surgical prophylaxis in all patients undergoing certain operations were examined in pre-determined departments. The quarterly or annual changes in compliance rates were compared with the new education model. Results: A total of 3697 clean surgeries were assessed in three departments. The cardiovascular surgery department had annual compliance rates of 2.5% and 8.6% in 2010 and 2011, respectively, which increased between 2012-2017 from 64.5%, 90.7%, 85.4%, 98.8%, 90.6% to 97.4%, respectively (P0.001), with the new training model. In the Orthopedics and Traumatology department, within eight 3- month periods between 2014 and 2016, compliance rates increased from zero to 92.4% (P0.001). The general surgery department had a 3.3% compliance rate at the beginning of 2015, which increased up to 98.3%, 95.3%, 96.8% and 93.5% in three-month intervals in 2017 (P0.001). No significant changes were identified in surgical site infection rates. Conclusion: Continuous training, monitoring and feedback is required for guideline compliance in surgical antibiotic prophylaxis. We think narrow-scoped and target-oriented face-to-face training is effective and applicable.
机译：背景/目的：手术抗生素预防是预防手术部位感染的重要步骤之一。遵守指导方针尤为重要，这方面存在问题。教育需要创新的方法。在我们的研究中，显示了新型面对面训练和反馈模型的影响，我们获得了阳性结果。方法：在预先确定的部门，在预定部门检查了在此回顾性的横截面研究中，手术部位感染和在外科预防中的抗生素在预定的部门中进行了检查。与新教育模式相比，季度或年度遵守率的变化。结果：共有3697家干净的手术，在三个部门评估。心血管外科部门在2010年和2011年的年度依从性率为2.5％和8.6％，分别从642-2017增加到2012-2017之间，分别增加了64.5％，90.7％，9.5％，90.6％至97.4％（P <）。 0.001），具有新的培训模式。在2014年至2016年期间的八个3个月内的骨科和创伤学部门，符合率从零增加到92.4％（P <0.001）。普通外科署于2015年初拥有3.3％的合规率，2017年的三个月间隔增加了98.3％，95.3％，93.5％（P <0.001）。手术部位感染率没有明显的变化。结论：手术抗生素预防的指南顺应性需要持续培训，监测和反馈。我们认为狭隘和面向目标面对面的面对面训练是有效和适用的。

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