Department of Surgery, Macerata Hospital, Via Santa Lucia, 62100 Macerata, Italy.
2Department of General Surgery, Division of Surgery, Rambam Health Care Campus, Haifa, Israel.
World J Emerg Surg. 2018 Aug 17;13:37. doi: 10.1186/s13017-018-0198-x. eCollection 2018.
Despite evidence supporting the effectiveness of best practices of infection prevention and management, many surgeons worldwide fail to implement them. Evidence-based practices tend to be underused in routine practice. Surgeons with knowledge in surgical infections should provide feedback to prescribers and integrate best practices among surgeons and implement changes within their team. Identifying a local opinion leader to serve as a champion within the surgical department may be important. The "surgeon champion" can integrate best clinical practices of infection prevention and management, drive behavior change in their colleagues, and interact with both infection control teams in promoting antimicrobial stewardship.
尽管有证据支持感染预防和管理的最佳实践的有效性,但世界上仍有许多外科医生未能实施这些实践。循证实践在常规实践中往往未被充分利用。具有外科感染知识的外科医生应向处方医生提供反馈,在外科医生之间整合最佳实践,并在其团队内实施变革。在外科部门确定一位当地意见领袖作为拥护者可能很重要。“外科医生拥护者”可以整合感染预防和管理的最佳临床实践,推动同事的行为改变,并与感染控制团队互动,以促进抗菌药物管理。