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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Delphi prioritization and development of global surgery guidelines for the prevention of surgical-site infection
British Journal of Surgery, Volume 107, No. 8, Year 2020
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Description
Background: Most clinical guidelines are developed by high-income country institutions with little consideration given to either the evidence base for interventions in low- and middle-income countries (LMICs), or the specific challenges LMIC health systems may face in implementing recommendations. The aim of this study was to prioritize topics for future global surgery guidelines and then to develop a guideline for the top ranked topic. Methods: A Delphi exercise identified and prioritized topics for guideline development. Once the top priority topic had been identified, relevant existing guidelines were identified and their recommendations were extracted. Recommendations were shortlisted if they were supported by at least two separate guidelines. Following two voting rounds, the final recommendations were agreed by an international guideline panel. The final recommendations were stratified by the guideline panel as essential (baseline measures that should be implemented as a priority) or desirable (some hospitals may lack these resources at present, in which case they should plan for future implementation). Results: Prevention of surgical-site infection (SSI) after abdominal surgery was identified as the highest priority topic for guideline development. The international guideline panel reached consensus on nine essential clinical recommendations for prevention of SSI. These included recommendations concerning preoperative body wash, use of prophylactic antibiotics, decontamination of scrub teams' hands, use of antiseptic solutions for surgical site preparation and perioperative supplemental oxygenation. In addition, three desirable clinical recommendations and four recommendations for future research were agreed. Conclusion: This process led to the development of a global surgery guideline for the prevention of SSI that is both clinically relevant and implementable in LMICs. © 2020 The Authors. British Journal of Surgery published by John Wiley & Sons Ltd on behalf of BJS Society Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC7317442/bin/BJS-107-970-s001.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC7317442/bin/BJS-107-970-s002.pdf
Authors & Co-Authors
Nepogodiev, Dmitri
Unknown Affiliation
Adisa, Adewale O.
Unknown Affiliation
Abantanga, Francis Atindaana
Unknown Affiliation
Ademuyiwa, Adesoji O.
Unknown Affiliation
Ghosh, Dhruva Nath
Unknown Affiliation
Glasbey, James C.
Unknown Affiliation
Lapitan, Marie Carmela M.
Unknown Affiliation
Lawani, Ismaïl
Unknown Affiliation
Maimbo, Mayaba
Unknown Affiliation
Ntirenganya, Faustin
Unknown Affiliation
Qureshi, Ahmad Uzair
Unknown Affiliation
Ramos-De La Medina, Antonio
Unknown Affiliation
Tabiri, Stephen
Unknown Affiliation
Pinkney, Thomas D.
Unknown Affiliation
Adenekan, Anthony Taiwo
Unknown Affiliation
Aguilera, Maria Lorena
Unknown Affiliation
Biccard, Bruce Mclure
Unknown Affiliation
Brocklehurst, Peter S.
Unknown Affiliation
Cotton, Philip
Unknown Affiliation
Davies, Justine Ina
Unknown Affiliation
Garden, Olivier James
Unknown Affiliation
Harrison, Ewen M.
Unknown Affiliation
Knight, Stephen Robert
Unknown Affiliation
Lilford, Richard J.
Unknown Affiliation
Morton, Dion G.
Unknown Affiliation
Msosa, Vanessa J.
Unknown Affiliation
Naqi, Syed Asghar
Unknown Affiliation
Olory-Togbe, Jean Léon
Unknown Affiliation
Omar, Omar Mohammed
Unknown Affiliation
Sundar, Sudha S.
Unknown Affiliation
Yenli, Edwin M.T.
Unknown Affiliation
Zouménou, Eugène
Unknown Affiliation
Jones, Conor Stephen
Unknown Affiliation
Kajombo, Chifundo
Unknown Affiliation
Lawday, Samuel
Unknown Affiliation
Moore, Rachel L.
Unknown Affiliation
Dion G. Morton, Dion Gregory M.
Unknown Affiliation
Nyundo, Martin
Unknown Affiliation
la Medina, Antonio Ramos De
Unknown Affiliation
Salem, Hosni K.
Unknown Affiliation
Smith, Martin Derrick
Unknown Affiliation
Statistics
Citations: 21
Authors: 41
Identifiers
Doi:
10.1002/bjs.11530
ISSN:
00071323
Research Areas
Health System And Policy