Assessing the knowledge, attitudes and practices of physicians on perioperative antibiotic prophylaxis in pediatric surgery in China: a descriptive study - Scorecard - MDSpire

Assessing the knowledge, attitudes and practices of physicians on perioperative antibiotic prophylaxis in pediatric surgery in China: a descriptive study

  • By

  • Yao Sun

  • Chuan Sun

  • Feng Chen

  • Jin Xu

  • Lihua Yuan

  • July 9, 2026

  • 0 min

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Clinical Scorecard: Evaluating Pediatric Surgeons' Knowledge, Attitudes, and Practices Regarding Perioperative Antibiotic Prophylaxis in China: A Descriptive Analysis

At a Glance

CategoryDetail
ConditionPerioperative Antibiotic Prophylaxis
Key MechanismsPrevention of surgical site infections (SSIs) through appropriate antimicrobial use.
Target PopulationPediatric patients undergoing surgical procedures.
Care SettingPediatric specialty hospitals in Jiangsu Province, China.

Key Highlights

  • High cognitive accuracy regarding drug selection (>84.0%) and administration timing (95.1%).
  • Only 74.8% of surgeons acknowledged the standard of discontinuing prophylaxis within 24 hours for Class I incisions.
  • Significant positive correlation between knowledge and practice scores (r = 0.579, P < 0.001).
  • Cluster analysis revealed a 'Knowledge-Practice Disassociation' in Oncology, Burns, and SICU departments.
  • Study aimed to standardize management of prophylaxis in pediatric Class I incisions.

Guideline-Based Recommendations

Diagnosis

    Management

    • Discontinue prophylaxis within 24 hours for Class I incisions.

    Monitoring & Follow-up

      Risks

      • Prolonged antimicrobial use can lead to antimicrobial resistance (AMR).

      Patient & Prescribing Data

      Pediatric patients in surgical settings.

      Surgeons' knowledge and attitudes significantly influence the rational use of antimicrobials.

      Clinical Best Practices

      • Implement evidence-based strategies for timely discontinuation of prophylactic antibiotics.
      • Enhance awareness of AMR among pediatric surgeons.

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