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
Clinical Scorecard: Evaluating Pediatric Surgeons' Knowledge, Attitudes, and Practices Regarding Perioperative Antibiotic Prophylaxis in China: A Descriptive Analysis
At a Glance
Category Detail
Condition Perioperative Antibiotic Prophylaxis
Key Mechanisms Prevention of surgical site infections (SSIs) through appropriate antimicrobial use.
Target Population Pediatric patients undergoing surgical procedures.
Care Setting Pediatric 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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