{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:43:36Z","timestamp":1783021416463,"version":"3.54.6"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T00:00:00Z","timestamp":1637107200000},"content-version":"unspecified","delay-in-days":320,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ASHE"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S2732494X21002278_as1\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>Surgical site infections (SSIs) greatly burden healthcare systems around the world, particularly in low- and middle-income countries. We sought to employ the Systems Engineering Initiative for Patient Safety (SEIPS) model to better characterize SSI prevention practices and factors affecting adherence to prevention guidelines at Jimma University Medical Center (JUMC).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X21002278_as2\">\n\t    <jats:title>Design:<\/jats:title>\n\t    <jats:p>Our cross-sectional study consisted of semistructured interviews designed to elicit perceptions of and barriers and facilitators to SSI prevention among surgical staff and observations of current preoperative, perioperative, and postoperative SSI prevention practices in surgical cases. Interviews were recorded, manually transcribed, and thematically coded within the SEIPS framework. Trained observers recorded compliance with the World Health Organization\u2019s SSI prevention recommendations.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X21002278_as3\">\n\t    <jats:title>Setting:<\/jats:title>\n\t    <jats:p>A tertiary-care hospital in Jimma, Ethiopia.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X21002278_as4\">\n\t    <jats:title>Participants:<\/jats:title>\n\t    <jats:p>Surgical nurses, surgeons, and anesthetists at JUMC.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X21002278_as5\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>Within 16 individual and group interviews, participants cited multiple barriers to SSI prevention including shortages of water and antiseptic materials, lack of clear SSI guidelines and training, minimal Infection Prevention Control (IPC) interaction with surgical staff, and poor SSI tracking. Observations from nineteen surgical cases revealed high compliance with antibiotic prophylaxis (94.7%), hand scrubbing (100%), sterile gloves and instrument use (100%), incision site sterilization (100%), and use of surgical safety checklist (94.7%) but lower compliance with preoperative bathing (26.3%), MRSA screening (0%), and pre- and postoperative glucose (0%, 10.5%) and temperature (57.9%, 47.3%) monitoring.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X21002278_as6\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>Utilizing the SEIPS model helped identify institution-specific barriers and facilitators that can inform targeted interventions to increase compliance with currently underperformed SSI prevention practices at JUMC.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/ash.2021.227","type":"journal-article","created":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T06:08:53Z","timestamp":1637129333000},"source":"Crossref","is-referenced-by-count":14,"title":["Current practices and evaluation of barriers and facilitators to surgical site infection prevention measures in Jimma, Ethiopia"],"prefix":"10.1017","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9248-9664","authenticated-orcid":false,"given":"Leigh R.","family":"Berman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Lang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beshea","family":"Gelana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9627-0747","authenticated-orcid":false,"given":"Samuel","family":"Starke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawd","family":"Siraj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Yilma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7901-7512","authenticated-orcid":false,"given":"Daniel","family":"Shirley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,11,17]]},"reference":[{"key":"S2732494X21002278_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s13037-019-0206-4"},{"key":"S2732494X21002278_ref19","doi-asserted-by":"publisher","DOI":"10.3396\/ijic.v15i3.010.19"},{"key":"S2732494X21002278_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-018-3643-8"},{"key":"S2732494X21002278_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-017-0189-9"},{"key":"S2732494X21002278_ref10","unstructured":"10. Global guidelines for the prevention of surgical site infection, 2nd ed. World Health Organization website. https:\/\/apps.who.int\/iris\/handle\/10665\/277399. Published 2018. Accessed November 2, 2021."},{"key":"S2732494X21002278_ref31","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2018.261"},{"key":"S2732494X21002278_ref2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0232960"},{"key":"S2732494X21002278_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61458-4"},{"key":"S2732494X21002278_ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-017-0248-2"},{"key":"S2732494X21002278_ref4","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2017.136"},{"key":"S2732494X21002278_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-016-2167-x"},{"key":"S2732494X21002278_ref11","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.0904"},{"key":"S2732494X21002278_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2013.04.023"},{"key":"S2732494X21002278_ref9","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v21i2.69049"},{"key":"S2732494X21002278_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-017-2475-2"},{"key":"S2732494X21002278_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/1178633719892267"},{"key":"S2732494X21002278_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4383-8"},{"key":"S2732494X21002278_ref21","first-page":"3627","article-title":"Surgical site infections and prophylaxis antibiotic use in the surgical ward of public hospital in western Ethiopia: a hospital-based retrospective cross-sectional study","volume":"13","author":"Kefale","year":"2020","journal-title":"Dovepress"},{"key":"S2732494X21002278_ref24","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/1695683"},{"key":"S2732494X21002278_ref25","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/2489063"},{"key":"S2732494X21002278_ref12","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2020.163"},{"key":"S2732494X21002278_ref8","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-3895-5"},{"key":"S2732494X21002278_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2018.03.020"},{"key":"S2732494X21002278_ref29","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2018.355"},{"key":"S2732494X21002278_ref13","article-title":"Clean cut (adaptive, multimodal surgical infection prevention programme) for low-resource settings: a prospective quality improvement study","author":"Forrester","year":"2020","journal-title":"Br J Surg"},{"key":"S2732494X21002278_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"S2732494X21002278_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-4995-z"},{"key":"S2732494X21002278_ref30","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-019-0541-3"},{"key":"S2732494X21002278_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2004.06.002"},{"key":"S2732494X21002278_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-6701(08)60017-1"},{"key":"S2732494X21002278_ref28","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h3728"}],"container-title":["Antimicrobial Stewardship &amp; Healthcare Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2732494X21002278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T06:08:56Z","timestamp":1637129336000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2732494X21002278\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":31,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021]]}},"alternative-id":["S2732494X21002278"],"URL":"https:\/\/doi.org\/10.1017\/ash.2021.227","relation":{},"ISSN":["2732-494X"],"issn-type":[{"value":"2732-494X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e51"}}