{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:11:11Z","timestamp":1788667871550,"version":"build-2803163510"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate surgeons\u2019 knowledge, attitudes, and self-reported practices regarding prophylactic oral antibiotic use following cleft lip repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Descriptive cross-sectional survey study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Cleft workshop, November 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Surgeon attendees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>A 19-item survey assessing demographics, knowledge, attitudes, and practices related to prophylactic antibiotic use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Surgeons\u2019 knowledge, attitudes, and perceptions regarding post-operative antibiotics, and self-reported prescribing practices after cleft lip repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 108 surgeons from multiple countries and resource settings participated. Most agreed that prophylactic post-operative oral antibiotics reduce infection rates in any setting (42.5%) and low-resource settings (49.1%), while 41.6% disagreed that sufficient evidence supports their use in any setting. Most participants (67.6%) acknowledged that antibiotic overuse contributes to antimicrobial resistance. Among the 93 prescribers, decisions were primarily based on oral hygiene (82.8%), followed by location (47.3%) and family literacy (46.2%). Prevention of wound infection was the main reason for prescribing (92.5%). Practice resource level was significantly associated with prescribing behavior (Fischer's exact\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.001), whereas surgical specialty, years in practice, and annual cleft lip repair volume were not. The association remained significant in binary logistic regression (Wald \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      =10.496, df\u2009=\u20092,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.005). Surgeons in medium-resource settings had greater odds of prescribing than those in high-resource settings (OR = 10.84,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is a disconnect between evidence and practice, with substantial variability in prescribing attitudes and behaviors. Further research and standardized guidelines are needed to promote judicious antibiotic use in cleft care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261483989","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T22:52:59Z","timestamp":1788389579000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgeons\u2019 Knowledge, Attitudes, and Practices Toward Post-Operative Prophylactic Oral Antibiotic Use after Cleft Lip Repair"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0626-720X","authenticated-orcid":false,"given":"Dana","family":"Andari","sequence":"first","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Department of Plastic Surgery, University of California-Irivine, Orange, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2976-265X","authenticated-orcid":false,"given":"Amal","family":"Halwani","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Department of Plastic Surgery, University of California-Irivine, Orange, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5081-5400","authenticated-orcid":false,"given":"Tamara","family":"Rodriguez-Rugel","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9467-2531","authenticated-orcid":false,"given":"Roland","family":"Assaf","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4495-0608","authenticated-orcid":false,"given":"Giuliana","family":"Roggiero","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6358-5241","authenticated-orcid":false,"given":"Daniela Alejandra","family":"Loor Parada","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1062-9403","authenticated-orcid":false,"given":"Marie","family":"Nader","sequence":"additional","affiliation":[{"name":"Connecticut Children's Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3654-7262","authenticated-orcid":false,"given":"Usama","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2013.9999"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0000000000000999"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211046810"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.36371"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2020.09.020"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2007.07.207"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-158"},{"key":"e_1_3_2_9_2","unstructured":"GWH Organization. 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