{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:30:06Z","timestamp":1777458606139,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"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":["Journal of Infection Prevention"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Antimicrobial Stewardship Programs (ASPs) are critical in addressing Antimicrobial Resistance (AMR). Surgical Antibiotic Prophylaxis (SAP) guidelines provide essential guidance on antibiotic selection, administration, and duration for surgical procedures. This study evaluates the impact of department-level audit and feedback interventions within an ASP on compliance with SAP guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the effect of a biannual audit and feedback initiative by the Antimicrobial Stewardship Committee over 2\u00a0years on compliance with SAP guidelines regarding antibiotic selection, timing, and duration at a secondary care hospital in the UAE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material &amp; Methods<\/jats:title>\n                    <jats:p>A quasi-experimental study was conducted at a secondary care hospital in Ras Al Khaimah, UAE, comparing data from the year before (2021) and 2\u00a0years after (2022\u20132023) the intervention. Statistical analysis was performed using the Open Epi system. All clean and clean-contaminated surgeries meeting SAP criteria were included; contaminated and dirty surgeries were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intervention significantly improved compliance with SAP guidelines. Appropriate antibiotic duration increased from 17% to 50%, and correct timing improved from 42% to 87%, both with a statistically significant\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value of 0.0001.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The audit and feedback intervention significantly enhanced compliance with SAP guidelines, particularly in timing and duration, contributing to reduced surgical site infections and costs. Implementing institute-wide SAP guidelines based on local antibiogram data is recommended to support clinicians and improve compliance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17571774251397337","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T09:43:33Z","timestamp":1763027013000},"page":"37-42","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Observational study of 2-year data on the impact of an Antimicrobial Stewardship Committee\u2019s focused department-level audit and feedback intervention on adherence to surgical prophylaxis guidelines at a secondary care hospital in the United Arab Emirates"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7710-0085","authenticated-orcid":false,"given":"Srinivasa Swamy","family":"Bandaru","sequence":"first","affiliation":[{"name":"Saqr Hospital"},{"name":"RAK Medical& Health Sciences University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duaa Salem","family":"Jawhar","sequence":"additional","affiliation":[{"name":"Emirates Health Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajmal","family":"Kuzhiyil","sequence":"additional","affiliation":[{"name":"Emirates Health Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4655-3239","authenticated-orcid":false,"given":"Magdy Imam","family":"Abdlaleem","sequence":"additional","affiliation":[{"name":"Saqr Hospital"},{"name":"Ras Al Khaimah Medical& Health Sciences University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaitanya","family":"Garg","sequence":"additional","affiliation":[{"name":"RAK Medical& Health Sciences University"},{"name":"Emirates Health Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Anas","sequence":"additional","affiliation":[{"name":"RAK Medical and Health Science University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10030464"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/8140429"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B7.20498"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-80219-y"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1086\/591064"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2016.10.029"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp120568"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2020.0692"},{"key":"e_1_3_4_10_1","volume-title":"Core Elements of Hospital Antibiotic Stewardship Programs","author":"Centers for Disease Control and Prevention (CDC)","year":"2019","unstructured":"Centers for Disease Control and Prevention (CDC) (2019) Core Elements of Hospital Antibiotic Stewardship Programs. US Department of Health and Human Services, CDC."},{"key":"e_1_3_4_11_1","volume-title":"Statpearls [Online]","author":"Crader MF","year":"2023","unstructured":"Crader MF, Varacallo M (2023) Preoperative antibiotic prophylaxis. In: Statpearls [Online]. StatPearls Publishing. Available at: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK442032\/ (Accessed 10 Sep 2025)."},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.3.361"},{"issue":"10","key":"e_1_3_4_13_1","first-page":"e47858","article-title":"Antibiotic prophylaxis in surgery: current insights and future directions for surgical site infection prevention","volume":"15","author":"Dhole S","year":"2023","unstructured":"Dhole S, Mahakalkar C, Kshirsagar S, et al. (2023) Antibiotic prophylaxis in surgery: current insights and future directions for surgical site infection prevention. 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