Surgical site infection prevention among surgical healthcare workers in Syria: a nationwide cross-sectional study.
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Mohaisen Mais Alreem, Atia Mohammad, Al-Noufi Bushra Mohammad Motaz, Suliman Bshr Ibrahim, Aljalam Rahaf Mohammad Kheir, Ghilan Raghad Darwish, Alahmad Abdulrahman Muhammad, Saadoun Hamzah Ali, Khaddour Jana Wafek, Harba Ahmad Muhammad Zaher, Ghazali Esraa Gehad, Al-Nahas Mohammad Wisam, Zaidan Zaidan Hazam, Obaid Tamim Abo, Alhamid Ahmad Abdul Hakim, Ghabra Allaith Abo, Fadhl Hebatallah Nasser, Baras Badr Mohammed, Shobnom Afia Tahsin, Moktadir Golam, Zaman Muhammad Taha, Nadarajah Saralees, Elfaki Alhussien Abdelbagi Mohamed, Elfaki Alhasan Abdelbagi Mohamed, Saghir Mohammed Ali, Zeima Zahin, Almezaal Amjad Suliman, Almukbel Reham
Аннотация
METHODS: A cross-sectional survey was conducted among 375 healthcare workers in surgical settings across Syria. A structured questionnaire collected data on demographics, educational background, work experience, self-reported practices, knowledge of WHO guidelines, and perceived barriers to implementation. Composite knowledge and practice scores were calculated. Data were analyzed using descriptive statistics, Pearson correlation, and ANOVA.
RESULTS: Adherence to basic preventive practices was high, including hand preparation (89.33%) and intraoperative sterilization (91.47%). However, gaps persisted in avoiding preoperative shaving, appropriate antibiotic prophylaxis timing and duration, and postoperative antibiotic discontinuation. Major barriers included lack of role models (68%), inadequate training (63%), and staff shortages. Pearson analysis revealed positive correlations between compliance and practice scores (r = 0.5203, p < 0.001) and compliance and knowledge scores (r = 0.3372, p < 0.001). Crucially, the weakest correlation was found between knowledge and practice scores (r = 0.2662, p < 0.001), highlighting a prominent know-do gap. Hospital-reported SSI prevalence was 9.5% in one hospital and 1.47% in the other.
CONCLUSION: This study identified suboptimal knowledge and inconsistent implementation of high-impact SSI prevention practices among Syrian surgical healthcare workers despite strong adherence to basic aseptic measures. Targeted training, improved surveillance systems, and institutional support are needed to strengthen guideline adherence and reduce preventable SSIs.