Differences in practices for surgical site infection prevention in neonatal surgery between neonatologists and pediatric surgeons: a multicenter survey in Japan
Year: 2026
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: To assess the current surgical site infection prevention practices in neonatal surgery, especially focusing on the factors that determine the duration of perioperative antibiotic prophylaxis (PAP) and the differences between pediatric surgeons and neonatologists. STUDY DESIGN: We performed a questionnaire survey, which targeted neonatologists, pediatric surgeons, and infectious disease specialists at pediatric hospitals or university hospitals in Japan. RESULTS: Responses were obtained from 32 hospitals. Some practices, such as criteria for discontinuing PAP, intraoperative re-administration of PAP, and preoperative decontamination of methicillin-resistant Staphylococcus aureus, were different between neonatologists and pediatric surgeons. Regarding criteria for discontinuing PAP, pediatric surgeons tended to select "fixed duration", while neonatologists more often relied on "C-reactive protein levels." CONCLUSION: PAP discontinuation practices in neonatal surgery reflect distinct time-based and biomarker-guided decision-making approaches between pediatric surgeons and neonatologists, indicating the need for clearer evidence and consensus. More standardized, evidence-based approaches are required.
Source: Journal of Perinatology
Authors: Tomohiro Sunouchi, Jun Fujishiro, Toru Higuchi, Hiroki Sakurai, Akihiko Shimizu, Sho Ishii, Taizo Kusano, Yuho Horikoshi, Yoshiaki Shikama, Takemi Murai, Takayo Shoji, Kenta Ito, Masatoshi Nozaki, Shinsuke Mizuno, Takafumi Okada, Takayuki Hoshina, Yoshiaki Cho, Yoshie Sakurai, Hisao Okabe, Daisuke Tamura, Yuki Muta, Chizuka Seki, Ryu Yoneda, Naho Fujiwara, Masayoshi Shinjoh, Tomohiro Katsuta, Koo Nagasawa, Toshihiko Okumura, Hiroki Miura, Yoshiki Kusama, Kazumichi Fujioka, Yoshitomo Motomura, Yoshihiro Takahashi, Chikara Ogimi
Institutions: University of Tokyo Hospital, The University of Tokyo, Hokkaido Medical Center for Child Health and Rehabilitation, Miyagi Children's Hospital, Gunma Children's Medical Center, Ibaraki Children's Hospital, Chiba Children's Hospital, Tokyo Metropolitan Children's Medical Center, Kanagawa Children's Medical Center, Nagano Children's Hospital, Shizuoka Children's Hospital, Aichi Children's Health and Medical Center, Osaka Women's and Children's Hospital, Kobe Children's Hospital, Shikoku Medical Center for Children and Adults, Fukuoka Children's Hospital and Medical Center for Infectious Diseases, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Tohoku University Hospital, Fukushima Medical University, Jichi Medical University, Saitama Medical Center, Saitama Medical University, Saitama Medical University Hospital, Saitama Medical University, Juntendo University, Keio University, St. Marianna University School of Medicine, Chiba University Hospital, Nagoya University Hospital, Fujita Health University, Osaka University Hospital, Kobe University, Kyushu University, Kagoshima University Hospital, National Center For Child Health and Development
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,790
Funder: University of Tokyo
OpenAlex ID: W7171803007