Differences in practices for surgical site infection prevention in neonatal surgery between neonatologists and pediatric surgeons: a multicenter survey in Japan.

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

Published in

Journal of perinatology : official journal of the California Perinatal Association. Jul 30, 2026. Epub Jul 30, 2026.

Abstract

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.
We performed a questionnaire survey, which targeted neonatologists, pediatric surgeons, and infectious disease specialists at pediatric hospitals or university hospitals in Japan.
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."
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.

PMID:
42533059
Bibliographic data and abstract were imported from PubMed on 31 Jul 2026.

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