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Table 2 Most important items after Round 3 of the Delphi

From: Clinical stakeholders’ opinions on the use of selective decontamination of the digestive tract in critically ill patients in intensive care units: an international Delphi study

Domain of TDF[12]

Item stem

Median (IQR)

Beliefs about consequences

SDD increases antibiotic resistance

8 (7 to 9)

Decision processes

The decision to adopt SDD requires consensus between my colleagues

8 (7 to 9)

Knowledge

Research to date has not adequately addressed concerns about antibiotic resistance and SDD

8 (7 to 9)

Decision processes

The decision to adopt SDD requires a review and appraisal of the current best evidence

8 (7 to 9)

Behavioural regulation

My hospital tries to reduce antibiotic use

8 (7 to 9)

Decision processes

Part of the decision to adopt SDD requires agreement about which patients will receive it

8 (7 to 9)

Beliefs about consequences

SDD would increase ICU Clostridium difficile infections

8 (6 to 8)

Knowledge

I know the SDD evidence base well enough to have an informed opinion regarding its use

8 (6 to 8)

Motivation

We are addressing hospital-acquired infections using other strategies

7 (6.5 to 9)

Motivation

We are addressing ventilator-associated pneumonia using other strategies

7 (7 to 8)

  1. Data presented as medians and interquartile ranges on scale of 1 to 9 (1 = ‘strongly disagree’ and 9 = ‘strongly agree’). IQR, interquartile range; SDD, selective decontamination of the digestive tract; TDF, Theoretical Domains Framework.