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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.