Caspian Journal of Internal Medicine
Babol University of Medical Sciences
Wed, Nov 13, 2024
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Volume 10, Issue 2 (3-2019)
Caspian J Intern Med 2019, 10(2): 132-141 |
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Spachmann P J, May M, Vetterlein M W, Fritsche H, Lebentrau S, Schostak M, et al . Awareness and perception of multidrug-resistant organisms and antimicrobial therapy among internists vs. surgeons of different specialties: Results from the German MR2 Survey. Caspian J Intern Med 2019; 10 (2) :132-141
URL: http://caspjim.com/article-1-1466-en.html
URL: http://caspjim.com/article-1-1466-en.html
Philipp J Spachmann 
, Matthias May * , Malte W. Vetterlein , Hans-Martin Fritsche , Steffen Lebentrau , Martin Schostak , Florian M. Wagenlehner , Maximilian Burger , Karsten-Henrich Weylandt , Bernd Salzberger , Sabine Brookman-May , Christian Gilfrich , MR2 study group
, Matthias May * , Malte W. Vetterlein , Hans-Martin Fritsche , Steffen Lebentrau , Martin Schostak , Florian M. Wagenlehner , Maximilian Burger , Karsten-Henrich Weylandt , Bernd Salzberger , Sabine Brookman-May , Christian Gilfrich , MR2 study group
Department of Urology; St. Elisabeth Hospital; 94315 Straubing, St.-Elisabeth-Str. 23, Germany , matthias.may@klinikum-straubing.de
Abstract: (6905 Views)
Background: Recently, antibiotic resistance rates have risen substantially and care for patients infected with multidrug-resistant organisms (MDRO) has become a common problem in most in – and outpatient settings. The objectives of the study were to compare the awareness, perception, and knowledge of MDRO and rational antibiotic use between physicians from different medical specialties in German hospitals.
Methods: A 35-item questionnaire was sent to specialists in internal medicine (internists), gynecologists, urologists, and general surgeons (non-internists) in 18 German hospitals. Likert-scales were used to evaluate awareness and perception of personal performance regarding care for patients infected with MDRO and rational use of antibiotics. Additionally, two items assessing specific knowledge in antibiotic therapy were included. The impact of medical specialty on four predetermined endpoints was assessed by multivariate logistic regression.
Results: 43.0% (456/1061) of recipients responded. Both internists and non-internists had low rates of training in antibiotic stewardship. 50.8% of internists and 58.6% of non-internists had attended special training in rational antibiotic use or care for patients infected with MDRO in the 12 months prior to the study. Internists deemed themselves more confidently to choose the indications for screening patients for colonization with methicillin-resistant Staphylococcus aureus (P=0.004) and to initiate adequate infection control measures (P=0.002) than other specialties. However, there was no significant difference between internists and other specialists regarding the two items assessing specific knowledge in antibiotic therapy and infection control.
Conclusion: Among the study participants, a considerable need for advanced training in the study subjects was seen, regardless of the medical specialty.
Methods: A 35-item questionnaire was sent to specialists in internal medicine (internists), gynecologists, urologists, and general surgeons (non-internists) in 18 German hospitals. Likert-scales were used to evaluate awareness and perception of personal performance regarding care for patients infected with MDRO and rational use of antibiotics. Additionally, two items assessing specific knowledge in antibiotic therapy were included. The impact of medical specialty on four predetermined endpoints was assessed by multivariate logistic regression.
Results: 43.0% (456/1061) of recipients responded. Both internists and non-internists had low rates of training in antibiotic stewardship. 50.8% of internists and 58.6% of non-internists had attended special training in rational antibiotic use or care for patients infected with MDRO in the 12 months prior to the study. Internists deemed themselves more confidently to choose the indications for screening patients for colonization with methicillin-resistant Staphylococcus aureus (P=0.004) and to initiate adequate infection control measures (P=0.002) than other specialties. However, there was no significant difference between internists and other specialists regarding the two items assessing specific knowledge in antibiotic therapy and infection control.
Conclusion: Among the study participants, a considerable need for advanced training in the study subjects was seen, regardless of the medical specialty.
Keywords: Antibiotic Resistance, Antibiotic Policy, Antibiotic prescription, Multidrug Resistance, Urinary Tract Infection, Survey Study
Type of Study: Original Article |
Subject:
Infectious Diseases
Received: 2018/04/21 | Accepted: 2018/10/14 | Published: 2019/05/13
Received: 2018/04/21 | Accepted: 2018/10/14 | Published: 2019/05/13
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