Qingfeng Shi1, Jue Pan2, Yuyan Ma2, Bijie Hu1,2, Xiaodong Gao1. 1. Department of Infection Control, Zhongshan Hospital, Fudan University, Shanghai 200032, China. 2. Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Abstract
BACKGROUND: Carbapenem-resistant enterobacteriaceae (CRE) has been one of the greatest threats to population health over the past decade. Few reports have focused on the knowledge and practice of Chinese physicians toward CRE. METHODS: A cross-sectional survey of CRE-related knowledge and practice was conducted in top 100 tertiary comprehensive hospitals between June and July 2017. RESULTS: A total of 53 designed hospitals responded, including 217 intensive care unit physicians, 142 respiratory physicians, 112 hematology physicians, and 58 infectious disease physicians. The percentage of correct answers to each questions ranged from 25.7% to 89%, and the physicians' knowledge score ranged from 1 to 9 (median =6; interquartile range, 5-7). A significant relationship was found between CRE knowledge level and demographics of city level, work department, and CRE treated in the last 6 months. In terms of practice, physicians with a high knowledge level were more likely to treat CRE infection with combined medication, considering undesirable infection control practice as the main risk factor. CONCLUSIONS: Overall, majority of physicians were concerned about CRE infections and indicated that they would take measures to prevent this gram-negative resistant bacteria. The findings will help focus and target on teaching and awareness-raising strategies.
BACKGROUND: Carbapenem-resistant enterobacteriaceae (CRE) has been one of the greatest threats to population health over the past decade. Few reports have focused on the knowledge and practice of Chinese physicians toward CRE. METHODS: A cross-sectional survey of CRE-related knowledge and practice was conducted in top 100 tertiary comprehensive hospitals between June and July 2017. RESULTS: A total of 53 designed hospitals responded, including 217 intensive care unit physicians, 142 respiratory physicians, 112 hematology physicians, and 58 infectious disease physicians. The percentage of correct answers to each questions ranged from 25.7% to 89%, and the physicians' knowledge score ranged from 1 to 9 (median =6; interquartile range, 5-7). A significant relationship was found between CRE knowledge level and demographics of city level, work department, and CRE treated in the last 6 months. In terms of practice, physicians with a high knowledge level were more likely to treat CRE infection with combined medication, considering undesirable infection control practice as the main risk factor. CONCLUSIONS: Overall, majority of physicians were concerned about CRE infections and indicated that they would take measures to prevent this gram-negative resistant bacteria. The findings will help focus and target on teaching and awareness-raising strategies.
Entities:
Keywords:
Carbapenem-resistant enterobacteriaceae (CRE); Chinese physician; Knowledge; practice
Authors: L Silvia Munoz-Price; Mary K Hayden; Karen Lolans; Sarah Won; Karen Calvert; Michael Lin; Alexander Stemer; Robert A Weinstein Journal: Infect Control Hosp Epidemiol Date: 2010-04 Impact factor: 3.254
Authors: Shelley S Magill; Jonathan R Edwards; Wendy Bamberg; Zintars G Beldavs; Ghinwa Dumyati; Marion A Kainer; Ruth Lynfield; Meghan Maloney; Laura McAllister-Hollod; Joelle Nadle; Susan M Ray; Deborah L Thompson; Lucy E Wilson; Scott K Fridkin Journal: N Engl J Med Date: 2014-03-27 Impact factor: 91.245