Philipp J Spachmann1, Matthias May2, Malte W Vetterlein3, Hans-Martin Fritsche1, Steffen Steffen4, Martin Schostak4, Florian M Wagenlehner5, Maximilian Burger1, Karsten-Henrich Weylandt6, Bernd Salzberger7, Sabine D Brookman-May8, Christian Gilfrich2. 1. Department of Urology; University of Regensburg, Caritas St. Josef Medical Center, 93053 Regensburg, Landshuter St.65, Germany. 2. Department of Urology; St. Elisabeth Hospital; 94315 Straubing, St.-Elisabeth-Str. 23, Germany. 3. Department of Urology; University Medical Center Hamburg-Eppendorf; 20246 Hamburg, Martinistr. 52, Germany. 4. Department of Urology and Pediatric Urology; Ruppiner Kliniken GmbH, Brandenburg Medical School; 16816 Neuruppin, Fehrbelliner Str. 38, Germany. 5. Department of Urology, Pediatric Urology and Andrology; Justus-Liebig University; 35392 Gießen, Rudolf-Buchheim-Str. 7, Germany. 6. Department of Internal Medicine B, Ruppiner Kliniken GmbH, Brandenburg Medical School; 16816 Neuruppin, Fehrbelliner Str. 38, Germany. 7. Department of Internal Medicine I, University Hospital Regensburg, 93053, Regensburg, Franz-Josef-Strauß-Allee 11, Germany. 8. Department of Urology; LMU Munich, Großhadern; 81377 München, Marchioninistraße 15, Germany.
Abstract
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.
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.
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