Overtreatment of asymptomatic bacteriuria: Identifying provider barriers to evidence-based care
Overtreatment of asymptomatic bacteriuria: Identifying provider barriers to evidence-based care
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DOI：
10.1016/j.ajic.2014.02.003
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发表时间：
2014-06-01
影响因子：
4.9
通讯作者：
Naik, Aanand D.
中科院分区：
文献类型：
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作者：
Trautner, Barbara W.;Petersen, Nancy J.;Naik, Aanand D.
背景：治疗无症状性菌尿(ASB)的抗生素使用不当是住院患者过度使用抗生素的一个重要原因，尽管ASB的治疗方法是循证的。我们调查了如何管理导管相关性尿培养的准确知识是否与培训水平、对ASB指南的熟悉程度以及各种认知-行为结构有关。方法：我们使用一项调查来衡量受访者对如何管理导管相关性菌尿的知识、对相关美国传染病学会指南内容的熟悉程度以及认知-行为结构。对169名住院医师和从业人员进行问卷调查。结果：问卷平均知晓率为57.5%，回答正确率略高于一半。总体知识得分随训练水平的提高而显著提高(P
Background: Inappropriate use of antibiotics to treat asymptomatic bacteriuria (ASB) is a significant contributor to antibiotic overuse in hospitalized patients despite evidence-based guidelines on ASB management. We surveyed whether accurate knowledge of how to manage catheter-associated urine cultures was associated with level of training, familiarity with ASB guidelines, and various cognitive-behavioral constructs.Methods: We used a survey to measure respondents' knowledge of how to manage catheter-associated bacteriuria, familiarity with the content of the relevant Infectious Diseases Society of America guidelines, and cognitive-behavioral constructs. The survey was administered to 169 residents and staff providers.Results: The mean knowledge score was 57.5%, or slightly over one-half of the questions answered correctly. The overall knowledge score improved significantly with level of training (P