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Title:

Knowledge and self-assessment of residents in anaesthesiology concerning skills needed for rational antibiotic utilization - results of a comprehensive survey study in German hospitals

Document type:
Article
Author(s):
May, M.; Hachenberg, T.; Brookrnan-May, S.; Ernst, C.; Zwissler, B.; Glueckstein, C.; Heim, M.; Soukup, J.; Mutlak, H.; Pawlik, M.; Schoen, J.; Kees, M.; Kretzschmar, M.; Freitag, A.; Huebler, M.; Breitner, F.; Schmidt, M.; Boeden, G.; Schulz, C.; Badelt, G.; Koch, C.; Sander, M.; Graf, B.; Zoller, M.; Zacharowski, K.; Jacob, M.; de Abreu, M. Gama; Burger, M.; Eife, C.; Forst, H.; Fritsche, H-M; Gilfrich, C.; Karl, T.; Koch, T.; Lebentrau, S.; Mueller, S.; Rahmel, M.; Schneider, G.; Schoeniger,...     »
Abstract:
Background: To date, there are no significant comparative data concerning the knowledge of residents and board-certified anaesthesiologists in matters of multi-resistant pathogens (MRP) and intelligent antibiotic utilization. Methods: Between Jun. 2017 and Nov. 2017 a survey comprising 5 +50 items was carried out in 16 anaesthesiology departments and distributed according to the number of physicians working at each department. The impact of the educational level (residents vs. board-certified anaesthesiologists) on various predetermined endpoints was analysed by applying multivariable logistic regression models. Results: The return rate was 54% (684/1268). 40.4% of residents and 19% of anaesthesiologists (p<0.001) considered themselves to be uncertain or very uncertain in the interpretation of microbiological diagnostic results. Concerning the choice of adequate antibiotic drugs, 72.2% and 37.8% (p<0.001), respectively, reported precariousness; regarding the determination of dose, frequency, and duration of antibiotic prescription the respective figures were 69.1% and 36% (p<0,001). 83.6% and 50.6% (p<0.001), respectively, estimated their knowledge about Antibiotic Stewardship as completely lacking or little. Only 9.2% of the residents and 24.4% of the board-certified physicians (p<0.001) judged the hospital-intern educational activities regarding anti- infective treatment as sufficient. In both groups, 69.6% and 46.5% (p<0.001), respectively, had not participated in a qualifying training inside or outside the hospital during the previous twelve months. 85% in each group advocated the obligatory integration of teaching and learning content concerning anti-infective therapy in the German board certification of anaesthesiologists. Based on the multivariable models, residents estimated their own skills (certainty and knowledge) as being significantly worse and exhibited significantly less knowledge than board-certified anaesthesiologists. Conclusion: The number and content of continuous medical education activities as well the curriculum for board certification in anaesthesiology should be adapted to the increasing need for intelligent antibiotic utilization, which exists for anaesthesiology residents in daily clinical routine.
Journal title abbreviation:
Anasthesiol Intensivmed
Year:
2019
Journal volume:
60
Pages contribution:
150-163
Fulltext / DOI:
doi:10.19224/ai2019.150
Print-ISSN:
0170-5334
TUM Institution:
Klinik für Anästhesiologie (DHM)
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