Schneider, F. and Schulz, C. M. and May, M. and Pawlik, M. and Huebler, M. and Soukup, J. and Ernst, C. and Schneider, G. and Jacob, M. and Brettner, F. and Kees, M. G. and Graf, B. and Kretzschmar, M. and Hachenberg, T. and Schmidt, M. and Koch, C. and Sander, M. and Zoller, M. and Koch, T. and Brookman-May, S. and Heim, M. and Badelt, Gregor and Boeden, Gerhard and Burger, Maximilian and Eife, Claudia and Forst, Helmuth and de Abreu, Marcello Gama and Freitag, Adrian and Glueckstein, Christa and Karl, Thomas and Mueller, Simon and Mutlak, Haitham and Rahmel, Melanie and Schoen, Julika and Schoeniger, Stephan-Andreas and Stierstorfer, Franz and Zacharowski, Kai and Zwissler, Bernhard (2019) The influence of hospital characteristics on anaesthetists' self-confidence and knowledge about rational antibiotic application - a survey study comparing university and non-university hospitals. ANASTHESIOLOGIE & INTENSIVMEDIZIN, 60. pp. 468-478. ISSN 0170-5334, 1439-0256
Full text not available from this repository. (Request a copy)Abstract
Background: treatment in a university hospital has been linked to less adverse events, whereas non-university hospitals have been reported to provide better resident training. We aimed to investigate whether there are differences between university and non-university hospitals in anaesthetists' self-confidence, self-rated knowledge or objective knowledge about the rational application of antibiotics. Methods: The Multi-institutional Reconnaissance of Practice with Multiresistant Bacteria (MR2) questionnaire was administered to 1,268 anaesthetists of seven university, one primary, six secondary and two tertiary care hospitals (n=16) in 2017. It evaluates self-confidence in practical use of antibiotics (1=very unconfident, 4 = very confident, n = 6), self-rated theoretical knowledge (1 =no knowledge, 4 =full knowledge, n=16), and objective knowledge (multiple choice, n=5). Chi-square, Kruskal-Wallis-H tests and logistic regression models (MLRM) were computed to evaluate differences between the physicians from university and non-university hospitals. Results: 684 questionnaires were included (return rate 53,9%), 414 of which (60.5%) were completed by university physicians. The overall self-confidence rate was higher in non-university (mean =2.6 +/- 0.52) than in university (mean= 2.5 +/- 0.52) anaesthetists (p = 0.014). Additionally, non-university physicians (mean=2.6 +/- 0.53) rated their knowledge on antibiotic application higher than university physicians (mean 2.5 +/- 0.46; p=0.008). The overall comparison of correct answers in the objective knowledge items did not reveal any differences between university and non-university physicians. Conclusion: Non-university anaesthesiologists and residents showed higher self-confidence and tended to rate their knowledge higher than university physicians. However, the groups did not differ in their objective knowledge.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | MULTIRESISTANT PATHOGENS; ACUTE-CARE; IMPACT; SURGEONS; Antibiotics; Multi-resistant Pathogens; Microbiological Diagnostics; Anti-infective Therapy; Multi-centre Study; Antibiotic Stewardship; Knowledge; Infection Prevention; MR-2; University Hospital |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 26 Mar 2020 06:00 |
| Last Modified: | 26 Mar 2020 06:00 |
| URI: | https://pred.uni-regensburg.de/id/eprint/26062 |
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