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Resident Physician Knowledge of Urine Testing and Treatment Over Four Years

Published online by Cambridge University Press:  28 February 2018

Shannon L. Andrews ,
Lilian M. Abbo ,
James R. Johnson ,
Michael A. Kuskowski ,
Bhavarth S. Shukla  and
Dimitri M. Drekonja
Shannon L. Andrews*
Affiliation:
Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota University of Minnesota, Minneapolis, Minnesota
Lilian M. Abbo
Affiliation:
University of Miami Miller School of Medicine, Miami, Florida
James R. Johnson
Affiliation:
Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota University of Minnesota, Minneapolis, Minnesota
Michael A. Kuskowski
Affiliation:
Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota
Bhavarth S. Shukla
Affiliation:
Miami Veterans Affairs Medical Center, Miami, Florida.
Dimitri M. Drekonja
Affiliation:
Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota University of Minnesota, Minneapolis, Minnesota
*
Address correspondence to Shannon L. Andrews, MD, University of Minnesota, attn: Pamela Coppa, Phillips Wangensteen Building, 420 Delaware St SE, MMC 250, Minneapolis, MN 55455 ([email protected]).
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Abstract

We surveyed resident physicians at 2 academic medical centers regarding urinary testing and treatment as they progressed through training. Demographics and self-reported confidence were compared to overall knowledge using clinical vignette-based questions. Overall knowledge was 40% in 2011 and increased to 48%, 55%, and 63% in subsequent years (P<.001).

Infect Control Hosp Epidemiol 2018;39:616–618

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 5 , May 2018 , pp. 616 - 618
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Nicolle, LE, Bradley, S, Colgan, R, Rice, JC, Schaeffer, A, Hooton, TM. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 2005;40:643–654.CrossRefGoogle Scholar
2. Chowdhury, F, Sarkar, K, Branche, A, et al. Preventing the inappropriate treatment of asymptomatic bacteriuria at a community teaching hospital. J Community Hosp Intern Med Perspect 2012;2(2). doi: 10.3402/jchimp.v2i2.17814.Google Scholar
3. Drekonja, DM, Okoye, NC, Kuskowski, MA, Johnson, JR. Appropriateness of urinary tract infection diagnosis and treatment duration. Arch Intern Med 2010;170:489–490.Google Scholar
4. Hecker, MT, Aron, DC, Patel, NP, Lehmann, MK, Donskey, CJ. Unnecessary use of antimicrobials in hospitalized patients: current patterns of misuse with an emphasis on the antianaerobic spectrum of activity. Arch Intern Med 2003;163:972–978.CrossRefGoogle ScholarPubMed
5. Hartley, S, Valley, S, Kuhn, L, et al. Inappropriate testing for urinary tract infection in hospitalized patients: an opportunity for improvement. Infect Control Hosp Epidemiol 2013;34:1204–1207.Google Scholar
6. Drekonja, DM, Abbo, LM, Kuskowski, MA, Gnadt, C, Shukla, B, Johnson, JR. A survey of resident physicians’ knowledge regarding urine testing and subsequent antimicrobial treatment. Am J Infect Control 2013;41:892–896.Google Scholar
7. Lucet, JC, Nicolas-Chanoine, MH, Lefort, A, et al. Do case vignettes accurately reflect antibiotic prescription? Infect Control Hosp Epidemiol 2011;32:1003–1009.Google Scholar
8. Srinivasan, A, Song, X, Richards, A, Sinkowitz-Cochran, R, Cardo, D, Rand, C. A survey of knowledge, attitudes, and beliefs of house staff physicians from various specialties concerning antimicrobial use and resistance. Arch Intern Med 2004;164:1451–1456.Google Scholar
9. Gross, PA, Pujat, D. Implementing practice guidelines for appropriate antimicrobial usage: a systematic review. Med Care 2001;39:II55–II69.Google Scholar
10. Ranji, SR, Steinman, MA, Shojania, KG, Gonzales, R. Interventions to reduce unnecessary antibiotic prescribing: a systematic review and quantitative analysis. Med Care 2008;46:847–862.CrossRefGoogle ScholarPubMed
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