+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Assessment of knowledge of guidelines for the prevention of infective endocarditis amongst clinicians in a teaching hospital

, : Assessment of knowledge of guidelines for the prevention of infective endocarditis amongst clinicians in a teaching hospital. Journal of Hospital Infection 45(4): 311-317

A significant minority of instances of endocarditis appear to be the result of invasive procedures performed in susceptible patients with underlying cardiac conditions. Absence, or inappropriate administration, of antimicrobial prophylaxis could expose the patient to the development of a potentially lethal infection. This study was formulated, therefore, to assess the knowledge of guidelines for the prevention of infective endocarditis among hospital-based physicians and surgeons. A multiple choice test was developed, including: (1) cardiac conditions at increased risk for development of infection; (2) procedures more likely to be associated with bacteraemia and endocarditis; and (3) type and route of antimicrobials prescribed when endocarditis prophylaxis is indicated. The quality of the test was determined in several ways. Success was defined as a pass rate of 11 of 18 questions (61%). The test was taken by 153 of 251 (60%) physicians employed by the hospital; 95 (62%) passed the test. No significant difference in success rates was found according to sex, professional status or medical school. Internists performed substantially better (with a pass rate of 41 of 53, 77%) than both paediatricians (13 of 26, 50%, P<0.05) and surgeons (41 of 74, 55%, P<0.01). The range of success varied from 100% to 36% according to specialty (P<0.001). The mean score was 69+/-21 in the study group and 94+/-10 in a control group of 20 infectious disease physicians (P<0.001). In conclusion, this study demonstrates the need for improved education of hospital-based clinicians regarding endocarditis prophylaxis recommendations.


PMID: 10973749

DOI: 10.1053/jhin.2000.0774

Other references

Caldwell, P.C.; Lowe, A.G., 1966: The active transport of phosphate into squid giant axons. Journal of Physiology London, 186: 24P

Jia, J.; Zhang, F., 2015: Nonexposure accurate location K-anonymity algorithm in LBS. This paper tackles location privacy protection in current location-based services (LBS) where mobile users have to report their exact location information to an LBS provider in order to obtain their desired services. Location cloaking has been pro...

Belohlavek, O.; Fencl, P.; Majovsky, M.; Jaruskova, M.; Benes, V., 2014: FLT-PET in previously untreated patients with low-grade glioma can predict their overall survival. Low-grade gliomas (LGG) of the brain have an uncertain prognosis, as many of them show continuous growth or upgrade over the course of time. We retrospectively investigated the role of positron emission tomography with 3'-deoxy-3'-[18F]f...

Zhang, F.; Anderson, J.; Samy, R.; Houston, L., 2010: The adaptive pattern of the late auditory evoked potential elicited by repeated stimuli in cochlear implant users. To describe the adaptive pattern of cortically generated auditory evoked potentials elicited by repeated stimuli via cochlear implants (CIs), the late auditory evoked potential (LAEP) was collected from nine postlingually deafened adult CI users....

Mol, Wilhelma A., 1937: Testing for mould. The standard Dutch method of testing foodstuffs for mould contamination being open to various objections, the writer devised the following improved procedure. One gram of the substance to be examined is ground in a sterile mortar and converted wit...

Yepez, R.; Hermida, C.; Sempertegui, F.; Barreto, D., 1974: Graduate medical education basic doctrines. Educacion Medica Y Salud 8(4): 347-353

Newman, J.D.; Shimbo, D.; Baggett, C.; Liu, X.; Crow, R.; Abraham, J.M.; Loehr, L.R.; Wruck, L.M.; Folsom, A.R.; Rosamond, W.D., 2014: Trends in myocardial infarction rates and case fatality by anatomical location in four United States communities, 1987 to 2008 (from the Atherosclerosis Risk in Communities Study). Although the incidence of and mortality after ST-segment elevation myocardial infarction (STEMI) is decreasing, time trends in anatomical location of STEMI and associated short-term prognosis have not been examined in a population-based community...

Loppes, R., 1970: Growth inhibition by NH 4 + ions in arginine-requiring mutants of Chlamydomonas reinhardi. Molecular & General Genetics 109(3): 233-240

Q.L.; Xiang Zhi Guang; Shi Geng Xian; Liu Yin; Cui Wei; Yang Hai Peng; Zhu, 2004: Inhibition of 6A8alpha-mannosidase expression causes an enhancement of cell-cell adhesion among Jurkat cells. Objective To study the effect of inhibition of 6A8alpha-mannosidase expression on the biological behaviors of human T lymphoblastoid cell Jurkat. Methods Antisense technique was used to suppress 6A8alpha-mannosidase expression in cells. Integratio...

Carter, C.S., 1914: Pisidium henslowanum in Lines. S Naturalist London, 226