Spiekerman Kathryn M, Patel Sameer J, Patel Rupal, Kociolek Larry K
School of Public Health, University of Illinois at Chicago.
Division of Pediatric Infectious Diseases, Ann & Robert H. Lurie Children's Hospital of Chicago; Department of Pediatrics, Northwestern University Feinberg School of Medicine.
Infect Drug Resist. 2016 Dec 5;9:269-274. doi: 10.2147/IDR.S122879. eCollection 2016.
Despite the enormous volume of antibiotics prescribed by pediatricians, resources to promote judicious antibiotic use are primarily limited to hospitals. The primary objective of this survey was to delineate the availability, characteristics, and perceptions of antibiograms among pediatricians. As a secondary objective, we sought to delineate the availability of other infectious diseases (ID)-related educational resources among pediatricians, the perceived need for additional resources, and their general educational preferences. We developed an anonymous electronic survey using the Research Electronic Data Capture tool, and it was sent via email to all members of the Illinois Chapter of the American Academy of Pediatrics (ICAAP). Participants were excluded if they had not completed pediatrics residency or if they had not prescribed antibiotics in the past month. Of the 1,825 ICAAP members, 294 (16%) responded; of these, 239 (81%) were eligible and completed the survey. Of the 239 respondents, 139 (58%) had access to an antibiogram and 60 (25%) had access to a pediatric-specific antibiogram. Access to a pediatric-specific antibiogram was associated with subspecialty training (=0.007) and practice location in Chicago (<0.0001). Antibiogram access was associated with perceiving being informed about resistance patterns at the national (67% vs 54%, =0.043) and local (76% vs 45%, <0.0001) levels. Nearly all (95%) respondents would probably or definitely use a single antibiogram that compiled antibiotic resistance data from children with common infections throughout the region. More than 75% of respondents identified both the American Academy of Pediatrics Red Book and online medical resources among the top three most useful and most frequently accessed educational resources. In addition, 91% of respondents utilized smartphones/tablets. These data suggest that there is an unmet need for additional educational resources to guide antibiotic prescribing among Illinois pediatricians. In addition, an electronic regional antibiogram would be well received and could potentially improve knowledge of antibiotic resistance and empiric antibiotic use.
尽管儿科医生开出了大量抗生素，但促进合理使用抗生素的资源主要局限于医院。本次调查的主要目的是描绘儿科医生对抗生素敏感性分析报告的可获取情况、特征及看法。作为次要目的，我们试图描绘儿科医生可获取的其他传染病相关教育资源、对额外资源的感知需求以及他们的一般教育偏好。我们使用研究电子数据采集工具开发了一项匿名电子调查，并通过电子邮件发送给美国儿科学会伊利诺伊分会（ICAAP）的所有成员。如果参与者未完成儿科住院医师培训或在过去一个月内未开过抗生素，则被排除在外。在1825名ICAAP成员中，294人（16%）回复；其中，239人（81%）符合条件并完成了调查。在239名受访者中，139人（58%）可以获取抗生素敏感性分析报告，60人（25%）可以获取儿科专用的抗生素敏感性分析报告。获取儿科专用的抗生素敏感性分析报告与亚专业培训（P = 0.007）以及在芝加哥的执业地点有关（P < 0.0001）。获取抗生素敏感性分析报告与在国家层面（67%对54%，P = 0.043）和地方层面（76%对45%，P < 0.0001）了解耐药模式相关。几乎所有（95%）受访者很可能或肯定会使用一份汇总了该地区常见感染儿童抗生素耐药数据的单一抗生素敏感性分析报告。超过75%的受访者将美国儿科学会《红宝书》和在线医学资源列为最有用且最常访问的三大教育资源。此外，91%的受访者使用智能手机/平板电脑。这些数据表明，伊利诺伊州的儿科医生在指导抗生素处方方面对额外教育资源的需求尚未得到满足。此外，一份电子区域抗生素敏感性分析报告将很受欢迎，并有可能提高对抗生素耐药性和经验性抗生素使用的认识。
