罗德岛医疗服务提供者及学生梅毒知识调查
A survey of syphilis knowledge among medical providers and students in Rhode Island.
作者信息
Bonnewell John, Magaziner Sarah, Fava Joseph L, Montgomery Madeline C, Almonte Alexi, Carey Michael, Chan Philip A
机构信息
Division of Infectious Diseases, Duke University Medical Center, Durham, NC, USA.
Warren Alpert Medical School, Brown University, Providence, RI, USA.
出版信息
SAGE Open Med. 2020 Feb 4;8:2050312120902591. doi: 10.1177/2050312120902591. eCollection 2020.
BACKGROUND
In the United States, syphilis cases have increased dramatically over the last decade. Recognition and timely diagnosis by medical providers are essential to treating syphilis and preventing further transmission.
METHODS
From 2016 to 2017, a cross-sectional survey was performed among medical students, residents, fellows, and attending physicians in Rhode Island. Topics included demographics, level of medical training, experience diagnosing and treating syphilis, and familiarity with the reverse testing algorithm. Participants were asked 25 true/false questions to assess basic knowledge of syphilis, which covered five domains: epidemiology, transmission, clinical signs and symptoms, diagnosis, and treatment. Univariate and bivariate analyses were performed to determine knowledge levels across provider characteristics. Significance was defined as < 0.05.
RESULTS
Of the 231 participants, 45% were medical students, 34% were residents or fellows, 11% were medicine attendings (non-infectious diseases), and 10% were infectious diseases attendings. The overall mean score was 9.79 (out of 25; range = 0-23, ⩽ 0.001). Mean scores differed significantly ( < 0.001) across groups, including 7.68 for students (range = 0-16), 10.61 for residents/fellows (range = 3-17), 10.41 for non-infectious diseases attendings (range = 4-18), and 16.38 for infectious diseases attendings (range = 6-23). Familiarity with the reverse sequence algorithm was low with only 22% having heard of it. Infectious diseases attendings were significantly more knowledgeable compared to other groups. Overall and across domains, infectious diseases attendings had significantly higher scores except when compared to non-infectious diseases attendings in the epidemiology domain and residents/fellows in the transmission domain.
CONCLUSION
Overall syphilis knowledge among non-infectious diseases medical providers was low. Improved education and clinical training are needed to promote early diagnosis, treatment, and prevention efforts.
背景
在美国，梅毒病例在过去十年中急剧增加。医疗服务提供者的识别和及时诊断对于治疗梅毒和预防进一步传播至关重要。
方法
2016年至2017年，在罗德岛的医学生、住院医师、研究员和主治医师中进行了一项横断面调查。主题包括人口统计学、医学培训水平、梅毒诊断和治疗经验以及对反向检测算法的熟悉程度。参与者被问到25个是非题，以评估梅毒的基本知识，这些问题涵盖五个领域：流行病学、传播、临床体征和症状、诊断和治疗。进行单变量和双变量分析以确定不同医疗服务提供者特征的知识水平。显著性定义为<0.05。
结果
在231名参与者中，45%是医学生，34%是住院医师或研究员，11%是内科主治医师（非传染病），10%是传染病主治医师。总体平均分为9.79（满分25分；范围=0-23，⩽0.001）。不同组的平均分差异显著（<0.001），包括学生的7.68分（范围=0-16）、住院医师/研究员的10.61分（范围=3-17）、非传染病主治医师的10.41分（范围=4-18）以及传染病主治医师的16.38分（范围=6-23）。对反向序列算法的熟悉程度较低，只有22%的人听说过。与其他组相比，传染病主治医师的知识明显更丰富。总体而言，在各个领域，传染病主治医师的得分显著更高，但在流行病学领域与非传染病主治医师相比以及在传播领域与住院医师/研究员相比除外。
结论
非传染病医疗服务提供者的梅毒总体知识水平较低。需要改进教育和临床培训，以促进早期诊断、治疗和预防工作。
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