Pelullo Concetta Paola, Pepe Angela, Napolitano Francesco, Coppola Nicola, Di Giuseppe Gabriella
Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", 80135 Naples, Italy.
Department of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Antibiotics (Basel). 2020 Jun 25;9(6):357. doi: 10.3390/antibiotics9060357.
The aim of this study is to evaluate knowledge and attitudes on the perioperative antibiotic prophylaxis (PAP) among surgery and anesthesiology resident physicians in Italy. A Web-based national survey of Italian surgery and anesthesiology resident physicians was conducted between March 2018 and January 2019. Participants completed a questionnaire and three case vignettes for each specialty. Of the 1282 resident physicians selected, 466 completed the online questionnaire for a response rate of 36.3%. More than half of the sample were female (52.9%), and the mean age was 30 years. A total of 36.3% of the participants had an adequate knowledge score about PAP. Multiple logistic regression analysis showed that resident physicians in general surgery compared to those in anesthesiology, those who agreed that PAP must be performed within 60 min before surgical incision, and those who were aware regarding the availability about the availability of national guidelines on PAP, were significantly more likely to have adequate knowledge about PAP. Moreover, 14% of participants were very concerned that patients may contract surgical site infections during hospitalization. These findings should be useful to promote educational intervention specifically targeted for surgery and anesthesiology resident physicians organizing training course on PAP, to improve the correct antibiotic use and to prevent healthcare-associated infections.
本研究旨在评估意大利外科和麻醉科住院医师对围手术期抗生素预防（PAP）的知识和态度。2018年3月至2019年1月期间，对意大利外科和麻醉科住院医师进行了一项基于网络的全国性调查。参与者完成了一份问卷以及每个专业的三个病例 vignettes。在选定的1282名住院医师中，466人完成了在线问卷，回复率为36.3%。样本中超过一半为女性（52.9%），平均年龄为30岁。共有36.3%的参与者在PAP方面有足够的知识得分。多元逻辑回归分析表明，与麻醉科住院医师相比，普通外科住院医师、那些同意PAP必须在手术切口前 60分钟内进行的人以及那些了解国家PAP指南可用性的人，更有可能对PAP有足够的了解。此外，14%的参与者非常担心患者在住院期间可能感染手术部位感染。这些发现对于促进专门针对外科和麻醉科住院医师的教育干预措施应该是有用的，这些措施可以组织关于PAP的培训课程，以改善抗生素的正确使用并预防医疗相关感染。
