Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Department of Pediatric Infectious Diseases, Ankara, Turkey.
Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Department of Pediatric Infectious Diseases, Ankara, Turkey.
Arch Pediatr. 2021 Apr;28(3):191-196. doi: 10.1016/j.arcped.2021.02.013. Epub 2021 Mar 9.
Pediatrics is one of the medical specialties in which blood cultures for bloodstream infections are performed very frequently. This study aimed to evaluate pediatric residents' knowledge and perceptions of blood culture sampling.
Between June 2019 and September 2019, a questionnaire comprising 20 questions about blood culture sampling was sent via email to participants who were pediatric residents at five different hospitals in Turkey. There were 11 true/false and nine multiple-choice questions that assessed three aspects of culture sampling: indications, sampling practice and knowledge, and contamination. The percentage of correct answers was used to calculate an overall score and subsection scores.
A total of 132 pediatric residents [102 (77%) female] with a mean age of 28.3±2.8 years completed the questionnaire. Forty-five (35%) were in their 1st year of residency. Sixty (46%) participants reported that they had not performed blood culture sampling in the last week. There was a negative relationship between years in training and the number of cultures performed (Kendal's tau-b=-0.297, p<0.001). The overall median score was 65 (range, 35-90) and it seemed to increase with years of training. The lowest median score was in the contamination subscale and only one (0.76%) participant correctly answered all questions concerning contamination.
Residents who obtained the majority of blood cultures had the lowest knowledge levels. Therefore, it is evident that the knowledge levels of pediatric residents must be increased in order to improve blood culture sampling practices in centers where they perform blood culture sampling.
儿科学是经常进行血流感染血培养的医学专业之一。本研究旨在评估儿科住院医师对血培养采样的知识和看法。
2019 年 6 月至 2019 年 9 月期间，通过电子邮件向土耳其五家不同医院的儿科住院医师发送了一份包含 20 个问题的问卷，内容涉及血培养采样。有 11 个是真/假问题，9 个是多项选择问题，评估了培养采样的三个方面：适应症、采样实践和知识以及污染。正确答案的百分比用于计算总得分和子部分得分。
共有 132 名儿科住院医师（102 名女性，占 77%）完成了问卷，平均年龄为 28.3±2.8 岁。45 名（35%）住院医师处于第 1 年。60 名（46%）参与者报告说他们在过去一周内没有进行血培养采样。培训年限与进行的培养次数呈负相关（肯德尔 tau-b=-0.297，p<0.001）。总体中位数得分为 65（范围为 35-90），似乎随培训年限的增加而增加。污染子量表的中位数得分最低，只有一名（0.76%）参与者正确回答了所有关于污染的问题。
获得大部分血培养的住院医师知识水平最低。因此，显然必须提高儿科住院医师的知识水平，以便在他们进行血培养采样的中心改进血培养采样实践。
