Gibbs R S, McGregor J A, Mead P B, Eschenbach D A, Hager W D, Sweet R L
Infectious Diseases Society for Obstetrics and Gynecology, University of Colorado, Denver.
Obstet Gynecol. 1994 Apr;83(4):631-6. doi: 10.1097/00006250-199404000-00026.
To survey current practices among obstetricians and gynecologists concerning a wide range of infectious diseases to guide future efforts in continuing medical education.
A survey questionnaire of multiple-choice questions was mailed to 2500 physicians, under age 65, randomly selected from the American Medical Association specialty list of obstetrician-gynecologists. The first 500 returns constituted the data set and were analyzed by computer.
We found many clinical areas in which practice patterns were deemed appropriate, including antibiotic selection, universal screening for hepatitis B, and follow-up of urinary tract infection in pregnancy. In other areas, marked by controversy among "experts," practice patterns varied widely. These areas included management of premature rupture of the membranes and premature labor, and universal screening for group B streptococci. Areas in need of further continuing medical education efforts include management of perinatal viral infections and diagnosis and treatment of sexually transmitted diseases.
Although this survey indicated that practice patterns of American obstetricians and gynecologists are appropriate in many clinical areas relevant to infectious diseases, there are other clinical conditions requiring future efforts in continuing medical education.
调查妇产科医生在一系列传染病方面的当前做法，以指导未来继续医学教育工作。
一份包含多项选择题的调查问卷被邮寄给从美国医学协会妇产科专家名单中随机挑选出的2500名65岁以下的医生。前500份回复构成数据集，并通过计算机进行分析。
我们发现许多临床领域的实践模式被认为是合适的，包括抗生素选择、乙型肝炎普遍筛查以及孕期尿路感染的随访。在其他以“专家”之间存在争议为特征的领域，实践模式差异很大。这些领域包括胎膜早破和早产的管理，以及B族链球菌普遍筛查。需要进一步开展继续医学教育工作的领域包括围产期病毒感染的管理以及性传播疾病的诊断和治疗。
尽管这项调查表明美国妇产科医生的实践模式在许多与传染病相关的临床领域是合适的，但仍有其他临床情况需要在未来继续医学教育方面做出努力。
