McGregor J A, Hager W D, Gibbs R S, Schmidt L, Schulkin J
Department of Obstetrics and Gynecology, University of Colorado Health Sciences Center, Denver.
Infect Dis Obstet Gynecol. 1998;6(6):247-51. doi: 10.1002/(SICI)1098-0997(1998)6:6<247::AID-IDOG5>3.0.CO;2-5.
Survey office-based obstetric-gynecologic practitioners regarding their knowledge of infectious disease care and antibiotic use.
A survey questionnaire of multiple-choice questions was mailed to Fellows of the American College of Obstetricians and Gynecologists about clinical entities for which recommendations have undergone recent changes or about which there was a lack of consensus in a prior similar survey (Gibbs RS, McGregor JA, Mead PB, et al.: Obstet Gynecol 83:631-636, 1994).
Respondents indicated that oral metronidazole was their most frequent choice to treat bacterial vaginosis. Ampicillin (57%) was used more often than penicillin (39%) for intrapartum group B streptococcus prophylaxis. Azithromycin was preferred (61%) over erythromycin-base (38%) for chlamydia treatment during pregnancy. There were several modes of practice that deviated from accepted care: 27% and 29% did not screen for chlamydia and gonorrhea, respectively, in pregnancy; 17% used cultures for Gardnerella vaginalis to diagnose bacterial vaginosis; 25% considered quinolones to be safe in pregnancy; 93% felt metronidazole should never be used in pregnancy; and the majority (66%) would send a patient treated successfully for pelvic cellulitis home with an oral antibiotic.
Respondents' infectious disease knowledge and practices in obstetrics and gynecology is appropriate in treating sexually transmitted diseases, bacterial vaginosis, and group B streptococcus. Numerous deficiencies still exist in screening for sexually transmitted diseases in pregnancy and diagnosing bacterial vaginosis, as well as in the choice of antibiotics to use or avoid for certain infections.
就办公室工作的妇产科从业者对传染病护理和抗生素使用的了解情况展开调查。
一份包含多项选择题的调查问卷被邮寄给美国妇产科医师学会的会员，内容涉及近期建议有变化或在之前类似调查中缺乏共识的临床病症（吉布斯·R·S、麦格雷戈·J·A、米德·P·B等：《妇产科学》83:631 - 636，1994）。
受访者表示，口服甲硝唑是他们治疗细菌性阴道病最常用的选择。在产时预防B族链球菌感染时，氨苄西林（57%）的使用频率高于青霉素（39%）。在孕期治疗衣原体感染时，阿奇霉素（61%）比红霉素碱（38%）更受青睐。存在几种与公认护理方法不同的做法：分别有27%和29%的受访者在孕期未对衣原体和淋病进行筛查；17%的人使用阴道加德纳菌培养来诊断细菌性阴道病；25%的人认为喹诺酮类药物在孕期是安全的；93%的人觉得甲硝唑在孕期绝不应使用；并且大多数人（66%）会让成功治疗盆腔蜂窝织炎的患者口服抗生素后回家。
受访者在妇产科传染病知识及实践方面，在治疗性传播疾病、细菌性阴道病和B族链球菌感染方面是恰当的。但在孕期性传播疾病筛查、细菌性阴道病诊断以及某些感染时抗生素的选用或避免使用方面仍存在诸多不足。
