Training should be the first step toward an antifungal stewardship program
Enferm. infecc. microbiol. clín. (Ed. impr.)
; 33(4): 221-227, abr. 2015. tab
Artigo
em Inglês
| IBECS
| ID: ibc-136734
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
The frequency of use of systemic antifungal agents has increased significantly in most tertiary centers. However, antifungal stewardship has received very little attention. The objective of this article was to assess the knowledge of prescribing physicians in our institution as a first step in the development of an antifungal stewardship program. Attending physicians from the departments that prescribe most antifungals were invited to complete a questionnaire based on current guidelines on diagnosis and therapy of invasive candidiasis and invasive aspergillosis (IA).The survey was completed by 60.8% (200/329) of the physicians who were invited to participate. The physicians belonged to the following departments medical (60%), pediatric (19%), intensive care (15.5%), and surgical (5.5%). The mean (±SD) score of correct responses was 5.16 ± 1.73. In the case of candidiasis, only 55% of the physicians clearly distinguished between colonization and infection, and 17.5% knew the local rate of fluconazole resistance. Thirty-three percent knew the accepted indications for antifungal prophylaxis, and 23% the indications for empirical therapy. However, most physicians knew which antifungals to choose when starting empirical therapy (73.5%). As for aspergillosis, most physicians (67%) could differentiate between colonization and infection, and 34.5% knew the diagnostic value of galactomannan. The radiological features of IA were well recognized by 64%, but only 31.5% were aware of the first line of treatment for IA, and 36% of the recommended duration of therapy. The usefulness of antifungal levels was known by 67%. This simple, easily completed questionnaire enabled us to identify which areas of our training strategy could be improved
RESUMEN
No disponible
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Prescrições de Medicamentos
/
Micoses
/
Antifúngicos
Tipo de estudo:
Guia de prática clínica
/
Estudo prognóstico
/
Pesquisa qualitativa
Limite:
Humanos
Idioma:
Inglês
Revista:
Enferm. infecc. microbiol. clín. (Ed. impr.)
Ano de publicação:
2015
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital General Universitario Gregorio Marañón/Spain
/
Hospital Gregorio Marañón/Spain