Unterscheiden sich Anästhesisten an Universitätskliniken bezüglich ihres Selbstvertrauens und Wissens über rationale Antibiotikaverordnung von ihren nichtuniversitär tätigen Kollegen?

Translated title of the contribution: The influence of hospital characteristics on anaesthetists' self-confidence and knowledge about rational antibiotic application - A survey study comparing university and non-university hospitals

F. Schneider, C. M. Schulz, M. May, M. Pawlik, M. Hübler, J. Soukup, C. Ernst, G. Schneider, M. Jacob, F. Brettner, M. G. Kees, B. Graf, M. Kretzschmar, T. Hachenberg, M. Schmidt, C. Koch, M. Sander, M. Zoller, T. Koch, S. Brookman-MayM. Heim

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Treatment in a university hospital has been linked to less adverse events, whereas non-university hospitals have been reported to provide better resident training. We aimed to investigate whether there are differences between university and non-university hospitals in anaesthetists' self-confidence, selfrated knowledge or objective knowledge about the rational application of antibiotics. Methods: The Multi-institutional Reconnaissance of Practice with Multiresistant Bacteria (MR2) questionnaire was administered to 1,268 anaesthetists of seven university, one primary, six secondary and two tertiary care hospitals (n = 16) in 2017. It evaluates self-confidence in practical use of antibiotics (1 = very unconfident, 4 = very confident, n = 6), self-rated theoretical knowledge (1 = no knowledge, 4 = full knowledge, n = 16), and objective knowledge (multiple choice, n = 5). Chi-square, Kruskal-Wallis- H tests and logistic regression models (MLRM) were computed to evaluate differences between the physicians from university and non-university hospitals. Results: 684 questionnaires were included (return rate 53,9%), 414 of which (60.5%) were completed by university physicians. The overall self-confidence rate was higher in non-university (mean = 2.6 ± 0.52) than in university (mean = 2.5 ± 0.52) anaesthetists (p = 0.014). Additionally, non-university physicians (mean = 2.6 ± 0.53) rated their knowledge on antibiotic application higher than university physicians (mean = 2.5 ± 0.46; p = 0.008). The overall com- parison of correct answers in the objective knowledge items did not reveal any differences between university and non-university physicians. Conclusion: Non-university anaesthesiologists and residents showed higher self-confidence and tended to rate their knowledge higher than university physicians. However, the groups did not differ in their objective knowledge.

Translated title of the contributionThe influence of hospital characteristics on anaesthetists' self-confidence and knowledge about rational antibiotic application - A survey study comparing university and non-university hospitals
Original languageGerman
Pages (from-to)468-478
Number of pages11
JournalAnasthesiologie und Intensivmedizin
Volume60
Issue number10
DOIs
StatePublished - 2019

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