How much European prescribing physicians know about invasive fungal infections management?

Background: The use of systemic antifungal agents has increased in most tertiary care centers. However, antifungal stewardship has deserved very little attention. Our objective was to assess the knowledge of European prescribing physicians as a first step of an international program of antifungal st...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Valerio, Maricela (VerfasserIn) , Hochreiter, Marcel (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 21 February 2015
In: BMC infectious diseases
Year: 2015, Jahrgang: 15
ISSN:1471-2334
DOI:10.1186/s12879-015-0809-z
Online-Zugang:Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1186/s12879-015-0809-z
Verlag, kostenfrei, Volltext: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4344747/
Volltext
Verfasserangaben:Maricela Valerio, Antonio Vena, Emilio Bouza, Nanna Reiter, Pierluigi Viale, Marcel Hochreiter, Maddalena Giannella, Patricia Muñoz and on behalf the COMIC study group (Collaborative group on Mycosis)

MARC

LEADER 00000caa a2200000 c 4500
001 1561027979
003 DE-627
005 20230428162112.0
007 cr uuu---uuuuu
008 170719s2015 xx |||||o 00| ||eng c
024 7 |a 10.1186/s12879-015-0809-z  |2 doi 
035 |a (DE-627)1561027979 
035 |a (DE-576)491027974 
035 |a (DE-599)BSZ491027974 
035 |a (OCoLC)1340977649 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Valerio, Maricela  |e VerfasserIn  |0 (DE-588)1136988475  |0 (DE-627)893923982  |0 (DE-576)491027540  |4 aut 
245 1 0 |a How much European prescribing physicians know about invasive fungal infections management?  |c Maricela Valerio, Antonio Vena, Emilio Bouza, Nanna Reiter, Pierluigi Viale, Marcel Hochreiter, Maddalena Giannella, Patricia Muñoz and on behalf the COMIC study group (Collaborative group on Mycosis) 
264 1 |c 21 February 2015 
300 |a 8 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Gesehen am 19.07.2017 
520 |a Background: The use of systemic antifungal agents has increased in most tertiary care centers. However, antifungal stewardship has deserved very little attention. Our objective was to assess the knowledge of European prescribing physicians as a first step of an international program of antifungal stewardship. Methods: Staff physicians and residents of 4 European countries were invited to complete a 20-point questionnaire that was based on current guidelines of invasive candidiasis and invasive aspergillosis. Results: 121 physicians (44.6% staff, 55.4% residents) from Spain 53.7%, Italy 17.4%, Denmark 16.5% and Germany 12.4% completed the survey. Hospital departments involved were: medical 51.2%, ICUs 43%, surgical 3.3% and pharmaceutical 2.5%. The mean score of adequate responses (± SD) was 5.8 ± 1.7 points, with statistically significant differences between study site and type of physicians. Regarding candidiasis, 69% of the physicians clearly distinguished colonization from infection and the local rate of fluconazole resistance was known by 24%. The accepted indications of antifungal prophylaxis were known by 38%. Regarding aspergillosis, 52% of responders could differentiate colonization from infection and 42% knew the diagnostic value of galactomannan. Radiological features of invasive aspergillosis were well recognized by 58% of physicians and 57% of them were aware of the antifungal considered as first line treatment. However, only 37% knew the recommended length of therapy. Conclusions: This simple, easily completed questionnaire enabled us to identify some weakness in the knowledge of invasive fungal infection management among European physicians. This survey could serve as a guide to design a future tailored European training program. Electronic supplementary material: The online version of this article (doi:10.1186/s12879-015-0809-z) contains supplementary material, which is available to authorized users. 
700 1 |a Hochreiter, Marcel  |e VerfasserIn  |0 (DE-588)138536597  |0 (DE-627)603796044  |0 (DE-576)307967522  |4 aut 
773 0 8 |i Enthalten in  |t BMC infectious diseases  |d London : BioMed Central, 2001  |g 15(2015) Artikel-Nummer 80, 8 Seiten  |h Online-Ressource  |w (DE-627)326645381  |w (DE-600)2041550-3  |w (DE-576)107014793  |x 1471-2334  |7 nnas  |a How much European prescribing physicians know about invasive fungal infections management? 
773 1 8 |g volume:15  |g year:2015  |g extent:8  |a How much European prescribing physicians know about invasive fungal infections management? 
856 4 0 |u http://dx.doi.org/10.1186/s12879-015-0809-z  |x Verlag  |x Resolving-System  |z kostenfrei  |3 Volltext 
856 4 0 |u http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4344747/  |x Verlag  |z kostenfrei  |3 Volltext 
951 |a AR 
992 |a 20170719 
993 |a Article 
994 |a 2015 
998 |g 138536597  |a Hochreiter, Marcel  |m 138536597:Hochreiter, Marcel  |d 910000  |d 910300  |e 910000PH138536597  |e 910300PH138536597  |k 0/910000/  |k 1/910000/910300/  |p 6 
999 |a KXP-PPN1561027979  |e 2974545769 
BIB |a Y 
SER |a journal 
JSO |a {"physDesc":[{"extent":"8 S."}],"person":[{"roleDisplay":"VerfasserIn","role":"aut","given":"Maricela","family":"Valerio","display":"Valerio, Maricela"},{"display":"Hochreiter, Marcel","family":"Hochreiter","given":"Marcel","role":"aut","roleDisplay":"VerfasserIn"}],"name":{"displayForm":["Maricela Valerio, Antonio Vena, Emilio Bouza, Nanna Reiter, Pierluigi Viale, Marcel Hochreiter, Maddalena Giannella, Patricia Muñoz and on behalf the COMIC study group (Collaborative group on Mycosis)"]},"note":["Gesehen am 19.07.2017"],"recId":"1561027979","title":[{"title":"How much European prescribing physicians know about invasive fungal infections management?","title_sort":"How much European prescribing physicians know about invasive fungal infections management?"}],"language":["eng"],"id":{"doi":["10.1186/s12879-015-0809-z"],"eki":["1561027979"]},"relHost":[{"origin":[{"dateIssuedDisp":"2001-","publisher":"BioMed Central ; Springer","publisherPlace":"London ; Berlin ; Heidelberg","dateIssuedKey":"2001"}],"type":{"media":"Online-Ressource","bibl":"periodical"},"disp":"How much European prescribing physicians know about invasive fungal infections management?BMC infectious diseases","physDesc":[{"extent":"Online-Ressource"}],"id":{"issn":["1471-2334"],"eki":["326645381"],"zdb":["2041550-3"]},"pubHistory":["1.2001 -"],"language":["eng"],"part":{"year":"2015","extent":"8","volume":"15","text":"15(2015) Artikel-Nummer 80, 8 Seiten"},"title":[{"title":"BMC infectious diseases","title_sort":"BMC infectious diseases"}],"recId":"326645381","note":["Gesehen am 22.05.20"]}],"type":{"bibl":"article-journal","media":"Online-Ressource"},"origin":[{"dateIssuedKey":"2015","dateIssuedDisp":"21 February 2015"}]} 
SRT |a VALERIOMARHOWMUCHEUR2120