We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Healthcare providers' knowledge and clinical practice surrounding shigellosis — DocStyles Survey, 2020.
- Authors
Haston, Julia C.; Ford, Laura; Vanden Esschert, Kayla L.; Plumb, Ian D.; Logan, Naeemah; Francois Watkins, Louise K.; Garcia-Williams, Amanda G.
- Abstract
Background: Shigellosis is an acute diarrheal disease transmitted through contaminated food, water, objects, poor hand hygiene, or sexual activity. Healthcare providers (HCP) may not be aware of the multiple routes of Shigella transmission, populations at increased risk, or importance of antibiotic susceptibility testing (AST). This study assessed HCP knowledge and clinical practices regarding shigellosis and antibiotic resistance. Methods: Porter Novelli Public Services administered a web-based survey (Fall DocStyles 2020) to HCP in the United States. Pediatricians, primary care physicians, nurse practitioners, and physician assistants completed questions about knowledge and clinical practice of acute diarrhea and shigellosis. Results: Of 2196 HCP contacted, 1503 responded (68% response rate). Most identified contaminated food (85%) and water (79%) as routes of Shigella transmission; fewer recognized person-to-person contact (40%) and sexual activity (18%). Men who have sex with men (MSM) were identified as being at risk for shigellosis by 35% of respondents. Most reported counseling patients to wash hands (86%) and avoid food preparation (77%) when ill with shigellosis; 29% reported recommending avoiding sex. Many HCP reported treating shigellosis empirically with ciprofloxacin (62%) and azithromycin (32%), and 29% reported using AST to guide treatment. Conclusions: We identified several gaps in shigellosis knowledge among HCP including MSM as a risk group, person-to-person transmission, and appropriate antibiotic use. Improving HCP education could prevent the spread of shigellosis, including drug-resistant infections, among vulnerable populations.
- Subjects
UNITED States; FOOD contamination; FISHER exact test; SURVEYS; INFECTION control; INTELLECT; DESCRIPTIVE statistics; CHI-squared test; SHIGELLOSIS; PHYSICIAN practice patterns; DRUG resistance in microorganisms; DATA analysis software; MEN who have sex with men; PATIENT education; SHIGELLA; INFECTIOUS disease transmission
- Publication
BMC Primary Care, 2023, Vol 24, Issue 1, p1
- ISSN
2731-4553
- Publication type
Article
- DOI
10.1186/s12875-023-02213-3