Personal beliefs and misconceptions, not evidence guide general practitioners in the managing of travelers’ diarrhea: Results from a pilot study (North-Western Italy, 2019) - 28/04/21
, Giovanni Gualerzi b, Silvia Ranzieri cBienvenue sur EM-consulte, la référence des professionnels de santé.
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Highlights |
• | GPs have exhibited knowledge gaps on management/prevention of Travellers’ Diarrhea (TD). |
• | The potential health consequences of TD were largely underestimated. |
• | Italian GPs should receive updated information on antimicrobial treatment of TD. |
Abstract |
Background |
The present study aims to characterize knowledge, attitudes and practices in a sample of general practitioners (GPs) on management of travelers’ diarrhea (TD).
Methods |
A total of 158 GPs (44.3% males; mean age 40.2±12.4 years) completed a web questionnaire on antibiotic prophylaxis (AP) and/or an antibiotic treatment (AT) in TD cases. Participants were inquired on knowledge status (KS), risk perception and effectively applied recommendations for AP/AT through a specifically designed questionnaire. Multivariate odds ratios (OR) for predictors of AP/AT were calculated through regression analysis.
Results |
All in all, while 15 (9.5%) participants recommended AP for TD, 61 of them (39.4%) recommended AT. KS was largely unsatisfying as participants extensively ignored the most recent AP/AT recommendations. Acknowledgment of TD as a severe disorder was predictive for recommendation of AP (OR 37.843, 95%CI 4.752–301.4). As for AT, it was relatively elevated in GPs≥10 years (OR 2.653, 95%CI 1.169–6.019), but more rarely reported in participants with higher KS (OR 0.056, 95%CI 0.021–0.153).
Conclusions |
Adherence of GPs to official recommendations for TD management was unsatisfying, particularly in older participants. Continuous Education of GPs should be improved by sharing up-to-date official recommendations on AT/AP for TD.
Le texte complet de cet article est disponible en PDF.Keywords : Surveys and questionnaires, Health knowledge, attitudes and practice, Physicians, Primary Care, Referral and consultation, Travel medicine, Tropical medicine
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Vol 51 - N° 3
P. 266-272 - mai 2021 Retour au numéro
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