Provider Knowledge, Attitudes, and Practices regarding Obstetric and Postsurgical Gynecologic Infections
Author Information
Author(s): Chris A. Van Beneden, Laure A. Hicks, Laura E. Riley, Jay Schulkin
Primary Institution: Centers for Disease Control and Prevention
Hypothesis
The knowledge, attitudes, and practices of obstetricians and gynecologists regarding CDC recommendations for preventing healthcare-associated group A streptococcal infections are unknown.
Conclusion
Postpartum and postsurgical infections are common, and the lack of diagnostic cultures represents a missed opportunity for preventing severe GAS infections.
Supporting Evidence
- 53% of providers responded to the survey.
- Postpartum infections occurred in 3% of vaginal deliveries.
- 7% of patients undergoing surgery developed postsurgical infections.
- Only 14% of clinicians routinely obtain diagnostic specimens for postpartum infections.
Takeaway
Doctors often treat infections without checking for the specific germs causing them, which can lead to missed chances to prevent serious infections.
Methodology
Surveys were sent to 1300 members of the American College of Obstetricians and Gynecologists to assess their practices regarding infections.
Potential Biases
The low awareness of CDC guidelines among providers may lead to underreporting of infections and inadequate adherence to recommended practices.
Limitations
The survey had a low response rate, particularly among non-CARN providers, and the estimated number of procedures performed may be underestimated.
Participant Demographics
The majority of respondents practiced in group settings, were specialists, and had varying years of experience in obstetrics and gynecology.
Statistical Information
P-Value
<.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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