The assessment of physicians' and senior medical students’ knowledge in the field of community-acquired pneumonia: preliminary results of the KNOCAP-II project (2017-2019).
DOI:
https://doi.org/10.26641/2307-0404.2020.1.200402Ключевые слова:
community-acquired pneumonia, pharmacotherapy, clinical recommendations, doctors, students, pharmacoepidemiologyАннотация
Community-acquired pneumonia (CAP) is one of the most relevant problems of modern medicine. Today, CAP takes 4th place in the structure of mortality (after cardiovascular, cerebrovascular diseases and malignant neoplasms) and 1st place among all deaths from infectious diseases. The aim of the study is to assess the level of general physician’ and senior medical students’ basic knowledge in CAP treatment. The article represents the results of anonymous prospective surveys within the framework of the second stage of KNOCAP multi-centered research project (full name of the project «The assessment of physician’ and students’ knowledge of community-acquired pneumonia basics») aimed at accessing the knowledge and preferences of doctors and students on the fundamental issues in diagnosis and treatment of community-acquired pneumonia. The survey conducted in 2017-2019 involved 588 physicians and 394 students from seventeen Russian, Kyrgyzstan and Ukrainian centers. The method of anonymous questioning was used in this study, for which an original questionnaire was developed on the basis of current clinical recommendations. The following fundamental questions caused the greatest difficulties in the respondents: terms for a repeated X-ray examination in positive dynamics of CAP treatment, the choice of main diagnostic criteria of CAP, the choice of the typical mistakes of CAP treatment, the choice of the initial antimicrobial therapy. In general, the respondents’ knowledge in CAP patients’ management deviates significantly from the current clinical guidelines, as of 2010, and from the new clinical guidelines draft, 2018-2019. Currently, there is a need to increase the level of knowledge and improve the professional activities of therapists and senior medical students, as a multicenter section of the knowledge and preferences of specialists in many issues revealed their insufficient level for the correct management of patients with CAP.
Библиографические ссылки
Chuchalin AG, Sinkopalnikov AI, Strachunskiy LS. [Community-acquired pneumonia in adults: practical recommendations for diagnosis, treatment and prevention]. Klinicheskaya mikrobiologiya i antimikrobnaya khimioterapiya. 2010;12(3):186-225. Russian.
Leshchenko IV. [Community acquired pneumonia pneumonia in adults: possibilities of treatment in outpatient conditions]. MS. 2017;18. Available from: https://cyberleninka.ru/article/n/vnebolnichnaya-pnevmoniya-u-vzroslyh-vozmozhnosti-lecheniya-v-ambulatornyh-usloviyah. Russian.
Pertseva TA, Avramenko ІV. [Features of laboratory indicators of severe community-acquired pneumonia]. Medicni perspektivi. 2017;22(2):24-31. DOI: https://doi.org/10.26641/2307-0404.2017.2.109714. Ukranian
Sinopalnikov AI. [Antibiotics and community-acquired lower respiratory tract infections. To whom? Which one?]. Klinicheskaya mikrobiologiya i antimikrobnaya khimioterapiya. 2019;1. Available from: https://cyberleninka.ru/article/n/antibiotiki-i-vnebolnichnye-infektsii-nizhnih-dyhatelnyh-putey-komu-kakoy. Russian.
Bilichenko TN, Bystritskaya EV, Chuchalin AG. [Mortality of respiratory disease in 2014 – 2015 and ways of its improvement]. Pulmonologiya. 2016;26(4):389-97. Russian. doi: https://doi.org/10.18093/0869-0189-2016-26-4-389-397
Spichak TV. [Treatment of community-acquired pneumonia on an outpatient basis: learning from mistakes]. Meditsinskiy sovet. 2019;11:172-8. Russian. doi: https://doi.org/10.21518/2079-701X-2019-11-172-178
Sharashova EE, Holmatova KK, Gorbatova MA, Grzhibovskij AM. [Applying Health Survival Analysis Using SPSS Statistical Pack]. Nauka i zdravoohranenie. 2017;5. Available from: https://cyberleninka.ru/article/n/primenenie-analiza-vyzhivaemosti-v-zdravoohranenii-s-ispolzovaniem-paketa-statisticheskih-programm-spss
Bontsevich RA, Filinichenko TS, Gavrilova AA, et al. Assessment of physicians’ and senior medical students’ knowledge in treatment of patients with community-acquired pneumonia. current results of the KNOCAP project. Research Results in Pharmacology. 2018;4(3):27-36. doi: https://doi.org/10.3897/rrpharmacology.4.29454
Bontsevich RA, Gavrilova AA, Prozorova GG, et al. The assessment of physicians' knowledge of community-acquired pneumonia basics: KNOCAP study. European Respiratory Journal. 2019;54(63):PA2922. doi: https://doi.org/10.1183/13993003.congress-2019.PA1483
Cillóniz C, Rodríguez-Hurtado D, Nicolini A, et al. Clinical Approach to Community-Acquired Pneumonia. Journal of Thoracic Imaging. 2018;33(5):273-81. doi: https://doi.org/10.1097/RTI.0000000000000343
Draft Clinical Guidelines of the Russian Respiratory Society for Community-acquired Pneumonia; 2018.
McLaughlin J, Jiang Q, Isturiz R, et al. Effectiveness of 13-Valent Pneumococcal Conjugate Vaccine Against Hospitalization for Community-Acquired Pneumonia in Older US Adults: A Test-Negative Design. Clinical Infectious Diseases. 2018. doi: https://doi.org/10.1093/cid/ciy312
Lee MS, Oh JY, Kang CI, et al. Guideline for Antibiotic Use in Adults with Community-acquired Pneumonia. Infection and Chemotherapy. 2018;50(2):160-198. doi: https://doi.org/10.3947/ic.2018.50.2.160
Escobar GJ, Plimier C, Greene JD, Liu V, Kipnis P. Multiyear Rehospitalization Rates and Hospital Outcomes in an Integrated Health Care System. JAMA Netw Open. 2019;2(12):e1916769. doi: https://doi.org/10.1001/jamanetworkopen.2019.16769
Fathima P, Blyth CC, Lehmann D, Lim FJ, Abdalla T, de Klerk N, et al. The impact of pneumococcal vaccination on bacterial and viral pneumonia in Western Australian children: record linkage cohort study of 469,589 births (1996-2012). Clin Infect Dis. 2017 Oct 23. doi: https://doi.org/10.1093/cid/cix923
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