Provider Knowledge, Attitudes, and Practices regarding Obstetric and Postsurgical Gynecologic Infections Due to Group A Streptococcus and Other Infectious Agents

Details

• Alternative Title:
  Infect Dis Obstet Gynecol
• Personal Author:
  Van Beneden, Chris A. ; Hicks, Lauri A. ; Riley, Laura E. ; Schulkin, Jay
• Description:
  Knowledge, attitudes, and practices of obstetricians and gynecologists regarding the Centers for Disease Control and Prevention (CDC) recommendations for prevention of healthcare-associated group A streptococcal (GAS) infections as well as general management of pregnancy-related and postpartum infections are unknown.|Questionnaires were sent to 1300 members of the American College of Obstetricians and Gynecologists.|Overall, 53% of providers responded. Postpartum and postsurgical infections occurred in 3% and 7% of patients, respectively. Only 14% of clinicians routinely obtain diagnostic specimens for postpartum infections; providers collecting specimens determined the microbial etiology in 28%. Microbiologic diagnoses were confirmed in 20% of postsurgical cases. Approximately 13% and 15% of postpartum and postsurgical infections for which diagnoses were confirmed were attributed to GAS, respectively. Over 70% of clinicians were unaware of CDC recommendations.|Postpartum and postsurgical infections are common. Providing empiric treatment without attaining diagnostic cultures represents a missed opportunity for potential prevention of diseases such as severe GAS infections.
• Subjects:
  Attitude Of Health Personnel Clinical Competence Data Collection Female Gynecology Humans Male Obstetrics Physicians Pregnancy Puerperal Infection Research Article Streptococcal Infections Streptococcus Pyogenes Surgical Wound Infection

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• Source:
  Infect Dis Obstet Gynecol. 2007; 2007.
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  2007
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:2aaf497f9f140620232ca474ba1addd2e264f8f7893c95f6d7512d76618eecfc6524df797b25b9a696f4785b671936615025455d8297462e6f6da8abf61eb23d
• Download URL:
  https://stacks.cdc.gov/view/cdc/3999/cdc_3999_DS1.pdf
• File Type:
  [PDF - 502.77 KB ]