Antimicrobial Stewardship & Healthcare Epidemiology : ASHE · 8 authors, 4 centres
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This web-based survey assessed self-reported practice patterns for using oral antibiotics to treat bloodstream infections (BSIs) among infectious diseases clinicians (IDCs) and non-IDCs. The central result is that significant practice variation and discordance with evidence exist between the groups, particularly for Staphylococcus aureus infections, highlighting educational opportunities.
The study was a cross-sectional, open-access web-based survey distributed via email and social media to clinicians at a Midwestern academic medical center and beyond. Results showed IDCs and NIDCs had similar practices for some BSIs (e.g., E. coli UTI, streptococcal cellulitis). Fewer IDCs than NIDCs selected OAT to complete treatment for MRSA BSI due to gluteal abscess (11.9% vs 25.6%; P = .012) and MSSA BSI due to septic arthritis (13.9% vs 20.9%; P = .219). Limitations include the open-access survey design with a non-ascertainable response rate and potential self-report bias. The findings suggest practice variation and discordance with current evidence, indicating a need for education and potentially guideline development.
