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Survey of Physician Diagnostic Practices for Patients with Acute Diarrhea: Clinical and Public Health Implications

Hennessy, Thomas W. ; Marcus, Ruthanne ; Deneen, Valerie ; Reddy, Sudha ; Vugia, Duc ; Townes, John ; Bardsley, Molly ; Swerdlow, David ; Angulo, Frederick J.

Clinical infectious diseases, 2004-04, Vol.38 (Supplement-3), p.S203-S211 [Periódico revisado por pares]

United States: The University of Chicago Press

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Título:
Survey of Physician Diagnostic Practices for Patients with Acute Diarrhea: Clinical and Public Health Implications
Autor: Hennessy, Thomas W. ; Marcus, Ruthanne ; Deneen, Valerie ; Reddy, Sudha ; Vugia, Duc ; Townes, John ; Bardsley, Molly ; Swerdlow, David ; Angulo, Frederick J.
Assuntos: Acute Disease ; Clinical Laboratory Techniques ; Diarrhea ; Diarrhea - diagnosis ; Diarrhea - microbiology ; Education, Medical ; Emerging diseases ; Epidemiology ; Escherichia coli ; Escherichia coli O157 - isolation & purification ; Family practice ; Feces - microbiology ; Fever ; Humans ; Medical practice ; Operating rooms ; Physicians ; Practice Patterns, Physicians ; Preventive medicine ; Public health ; Vibrio ; Yersinia
É parte de: Clinical infectious diseases, 2004-04, Vol.38 (Supplement-3), p.S203-S211
Notas: ark:/67375/HXZ-V7W0KDXG-G
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Descrição: To understand physician practices regarding the diagnosis of acute diarrheal diseases, we conducted a survey, in 1996, of 2839 physicians in Connecticut, Georgia, Minnesota, Oregon, and California. Bacterial stool culture was requested for samples from the last patient seen for acute diarrhea by 784 (44%; 95% confidence interval, 42%–46%) of 1783 physicians. Physicians were more likely to request a culture for persons with acquired immune deficiency syndrome, bloody stools, travel to a developing country, diarrhea for >3 days, intravenous rehydration, or fever. Substantial geographic and specialty differences in culture-request practices were observed. Twenty-eight percent of physicians did not know whether stool culture included testing for Escherichia coli O157:H7; 40% did not know whether Yersinia or Vibrio species were included. These variabilities suggest a need for clinical diagnostic guidelines for diarrhea. Many physicians could benefit from education to improve their knowledge about tests included in routine stool examinations.
Editor: United States: The University of Chicago Press
Idioma: Inglês

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Survey of Physician Diagnostic Practices for Patients with Acute Diarrhea: Clinical and Public Health Implications

Hennessy, Thomas W. ; Marcus, Ruthanne ; Deneen, Valerie ; Reddy, Sudha ; Vugia, Duc ; Townes, John ; Bardsley, Molly ; Swerdlow, David ; Angulo, Frederick J.

United States: The University of Chicago Press

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