DOI: 10.18413/2658-6533-2019-5-4-0-6

A comparative analysis of physicians’ basic knowledge with different work experience in the treatment of community-acquired pneumonia. Project «КnoCAP», II phase (2017-2019)

Background: Community-acquired pneumonia (CAP) is an acute infectious inflammatory disease more often of bacterial etiology that occurs in outside hospital settings. This pathology is an important medical and social problem, which is associated with morbidity and mortality from pneumonia in the Russian Federation. Raising the level of awareness of doctors in pharmacotherapy of CAP will improve the level of care provided to the population. The aim of the study: To conduct a comparative analysis of basic knowledge among medical doctors with different backgrounds on the basic treatment of CAP. Materials and methods: The article represents the results of an anonymous prospective survey within the framework of the KNOCAP (the acronym of the project «The assessment of physicians’ knowledge of community-acquired pneumonia basics») multi-centered research project aimed at accessing the knowledge and preferences of doctors on the fundamental issues in diagnostics and treatment of community-acquired pneumonia. In 2017-2019, the survey involved 429 physicians from eleven Russian 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. Results: For both young and more experienced doctors, the following questions caused the greatest difficulties: the choice of starting antimicrobial therapy in patients with and without risk factors, as well as the problem of indicating “typical” errors in the treatment of CAP. In general, the study showed a significant discrepancy in knowledge in the management of patients with CAP with the current clinical guidelines in 2010 and the draft new clinical guidelines in 2018-2019. Conclusion: In the course of the analysis, it was found that statistical significance in the difference in the management of patients with CAP among doctors with work experience of more than 5 years and less than 5 years is not always present. Also, a multicenter section of knowledge and preferences of specialists in many issues revealed their insufficient level for the correct management of patients with CAP.

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