1302. Antibiotic Prescribing Knowledge: A Brief Survey of Providers and Staff at an Ambulatory Cancer Center during Antibiotic Awareness Week 2017
Session: Poster Abstract Session: Medical Education
Friday, October 5, 2018
Room: S Poster Hall

Background: Antibiotics have contributed significantly to advances in cancer therapy and hematopoietic cell transplantation, but rising antibiotic resistance threatens this progress. Little is known about knowledge and perceptions surrounding antibiotic use and resistance among staff at cancer centers.

Methods: We conducted a brief cross-sectional survey of healthcare professionals (HCP) at a large ambulatory cancer center to assess knowledge of antibiotic prescribing and resistance during Antibiotic Awareness Week, November 13-19, 2017. A convenience sample of providers and staff who participated in one of two 2-hour Antimicrobial Stewardship Program “open house” events was used. Questions evaluated knowledge about antibiotic use for upper respiratory tract infections (URIs).

Results: There were 179 respondents. The proportion of correct responses to each question by employee type is displayed in Table 1. There was a statistically significant decreasing trend in the proportion correctly answering all 4 questions by employee type from providers, to pharmacists, to nurses, to others (p <0.001) (Figure 1.)

Table 1. Survey Results by Employee Type

Provider (MD/NP/PA)

RPh

RN

Other

All

p-value1

Number of respondents, n(%)

45 (25)

17 (10)

42 (23)

75 (42)

179 (100)

N/A

Concept evaluated

Respondents answering correctly, n (%)

1 Most URIs are caused by viruses

43 (96)

17 (100)

35 (83)

46 (61)

141 (79)

<0.001

2 Antibiotics are not indicated for cold symptoms/ viral URI

45 (100)

16 (94)

39 (93)

66 (88)

166 (93)

0.007

3 Green sputum or mucus is not an indication for antibiotics

44 (98)

13 (76)

27 (64)

27 (36)

111 (62)

<0.001

4 Avoiding unnecessary antibiotics can prevent emergence of resistance

45 (100)

17 (100)

41 (98)

61 (81)

164 (92)

<0.001

1A one sided Cochran-Armitage test for trend was performed

Figure 1. Distribution of correctly answered questions by employee type

Conclusion: Providers were more likely to correctly answer questions pertaining to antibiotic use compared to other HCP. Due to the multidisciplinary nature of cancer care, patients often encounter a variety of HCP over the course of treatment. Opportunities exist to improve antibiotic stewardship education across the spectrum of HCP at our cancer center, including pharmacists, nurses, and other staff.

Erica Stohs, MD, MPH1,2, Elizabeth M. Krantz, MS2, Ania Sweet, PharmD3, Jacqlynn Zier, BA2, Maria Paleologos, BA4, Steven A Pergam, MD, MPH, FIDSA2 and Catherine Liu, MD, FIDSA5, (1)Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA, (2)Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, (3)Seattle Cancer Care Alliance, Seattle, WA, (4)Fred Hutchinson Cancer Research Center, Seattle, WA, (5)University of Washington, Seattle, WA

Disclosures:

E. Stohs, None

E. M. Krantz, None

A. Sweet, None

J. Zier, None

M. Paleologos, None

S. A. Pergam, None

C. Liu, None

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