Table 5.
Summary of knowledge vignettes with the corresponding percentage of correct answers with comparison across teaching hospitals
Clinical vignette | Percentage correct (%) | P valueb |
---|---|---|
N = 595 | ||
Complicated UTI: appropriate antimicrobial selection and duration of treatment | 52.3 | <0.001a |
Recognize the spectrum of activity of selected antimicrobial agents | 22.3 | 0.114 |
Diagnosis of community acquired pneumonia: selection of appropriate antimicrobial and switch intravenous to oral therapy | 45.0 | 0.017a |
Recognize Clostridium difficile infection secondary to the use of antimicrobials | 89.4 | 0.025a |
Recognize the possible risks associated with unnecessary use of antimicrobials | 50.7 | <0.001a |
Match the antimicrobial/organism with most likely mechanism of resistance | ||
E. coli/β-lactam resistance | 39.1 | <0.001a |
S. aureus/methicillin resistance | 37.0 | 0.326 |
S. aureus/vancomycin intermediate | 27.5 | 0.032a |
Enterococcus/cephalosporin | 11.9 | 0.018a |
Extended spectrum β-lactamase positive E. coli bacteremia: antimicrobial selection | 5.0 | 0.1 |
Identify scenarios with potential for unnecessary use of antimicrobials | 5.0 | 0.439 |
UTI urinary tract infection
aP < 0.05 refers to statistical differences in the percentages of different teaching hospitals
bKruskal–Wallis test