Knowledge Level of the Family Medicine Residents and Specialists about Asymptomatic Bacteriuria during Pregnancy

INTRODUCTION: This study aims to determine the approaches and level of knowledge of family medicine residents and specialists about asymptomatic bacteriuria in pregnancy.
METHODS: This is a cross-sectional study conducted between March and August 2018, with easy sampling, reaching the maximum number of physicians through the website we designed for this project. A questionnaire containing 19 questions created by the researchers was applied to family medicine residents and specialists in Turkey, after filling voluntary consent forms. SPSS 21 statistics program was used for descriptive statistical analyzes.
RESULTS: A total of 252 people, 166 (65.9%) family medicine residents (FMRs), 86 (34.1%) family medicine specialists (FMSs) participated in the study. During the pregnancy follow-up, 102 physicians (27 FMSs and 75 FMRs) requested complete urinalysis (CUA) and urine culture together. In order to be able to diagnose asymptomatic bacteriuria in urine culture, 55 of FMSs (64.0%) and 91 of FMRs (54.8%) gave the correct answer to the question that the number of bacteria should be more than 105. In the treatment of asymptomatic bacteriuria during pregnancy, it was determined that the FMSs and FMRs mostly preferred ampicillin. Most of the participants in the study were aware of the complications of Trimethoprim-Sulfamethoxazole (TMP-SMX) used in the treatment.
DISCUSSION AND CONCLUSION: According to our study; We found that the knowledge level of family medicine specialists and residents about asymptomatic bacteriuria during pregnancy was insufficient. For this reason, we think that conducting new studies on this subject in the literature and involving a large number of participants will increase awareness of this issue.

Aile Hekimliði Asistanlarýnýn ve Uzmanlarýnýn Gebelikte Asemptomatik Bakteriüri Hakkýndaki Bilgi Düzeyleri

GÝRÝÞ ve AMAÇ: Çalýþmamýz gebelikte görülen asemptomatik bakteriüri hakkýnda aile hekimliði asistanlarý ve uzmanlarýnýn yaklaþýmlarýný ve bilgi düzeylerini belirlemeyi amaçlamaktadýr.
YÖNTEM ve GEREÇLER: Bu çalýþma, Mart-Aðustos 2018 tarihleri arasýnda, kolay örneklem ile gerçekleþtirilmiþ, açýlan web sitesi üzerinden maksimum hekim sayýsýna ulaþýlarak yapýlmýþ kesitsel bir çalýþmadýr. Türkiye genelinde, asistan ve uzman aile hekimlerine, gönüllü onam formu doldurulduktan sonra araþtýrmacýlar tarafýndan oluþturulmuþ 19 soru içeren bir anket uygulanmýþtýr. Tanýmlayýcý istatistiksel analizler için SPSS 21 istatistik programý kullanýlmýþtýr.
BULGULAR: Çalýþmaya 166’sý (%65,9) aile hekimliði asistaný (AHA), 86’sý (%34,1) aile hekimliði uzmaný (AHU) toplam 252 kiþi katýldý. Gebe takibi esnasýnda 102 hekim (27 AHU ve 75 AHA) tam idrar tahlili (TÝT) ve idrar kültürünü beraber istedi. Ýdrar kültüründe asemptomatik bakteriüri diyebilmek için bakteri sayýsýnýn 105’den fazla olmalýdýr sorusuna AHU’larýn 55’i (%64,0) ve AHA’larýn ise 91’si (%54,8) doðru cevap verdi. Gebelikte asemptomatik bakteriüri tedavisinde AHU ve AHA’larýn en sýk ampisilin tercih ettiði saptandý. Çalýþmaya katýlan katýlýmcýlarýn çoðu tedavide kullanýlan Trimetoprim-Sülfometaksazol (TMP-SMX)’ün komplikasyonlarýndan haberdardý.
TARTIÞMA ve SONUÇ: Çalýþmamýza göre; Aile hekimliði uzmanlarýnýn ve asistanlarýnýn, gebelikteki asemptomatik bakteriüri hakkýndaki bilgi düzeylerinin yetersiz olduðunu saptadýk. Bu nedenle literatürde bu konuyla ilgili yeni ve çok sayýda katýlýmcýyý içeren çalýþmalarýn yapýlmasý bu konudaki farkýndalýðý arttýracaðý düþüncesindeyiz.