A total of 64% of providers chose not to use antibiotics in this scenario. In the scenario for moderate diarrhea with some activity limitations, antibiotics were only the third most common choice for providers. The two
most popular treatment choices in this scenario were IV fluids (16%) and oral hydration (11%) only, with 10% of providers recommending ciprofloxacin as appropriate therapy. For the scenario describing severe inflammatory TD, the most frequent response that providers chose was an antibiotic (ciprofloxacin 25%). However, 19% of providers felt that this scenario was best treated with hydration only (11% IV and 8% oral hydration). Many providers also chose http://www.selleckchem.com/products/BKM-120.html to treat dysentery with fluids only (19% oral and 6% IV) while 14% of providers chose to use
an antimotility agent either alone or in combination with other medications as a treatment option in this scenario. Over half (53%) of providers selected the antibiotic metronidazole for treatment of the scenario describing persistent diarrhea. In the scenario designed to represent the typical case of viral gastroenteritis, 29% of providers stated that they would prescribe antibiotics in management of these individuals. The providers who did not respond to Enzalutamide clinical trial these management of clinical scenarios differed from those who responded with respect to current country of assignment. Nonresponders were more likely to be currently assigned in Europe (47% vs 13%; p = 0.01), and less likely to have been currently stationed in CONUS (7% vs 34%; Fisher’s exact, p = 0.01). Providers were scored in each scenario based on whether they correctly identified the appropriate medications or combination of medications. The means of total scores for all scenarios are plotted by select provider characteristics in Figure 1. Based on a total possible score, range from −23 to 20, the overall average total score was 7.8 (SD 4.6) and ranged from −4 to 17. Average total scores were highest for physicians (MD/DO) (mean 8.7, SD 4.2), followed
by physician assistants (mean 6.6, SD 5.7), with registered nurses and independent duty corpsmen averaging 3.4 (SD Org 27569 4.4) and 4.0 (SD 3.6), respectively (ANOVA p = 0.003, df = 3). There were no other provider characteristics that differentiated average total scores that reached statistical significance, however, among MD/DO providers, primary care, operational medicine, preventive medicine, OB/Gyn, and emergency room physician scored higher than the overall provider population average. Air Force providers and those based in Turkey scored relatively well, as did those who reported not currently being in practice. Providers who reported recent TD training did not score significantly higher than those who had not received any training (Student’s t-test, p > 0.29).