Perception of Radiation Exposure and Risk among Patients, Medical Students, and Referring Physicians at a Tertiary Care Community Hospital

Background It is important for physicians to be aware of the radiation doses as well as the risks associated with diagnostic imaging procedures that they are ordering. Methods A survey was administered to patients, medical students, and referring physicians from a number of specialties to determine background knowledge regarding radiation exposure and risk associated with commonly ordered medical imaging tests. Results A total of 127 patients, 32 referring physicians, and 30 medical students completed the survey. The majority of patients (92%) were not informed of the radiation risks associated with tests that they were scheduled to receive and had false perceptions about the use of radiation and its associated risks. Physicians and medical students had misconceptions about the use of ionizing radiation in a number of radiologic examinations; for example, 25% and 43% of physicians and medical students, respectively, were unaware that interventional procedures used ionizing radiation, and 28% of physicians were unaware that mammography used ionizing radiation. Computed tomographies and barium studies were thought to be associated with the least ionizing radiation among physicians. Conclusion There is a need for educating the public, medical students, and referring physicians about radiation exposure and associated risk so that (1) patients receiving multiple medical imaging tests are aware of the radiation that they are receiving and (2) physicians and future physicians will make informed decisions when ordering such tests to limit the amount of radiation that patients receive and to promote informed consent among patients.

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1219. Increasing Methicillin Resistance of Staphylococcus lugdunensis in a Tertiary Care Community Hospital in Japan

Open Forum Infectious Diseases ◽

10.1093/ofid/ofy210.1052 ◽

2018 ◽

Vol 5 (suppl_1) ◽

pp. S370-S370

Author(s):

Takahiro Ichikawa ◽

Fumihiro Kodama

Keyword(s):

Community Hospital ◽

Methicillin Resistance ◽

Tertiary Care ◽

Meca Gene ◽

Coagulase Negative Staphylococcus ◽

Staphylococcus Lugdunensis ◽

Methicillin Resistant ◽

Healthcare Facilities ◽

Care Community ◽

Resistant Strains

Abstract Background Staphylococcus lugdunensis, a coagulase-negative staphylococcus, has virulence and pathogenicity similar to that of Staphylococcus aureus. Methicillin resistance and presence of mecA gene are not common in S. lugdunensis in many parts of the world. Recently, higher prevalence of methicillin-resistant S. lugdunensis is reported from Taiwan and Japan. We describe the change in methicillin resistance of S. lugdunensis in a tertiary care community hospital in Sapporo, Japan. Methods We performed a retrospective study of S. lugdunensis, isolated from inpatients and outpatients at our hospital from 2008 to 2017. Rate of methicillin resistance of the first 5 years from 2008 to 2012, and that of the second 5 years from 2013 to 2017 were compared. Risk factors of methicillin resistance were also evaluated. Phenotypic detection of methicillin resistance was identified using broth microdilution by VITEK two system (bioMérieux). Results A total of 369 cases of S. lugdunensis were detected during the study period. Of all cases, 228 (61.8%) were men, and 177 (48.0%) were hospitalized. Twenty-one isolates (5.7%) were positive in blood culture, 216 (58.5%) were positive in cultures of skin and soft tissue. Methicillin-resistant strains were found in 43 (31.6%) of 136 isolates from 2008 to 2012, and in 108 (46.4%) of 233 from 2013 to 2017 (OR 1.87; 95% CI 1.20–2.91; P = 0.006). Of patients with methicillin-resistant S. lugdunensis, 105 cases (69.5%) were hospitalized (P < 0.001). Conclusion In our hospital, methicillin-resistant S. lugdunensis is increasing over the 10 years. Further research is needed to assess trend of methicillin resistance of S. lugdunensis in other healthcare facilities and countries. Disclosures All authors: No reported disclosures.

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Candidemia Before and During the Fluconazole Era: Prevalence, Type of Species and Approach to Treatment in a Tertiary Care Community Hospital

Scandinavian Journal of Infectious Diseases ◽

10.1080/003655401750065544 ◽

2001 ◽

Vol 33 (2) ◽

pp. 137-139 ◽

Cited By ~ 49

Author(s):

Joseph Baran Jr, Bopanna Muckatira,

Keyword(s):

Community Hospital ◽

Tertiary Care ◽

Care Community

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Medical students and intern doctors awareness of ionizing radiation exposure doses during common radiological procedures: a cross sectional study from Saudi Arabia

International Journal of Medicine in Developing Countries ◽

10.24911/ijmdc.51-1541026632 ◽

2020 ◽

pp. 1-6

Author(s):

Abrar Mohammed

Keyword(s):

Saudi Arabia ◽

Medical Students ◽

Ionizing Radiation ◽

Radiation Exposure ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Radiological Procedures ◽

Ionizing Radiation Exposure

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A SINGLE COMMUNITY CENTER UNBLINDED CROSS-SECTIONAL STUDY ON SPIROMETRY OR PULMONARY FUNCTION TEST UTILITY OF PATIENTS INCLUDED IN THE COPD REGISTRY AT TERTIARY CARE COMMUNITY HOSPITAL

CHEST Journal ◽

10.1016/j.chest.2018.08.699 ◽

2018 ◽

Vol 154 (4) ◽

pp. 776A

Author(s):

BRITTANY HAINES ◽

FURQAN SHOAIB SIDDIQI

Keyword(s):

Pulmonary Function ◽

Pulmonary Function Test ◽

Community Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Community Center ◽

Sectional Study ◽

Cross Sectional ◽

Care Community ◽

Function Test

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Awareness of ionizing radiation exposure among junior doctors and senior medical students in radiological investigations

Journal of Radiological Protection ◽

10.1088/1361-6498/37/1/59 ◽

2016 ◽

Vol 37 (1) ◽

pp. 59-67 ◽

Cited By ~ 4

Author(s):

Elfatih Abuelhia

Keyword(s):

Medical Students ◽

Ionizing Radiation ◽

Radiation Exposure ◽

Junior Doctors ◽

Ionizing Radiation Exposure

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An Assessment of Final-Year Medical Students and Interns Awareness of Radiation Exposure to Common Diagnostic Imaging Procedures

Advances in Radiology ◽

10.1155/2014/426909 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 8

Author(s):

Seife Teferi Dellie ◽

Daniel Admassie ◽

Yenework Ewnetu

Keyword(s):

Medical Students ◽

Ionizing Radiation ◽

Diagnostic Imaging ◽

Radiation Exposure ◽

Addis Ababa ◽

Imaging Procedures ◽

Emit Radiation ◽

Significant Difference ◽

Radiation Awareness ◽

Radiological Procedures

Objectives. To evaluate the level of knowledge about the radiation exposure to diagnostic imaging procedures among the final-year medical students and interns and to suggest how education could be improved. Material and Methods. All 355 final-year medical students and interns from Tikur Anbessa Teaching Hospital in Addis Ababa were included in the study. Participants were asked to complete a questionnaire consisting of their actual knowledge on ionizing radiation and on their preferred method of learning. All questions were in multiple choice formats ranging from 4 to 7 choices. The obtained data were analyzed using statistical software. Results. A total of 343 completed questionnaires were received. Up to 78.9% of respondents underestimated or do not know the radiation dose from commonly requested radiological procedures. Surprisingly, 245 (71.4%) and 254 (79.3%) students incorrectly believed that ultrasound and MRI, respectively, emit ionizing radiation or they do not know if they emit radiation or not. Both interns and medical students did not have significant difference (P=0.56) in their knowledge of ionizing radiation. A combination of tutorials or workshops (29.7%) and learning modules (19.8%) combined were their first and last preferred methods of teaching for future radiation awareness, respectively. Conclusion. This study has clearly shown that awareness of ionizing radiation from diagnostic imaging is lacking among senior medical students and interns. The results highlight the need for improved education to minimize unnecessary exposure of patients.

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