{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T14:53:20Z","timestamp":1761663200720},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,10,4]],"date-time":"2013-10-04T00:00:00Z","timestamp":1380844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Although cryptosporidiosis is frequently diagnosed in the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>.<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>., there has been very little assessment of obstetrician\u2013gynaecologist knowledge about this disease. In 2010, we surveyed <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>.<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>. obstetricians about the diagnosis, treatment and epidemiology of cryptosporidiosis. Data were examined through univariable analysis and multivariable regression models. Of 1000 obstetrician\u2013gynaecologists surveyed, 431 (43.1%) responded. Only 44.4% of respondents correctly identified that prolonged, intermittent diarrhoea would lead them to consider cryptosporidiosis in a differential diagnosis. Routine ova and parasites (<jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>&amp;<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>) testing was incorrectly chosen to identify <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ryptosporidium<\/jats:italic> in stool by 30.4% of respondents. Questions about nitazoxanide, the only drug approved by the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>.<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ood &amp; <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>rug <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>dministration (<jats:styled-content style=\"fixed-case\">FDA<\/jats:styled-content>) for treatment of cryptosporidiosis, were the most frequently missed questions. Only 9.0% of respondents correctly classified nitazoxanide as an <jats:styled-content style=\"fixed-case\">FDA<\/jats:styled-content> pregnancy Category <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> drug, and only 5.6% of respondents correctly indicated that <jats:styled-content style=\"fixed-case\">FDA<\/jats:styled-content> approved nitazoxanide for immunocompetent patients aged \u22651\u00a0years. Regarding prevention\u2010 and control\u2010related knowledge, only 14.1% of respondents correctly indicated that alcohol\u2010based hand sanitizers were not effective at inactivating <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ryptosporidium<\/jats:italic> spp., and &lt;10% correctly indicated that cryptosporidiosis is a reportable disease in their state of practice. Multivariable analysis found that \u226519\u00a0years in practice was positively associated with <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>&amp;<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content> diagnostic testing knowledge, while rural and urban non\u2010inner city practice location, compared with suburban practice location, was positively associated with nitazoxanide knowledge. The low level of knowledge among obstetrician\u2013gynaecologists about cryptosporidiosis indicates a need to develop resources for physicians about all aspects of cryptosporidiosis, particularly on diagnosis, treatment and prevention strategies.<\/jats:p>","DOI":"10.1111\/zph.12078","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T02:19:34Z","timestamp":1381544374000},"page":"356-363","source":"Crossref","is-referenced-by-count":6,"title":["A Survey of <scp>U<\/scp>.<scp>S<\/scp>. Obstetrician\u2010Gynecologists' Clinical and Epidemiological Knowledge of Cryptosporidiosis in Pregnancy"],"prefix":"10.1111","volume":"61","author":[{"given":"B. T.","family":"Domjahn","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Emory University School of Medicine Atlanta GA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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