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infection control & hospital epidemiology july 2017, vol. 38, no. 7 original article


Blogging in Infectious Diseases and Clinical Microbiology: Assessment of ‘Blogosphere’ Content


Gabriel Birgand, PharmD, PhD; Rachael Troughton, MSc; Luke S. P. Moore, MD, PhD; Esmita Charani, PharmD, MSc; Timothy M. Rawson, MD; Enrique Castro-Sánchez, RGN, PhD; Alison H. Holmes, MD


objective. To analyze influential infectious diseases, antimicrobial stewardship, infection control, or medical microbiology blogs and bloggers.


setting. World wide web. design. We conducted a systematic search for blogs in accordance with the PRISMA guidelines in September 2015.


methods. A snowball sampling approach was applied to identify blogs using various search engines. Blogs were eligible if they (1) focused on infectious diseases, antimicrobial stewardship, infection control, or medical microbiology; (2) were intended for health professionals; and (3) were written in English and (4) were updated regularly. Wemapped blog and blogger characteristics and used an innovative tool to assess the architecture and content of the included blogs. The motivations and perceptions of bloggers and readers were also assessed.


results. A total of 88 blogs were identified. Moreover, 28 blogs (32%) focused on infectious diseases, 46 (52%) focused on medical microbiology, and 14 (16%) focused on infection control or antimicrobial stewardship. Bloggers were mainly male with medical doctorates and/ or PhDs; 32 bloggers (36%) posted at least weekly; and 51 (58%) had a research purpose. The aims were considered clear for 23 blogs (26%), and the field covered was considered broad for 25 blogs (28%). Presentation was considered good for 22 blogs (25%), 51 blogs (58%) were easy to read, and 46 blogs (52%) included expert interpretation. Among the top 10 blogs, 3 focused on infectious diseases, 6 focused on medical microbiology, and 2 focused on infection control (2 were equally ranked). The bloggers we questioned were motivated to share their independent expertise and opinions. Readers appreciated the concise messages on scientific topics and practical updates.


conclusions. This study describes high-level blogs in the fields of infectious diseases, infection control, and medical microbiology. Our findings suggest ways in which bloggers should build/orientate blogs for readers, and we have highlighted current gaps in blog topics such as antimicrobial stewardship.


Infect. Control Hosp. Epidemiol 2017;38:832–839


Scientific knowledge in the field of infectious diseases is in constant evolution. Emerging and evolving organisms and methods of diagnosis, prevention, or treatment keep this field in astate of flux.1 During the last decade, healthcare professionals


(HCPs) worldwide have dealt with the challenges of H1N1 flu virus, Middle East respiratory syndrome coronavirus (MERS-coV), Ebola virus, and Zika virus, and they are increasingly encountering antimicrobial resistance, which is now considered a ‘crisis for humanity.’2 The Internet presents a universal gateway and an easily


accessible channel of information retrieval and communication on medical or scientific topics. With conventional websites, the flow of information is formal and unidirectional. The development of platforms such as ‘blogs’ has opened a great range


of possibilities for HCPs worldwide for sharing information and experiences.3 Healthcare personnel are proactive in the field, writing more


than half of all blogs related to health.4 The exponential growth in the number of blogs and other social networks (eg, Twitter, YouTube, and Facebook) with potential relevance to health care makes them worthy of consideration and analysis by healthcare systems as a potentially cost-effective option for activities such as communicating with HCPs, educating HCPs, engaging HCPs with their peers worldwide, or even conducting disease surveillance.5–7 This collective intelligence network provides interactive


services on a certain topic such as infectious diseases, infection control, microbiology, or epidemiology. In these fields, blogs can


Affiliation: Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, London,


United Kingdom. PREVIOUS PRESENTATION. A poster summarizing the results of this study was presented at the SHEA 2016 conference, May 18–21, 2016, Atlanta, Georgia, United States.


© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved. 0899-823X/2017/3807-0010. DOI: 10.1017/ice.2017.69 Received January 2, 2017; accepted March 16, 2017; electronically published May 18, 2017


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