2561. Doxycycline Saves Lives! Educating Healthcare Providers on Tickborne Rickettsial Diseases in the United States Using an Online Toolkit

BACKGROUND: Tickborne rickettsial diseases (TBRDs), including Rocky Mountain spotted fever (RMSF), are major causes of illness in the United States. Doxycycline is the first-line treatment for patients of all ages; delay in treatment is the single most important predictor of fatal outcome. Recent assessments have identified a lack of knowledge in recognition and treatment of RMSF among providers. CDC developed an online toolkit to address the need for increased awareness in the medical and public health communities. METHODS: In August 2018, CDC released the Rocky Mountain Spotted Fever (and other tickborne diseases) Toolkit for Healthcare Providers, an online platform including: (1) Narrated video discussing RMSF clinical presentation, diagnosis, and treatment, (2) Physician pocket card, (3) Clinical timeline with images to aid diagnosis, and (4) Tickborne Diseases of the United States Manual. Participants receive free continuing education (CE) by scoring ≥75% on a posttest and providing an evaluation. We summarized post-test scores and evaluations to assess impact on participant knowledge and satisfaction with the format. RESULTS: As of April 30, 2019, there have been 14,103 visits to the toolkit website. In total, 247 participants registered for CE and completed the posttest; 245 (99%) passed. The majority of participants self-reported as nurses (121, 49%), followed by other professionals (32, 13%) and physicians (31, 13%). All posttest questions except one indicated correct responses were selected by ≥80%. In all, 245 provided a course evaluation; 94% agreed the content and materials addressed a gap in their knowledge, and 84% agreed the knowledge gained from the activity could be applied to practice. Nearly all (96%) agreed the delivery methods used was appropriate and aided in learning the content. Suggested improvements included integration of case-based scenarios, Spanish-language materials, and more information on epidemiology and information on TBRDs in vulnerable populations. CONCLUSION: Participation in this online toolkit led to improved knowledge and confidence among providers regarding timely diagnosis and treatment of TBRDs, highlighting the utility of online education in addressing gaps in provider awareness of TBRDs in the United States. DISCLOSURES: All authors: No reported disclosures.