Academic Journal
Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study.
| Τίτλος: | Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study. |
|---|---|
| Συγγραφείς: | Alene KA; Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Adane AA; Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Yifiru S; School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Bitew BD; Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Adane A; School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Koye DN; Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. |
| Πηγή: | BMJ open [BMJ Open] 2019 Feb 19; Vol. 9 (2), pp. e022948. Date of Electronic Publication: 2019 Feb 19. |
| Τύπος έκδοσης: | Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BMJ Publishing Group Ltd, 2011- |
| Ιατρικοί όροι (MeSH): | Health Knowledge, Attitudes, Practice* , Health Personnel*, Antitubercular Agents/*pharmacology , Tuberculosis, Multidrug-Resistant/*drug therapy , Tuberculosis, Multidrug-Resistant/*prevention & control, Adult ; Cross-Sectional Studies ; Ethiopia ; Female ; Humans ; Logistic Models ; Male ; Multivariate Analysis ; Referral and Consultation ; Self Report ; Young Adult |
| Περίληψη: | Objective: The aim of this study was to assess the knowledge and practice of health workers about multidrug-resistant tuberculosis (MDR-TB) prevention and control. Study Design and Settings: A cross-sectional study was conducted at Gondar University Referral Hospital and Felege Hiwot Referral Hospital. Participants: Randomly selected health workers (ie, medical doctor, nurse, health officer, pharmacy, medical laboratory and midwifery) were the study participants. Outcome Measures: The main outcomes were knowledge and self-reported practice of health workers about MDR-TB. Results: A total of 377 health workers (with a response rate of 93.7%) participated in the study. The majority of respondents were nurses (52.5%, n=198) and medical doctors (15.6%, n=59). The mean knowledge score was seven out of 10; 149 (39.5%) of respondents scored seven or more which was considered as good knowledge. MDR-TB knowledge of health workers was significantly associated with having a postgraduate degree (adjusted odds ratio (AOR)=5.78; 95% CI 2.33 to 14.33), taking infection prevention training (AOR=1.79; 95% CI 1.00, to 3.17) and having a history of tuberculosis (TB) (AOR=1.85; 95% CI 1.12, to 3.03). The mean self-reported practice score was four out of seven; one-fifth (19.6%) of respondents scored four or more which was considered as good practice. Self-reported practice of health workers was significantly associated with working at internal medicine (AOR=4.64; 95% CI 1.99, to 10.81) and paediatrics (AOR=3.85; 95% CI 1.11, to 13.34) wards, being in the age groups of 26-30 years (AOR=2.70; 95% CI 1.27, to 5.76), and 30 years and above (AOR=4.42; 95% CI 1.77, to 11.00). Conclusions: This study found low knowledge and self-reported practice score among health workers. MDR-TB knowledge of health workers was significantly associated with educational status, infection prevention training and previous history of TB. This finding highlights the potential of providing MDR-TB training for health workers to increase their knowledge about MDR-TB. (© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Competing Interests: | Competing interests: None declared. |
| References: | Lancet. 2006 Nov 4;368(9547):1575-80. (PMID: 17084757) J Hosp Infect. 2011 Dec;79(4):333-8. (PMID: 21978608) Clin Chest Med. 2009 Dec;30(4):667-83, vii-viii. (PMID: 19925960) Trop Med Int Health. 2017 Mar;22(3):351-362. (PMID: 27978594) N Engl J Med. 2017 Jan 19;376(3):243-253. (PMID: 28099825) Int J Tuberc Lung Dis. 2006 Jun;10(6):649-55. (PMID: 16776452) Presse Med. 2017 Mar;46(2 Pt 2):e53-e62. (PMID: 28256382) Eur Respir J. 2012 May;39(5):1248-55. (PMID: 22183482) Clin Infect Dis. 2016 May 15;62 Suppl 3:S275-80. (PMID: 27118858) Int J Tuberc Lung Dis. 2005 Jul;9(7):818-21. (PMID: 16013781) Emerg Infect Dis. 2007 May;13(5):780-2. (PMID: 18044040) Afr J Prim Health Care Fam Med. 2015 Mar 27;7(1):. (PMID: 26245590) Nat Rev Microbiol. 2009 Jan;7(1):81-7. (PMID: 19079354) PLoS One. 2014 Mar 13;9(3):e90868. (PMID: 24625669) PLoS One. 2009;4(2):e4370. (PMID: 19190774) Thorax. 2006 Feb;61(2):158-63. (PMID: 16254056) East Mediterr Health J. 2003 Jul;9(4):718-31. (PMID: 15748069) Popul Health Metr. 2017 Jul 21;15:29. (PMID: 28736507) Health Policy. 2009 Apr;90(1):8-12. (PMID: 18835056) JAMA. 1999 Oct 20;282(15):1458-65. (PMID: 10535437) J Infect Dev Ctries. 2009 Dec 15;3(10):783-8. (PMID: 20009280) Lancet Infect Dis. 2016 Aug;16(8):883-5. (PMID: 27477968) Lancet Respir Med. 2017 Apr;5(4):269-281. (PMID: 28109869) Arch Public Health. 2015 Mar 25;73(1):15. (PMID: 25821581) Int J Tuberc Lung Dis. 2015 Dec;19(12):1520-3. (PMID: 26614195) BMC Infect Dis. 2017 Jan 6;17(1):36. (PMID: 28061832) Emerg Infect Dis. 2007 Mar;13(3):380-7. (PMID: 17552090) Int J Tuberc Lung Dis. 2010 Apr;14(4):382-90. (PMID: 20202293) |
| Contributed Indexing: | Keywords: epidemiology; infection control; public health; tuberculosis |
| Substance Nomenclature: | 0 (Antitubercular Agents) |
| Entry Date(s): | Date Created: 20190221 Date Completed: 20200219 Latest Revision: 20200309 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC6368005 |
| DOI: | 10.1136/bmjopen-2018-022948 |
| PMID: | 30782870 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2044-6055 |
|---|---|
| DOI: | 10.1136/bmjopen-2018-022948 |