Academic Journal

Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
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.
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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