scholarly journals Knowledge, attitude and perceptions about Crimean Congo Haemorrhagic Fever (CCHF) among occupationally high-risk healthcare professionals of Pakistan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ali Ahmed ◽  
Muhammad Saqlain ◽  
Maria Tanveer ◽  
Azhar Hussain Tahir ◽  
Fakhar Ud-Din ◽  
...  
Keyword(s):  
At Risk ◽  
Health Care Professionals ◽  
Work Experience ◽  
Tertiary Care ◽  
Nosocomial Transmission ◽  
Haemorrhagic Fever ◽  
Sources Of Information ◽  
Validated Questionnaire ◽  
Low Middle Income Countries ◽  
Crimean Congo Haemorrhagic Fever

Abstract Background Crimean Congo Haemorrhagic Fever (CCHF), a tropically neglected infectious disease caused by Nairovirus, is endemic in low middle-income countries like Pakistan. Emergency health care professionals (HCPs) are at risk of contracting nosocomial transmission of CCHF. We, therefore, aim to analyze the knowledge, attitudes, and perceptions (KAP) of at-risk physicians, nurses, and pharmacists in Pakistan and the factors associated with good KAP. Method A validated questionnaire (Cronbach’s alpha 0.71) was used to collect data from HCPs in two CCHF endemic metropolitan cities of Pakistan by employing a cross-sectional study design. For data analysis percentages, chi-square test and Spearman correlation were applied by using SPSS version 22. Results Of the 478 participants, 56% (n = 268) were physicians, 37.4% (n = 179) were nurses, and 6.5% (n = 31) were pharmacists. The proportion of HCPs with good knowledge, attitude, and perception scores was 54.3%, 81, and 69%, respectively. Being a physician, having more work experience, having a higher age, working in tertiary care settings, were key factors for higher knowledge (p < 0.001). The correlation coefficient showed significant positive correlation between attitude- perception (r = 0.560, p < 0.001). Conclusion We have observed average knowledge of HCPs. Therefore, we recommend time to time education campaigns and workshops in highly endemic CCHF regions to be launched by health ministries and HCPs, in particular nurses, encouraged to follow authentic academic sources of information to prevent nosocomial transmission.

Evaluation of clinical and laboratory predictors of fatality in patients with Crimean-Congo haemorrhagic fever in a tertiary care hospital in Turkey

2010 ◽  
Vol 42 (6-7) ◽  
pp. 516-521 ◽  
Author(s):  
Cigdem Ataman Hatipoglu ◽  
Cemal Bulut ◽  
Meltem Arzu Yetkin ◽  
Gunay Tuncer Ertem ◽  
Fatma Sebnem Erdinc ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Haemorrhagic Fever ◽  
Crimean Congo Haemorrhagic Fever

Initial high rate of misdiagnosis in Crimean Congo haemorrhagic fever patients in an endemic region of Turkey

2009 ◽  
Vol 138 (1) ◽  
pp. 139-144 ◽  
Author(s):  
N. TASDELEN FISGIN ◽  
L. DOGANCI ◽  
E. TANYEL ◽  
N. TULEK
Keyword(s):  
Seasonal Pattern ◽  
Antiviral Treatment ◽  
Tertiary Care ◽  
High Rate ◽  
Haemorrhagic Fever ◽  
Endemic Region ◽  
Tertiary Care Centre ◽  
Number Of Patients ◽  
Epidemic Area ◽  
Crimean Congo Haemorrhagic Fever

SUMMARYCrimean Congo haemorrhagic fever (CCHF) has been an emerging tick-borne infection in some parts of Turkey since 2002, with a number of fatalities. Many of the initial non-specific symptoms of CCHF can mimic other common infections. Additionally, the seasonal pattern of the epidemic, and the waning attention of healthcare workers to the yearly index cases caused some delays in appropriate patient care and treatment. Between March 2004 and August 2008, 140 confirmed adult cases were evaluated retrospectively for initial diagnosis and treatment delays. This study clearly demonstrated that there are particular delays (4·8 days) in the referral system to initiate effective antiviral treatment in the tertiary-care centre which significantly affect fatality rates (P>0·05). A large number of patients (n=95, 68%) received an initial misdiagnosis of various infections other than CCHF. In conclusion, continuous medical education regarding CCHF in the epidemic area is essential in order to achieve a better survival rate from this deadly infection.

Crimean-Congo haemorrhagic fever outbreak in Middle Anatolia: a multicentre study of clinical features and outcome measures

2005 ◽  
Vol 54 (4) ◽  
pp. 385-389 ◽  
Author(s):  
Mehmet Bakir ◽  
Mehmet Ugurlu ◽  
Basak Dokuzoguz ◽  
Hurrem Bodur ◽  
Mehmet A Tasyaran ◽  
...  
Keyword(s):  
Chart Review ◽  
Tertiary Care ◽  
Fatal Outcome ◽  
Hospital Costs ◽  
Retrospective Chart Review ◽  
Haemorrhagic Fever ◽  
Related Data ◽  
Cchf Virus ◽  
Crimean Congo Haemorrhagic Fever ◽  
Tertiary Care Hospitals

A Crimean-Congo haemorrhagic fever (CCHF) outbreak emerged from 2001 to 2003 in the Middle Anatolia region of Turkey. This study describes the clinical characteristics and outcome features of CCHF patients admitted to four tertiary care hospitals in Turkey. Definitive diagnosis was based on the detection of CCHF virus-specific IgM by ELISA or of genomic segments of the CCHF virus by RT-PCR. Related data were collected by a retrospective chart review. Hospital costs were extracted from the final discharge bills. Univariate and multivariate analyses were conducted to determine the independent predictors of mortality. CCHF virus-specific antibodies or genomic segments were detected in the sera of 99 cases. Seven cases that were treated with ribavirin were excluded from the study. Cases were mostly farmers (83 cases, 90 %), and 60 % had a tick-bite history before the onset of fever. Impaired consciousness and splenomegaly were independent predictors of a fatal outcome.

scholarly journals A study to assess the knowledge and awareness regarding safe disposal of pharmaceutical wastes among 2nd year medical and para-medical students in a tertiary care teaching hospital in North India

2020 ◽  
Vol 9 (3) ◽  
pp. 493
Author(s):  
Shweta Kachhap ◽  
Gajendra K. Singh ◽  
Emmanuel A. Soreng ◽  
Rani K. Beck ◽  
Upendra Kumar
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Pharmaceutical Products ◽  
North India ◽  
Safe Disposal ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Validated Questionnaire ◽  
Awareness Programs

Background: The use of pharmaceutical products in our day to day life is escalating and one cannot deny their presence in every household. Unfortunately not all the medicines that reach our homes get consumed. Unused, unwanted and expired drugs get accumulated over time and are generally disposed along with other household trash thus contributing to environmental pollution. This turns our attention towards the significance of eco-pharmacovigilance. Assessing the level of knowledge and awareness of students under training  as health care professionals  regarding safe disposal of pharmaceutical wastes can help us to partly assess the magnitude of the problem of inappropriate disposal methods and help us to plan and initiate steps to prevent the hazards caused by improper disposal of these items.Methods: A questionnaire based cross-sectional study was conducted among medical and paramedical students of a tertiary care teaching hospital using a pre-validated questionnaire from previous studies.Results: Majority of the participants were not aware of the possible hazards of improper disposal of pharmaceutical wastes. They expressed the need for awareness programs regarding the subject.Conclusions: The study revealed the practice of drug accumulation at home. The disposal methods opted by the participants were not the recommended methods. There is a need to address this issue through awareness programs at various levels.

scholarly journals Knowledge, attitude and practices of postgraduates, interns and nurses, on adverse drug reaction reporting in a tertiary care hospital: a comparative study

2020 ◽  
Vol 9 (3) ◽  
pp. 408
Author(s):  
Mohana S. ◽  
Narayanasamy S. ◽  
Asokan B. R. ◽  
Smita Kar
Keyword(s):  
Health Care Professionals ◽  
Adverse Drug Reaction Reporting ◽  
Tertiary Care ◽  
Good Knowledge ◽  
Care Hospital ◽  
Staff Nurse ◽  
Post Graduate ◽  
Adr Reporting ◽  
Validated Questionnaire ◽  
Significant Difference

Background: Pharmacovigilance is multidisciplinary field of the detection, assessment, understanding, and prevention of adverse drug reactions (ADRs). The incidences of ADRs about 95% are undocumented worldwide. However, there is a lack of information on ADR burden in developing countries due to lack of resources, infrastructure, and expertise.Methods: A cross-sectional questionnaire-based study was conducted on 90 staff nurses 90interns and 90 postgraduates. The validated questionnaire contained items to check knowledge including 7 questions, 9 questions to analyze attitude and 5 for practices. Comparison between knowledge, attitude and practice data obtained from resident doctors and nurses was performed using Chi square test.Results: A total of 270 healthcare professionals participated in the study. In our study the participants had good knowledge regarding the purpose of monitoring and reporting ADRs etc. The result shows that health care professionals felt reporting of ADRs is a professional obligation and all ADRs should be reported. There was no significant difference in the knowledge and attitude between interns and nurses but few questionnaires show significant variations between post graduate and staff nurse. The practice of ADR reporting was significantly higher in postgraduate compared to nurses.Conclusions: This study concluded that post graduate, intern and staff nurse had good knowledge and positive attitude towards pharmacovigilance and ADR reporting, but unfortunately the actual practice of ADR reporting is still deficient among staff nurse and intern. This can be improved by adequate training and motivation.

Clinical profile and outcome of patients with Crimean Congo haemorrhagic fever: a hospital based observational study from Rajasthan, India

2020 ◽  
Vol 114 (9) ◽  
pp. 650-656
Author(s):  
Swapnil Tripathi ◽  
Rajendra Bhati ◽  
Maya Gopalakrishnan ◽  
Gopal Krishna Bohra ◽  
Sarika Tiwari ◽  
...  
Keyword(s):  
High Mortality ◽  
Elevated Serum ◽  
Immunoglobulin M ◽  
Hand Washing ◽  
Nosocomial Transmission ◽  
Serum Lactate Dehydrogenase ◽  
Enzyme Linked Immunosorbent Assay ◽  
Haemorrhagic Fever ◽  
Tertiary Teaching ◽  
Crimean Congo Haemorrhagic Fever

Abstract Background Crimean Congo haemorrhagic fever (CCHF) is an emerging zoonotic infection with high mortality. Nosocomial spread is described secondary to body fluid contact. Methods Patients meeting the case definition for viral haemorrhagic fever (VHF) from August to November 2019 were tested for CCHF after ruling out dengue, malaria, scrub typhus and leptospirosis in a tertiary teaching hospital in western Rajasthan, India. Diagnosis was confirmed using both quantitative reverse transcription polymerase chain reaction and immunoglobulin M/immunoglobulin G enzyme-linked immunosorbent assay for all patients. All hospital contacts were line listed and tested and symptomatic high-risk contacts received ribavirin post-exposure prophylaxis. Cohorting, personal protective equipment use and hand washing were employed to prevent nosocomial spread. Results Four patients tested positive for CCHF. We encountered uncommon initial presentations involving motor weakness and supraventricular tachycardia. Elevated serum lactate dehydrogenase and creatinine kinase were useful in clinical diagnosis. Only one patient survived despite ribavirin therapy. There was zero nosocomial transmission. A partial segment of nucleocapsid of amplified CCHF virus was 99.62% identical to the Afghanistan and Oman strains. Conclusions The distribution of CCHF appears to be expanding, with CCHF emerging as endemic in Rajasthan, India. In this setting of high mortality, hand washing and PPE use prevented nosocomial transmission.

scholarly journals Physicians’ Attitude towards Patients’ Spirituality at a Tertiary-Care Health Facility in Southern Nigeria

2021 ◽  
pp. 27-35
Author(s):  
G. K. Eke ◽  
N. Onodingene
Keyword(s):  
Clinical Practice ◽  
Pastoral Care ◽  
Health Facility ◽  
Health Care Professionals ◽  
Work Experience ◽  
Tertiary Care ◽  
Spiritual Needs ◽  
Religious Leader ◽  
Cross Sectional Survey ◽  
Southern Nigeria

Background: It has been shown that patients would like to discuss their spiritual beliefs with their physicians and that they have spiritual needs which are often under addressed by health care professionals. Whereas, addressing those needs in clinical practice is a component of the holistic care that every patient deserves, the attitude of physicians towards addressing them has not been ascertained in our environment. Objectives: To explore physicians' attitude and self-reported behavior towards patients’ spirituality in clinical practice at a tertiary health facility in Southern Nigeria. Methods: In this cross-sectional survey carried out between August and November 2020, a semi-structured and self-administered questionnaire was completed by the participating physicians which were of various ranks and working in various departments of the hospital. Their attitude towards their patients’ spirituality in clinical practice and self-reported behavior were analyzed using SPSS version 25.0. Results: A total of 200 physicians participated in the study, 90% of them were residents of various cadres, two-third (n=122; 61%) had less than 10 years work experience. Majority of respondents (n=163; 81.5%) considered it appropriate to make inquiries about their patients’ spirituality and less than half of them (n=98; 49%) were aware that there is a religious leader in the hospital who offers pastoral care. Half of the respondents (n=104; 52%) reported they rarely take spirituality history of patients, 18 (9%) often pray with the patient while 100 (50%) rarely refer patients for pastoral care. Insufficient time was the most frequent barrier to discussing spiritual issues with patients. However, only 5 (2.5%) respondents were able to name 3 common tools a health worker can use to assess patients’ spiritual needs. Conclusion: Physicians enquiry into patients’ spirituality was inconsistent, and there were gaps between their attitudes to discussing these issues with their patients and its practice. Incorporating spiritual care courses into physicians’ training is recommended to overcome the barriers to both patient and physician spiritual inquiry.

scholarly journals A questionnaire based survey on the knowledge, attitude and practices about antimicrobial resistance and usage among the MBBS students and doctors of a tertiary care teaching Hospital in Silchar, Assam, India

2018 ◽  
Vol 7 (8) ◽  
pp. 1630
Author(s):  
Ali N. Yashin ◽  
Nishanta Thakuria ◽  
Hiranmoy Narzary ◽  
Dinesh Satnami ◽  
Nilanjan Paul
Keyword(s):  
Antimicrobial Resistance ◽  
Health Care Professionals ◽  
Bacterial Resistance ◽  
Public Awareness ◽  
Tertiary Care ◽  
Study Groups ◽  
Educational Interventions ◽  
Fisher Exact Test ◽  
Validated Questionnaire ◽  
Study Population

Background: Antimicrobials are agents used to kill or inhibit growth of microorganisms. Now they are most commonly used as well as misused medicine too. Misuse of these agents lead to development of resistance which is now a global concern. Public awareness about antimicrobial resistance is a key factor in combating the situation which includes educating doctors and health care professionals. So the current study is undertaken to assess the knowledge, attitude and practices (KAP) related to antibiotic resistance and usage and among the MBBS students and doctors.Methods: A pre-formed duly validated questionnaire was distributed among the study group and their KAP regarding antimicrobial usage and resistance was assessed by Likert scale whose responses ranges from strongly agree to strongly disagree and always to never. Some questions were of true/false type. One question was choosing the correct answer. In this study, questionnaires were distributed among 270 participants out of which 188 were MBBS students and 82 were doctors. After collection, data were entered in Microsoft excel and simple descriptive statistics were used to generate frequencies, percentage and proportions. Wherever possible the chi-square test or fisher exact test was done to find out any association. * p<0.05 was taken as significant.Results: Response rate was 100% among the study populations. Out of 270 study population, 91% (245) had the knowledge that indiscriminate use of antibiotics cause ineffective treatment with a considerable difference in knowledge between undergraduates and doctors (p<0.05). Also it causes bacterial resistance (96.3%). Around 89% of the total participants agreed that bacteria do not cause common cold and influenza.Conclusions: This study revealed that most of the study population, both undergraduates and doctors were well aware about the emerging problem of antimicrobial resistance. However, responses related to their practices were quite varied. Hence, further educational interventions are needed to improve their practices towards antibiotics use in both the study groups.

scholarly journals Knowledge, attitude and practice regarding COVID-19 among doctors and nurses at a tertiary care maternity hospital in Nepal

2020 ◽  
Vol 7 (2) ◽  
pp. 23-31
Author(s):  
Shaheen Naaz Ansari ◽  
Imran Ansari ◽  
Meena Jha ◽  
Rakshya Upreti
Keyword(s):  
Health Care Professionals ◽  
Good Practice ◽  
Tertiary Care ◽  
P Value ◽  
Attitude Score ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Significant Difference ◽  
Knowledge Attitude And Practice ◽  
Doctors And Nurses

Introduction: Knowledge, attitude, and practice (KAP) survey provides a suitable format to evaluate existing programs and to identify effective strategies for behavior change in society. This study aimed to investigate and compare KAP concerning COVID-19 among Health Care Professionals (HCPs) at Paropakar Maternity and Women’s Hospital (PMWH). Method: This was a cross sectional descriptive study conducted in HCPs (doctors and nurses) of PMWH, Nepal, from May to June 2020. A pre-validated questionnaire was used to access the objectives where knowledge and attitude score was 10 each and practice score was 20. Collected data was entered in Microsoft excel spreadsheet and analyzed using IBM SPSS software and p-value < 0.05 was taken as statistically significant. Result: A total of 168 doctors and nurses responded to the survey, of which 112 (66.6%) were in 25-34 years of age group, 87.5% females, and 61.9% nurses. Mean score for knowledge, attitude and practice score was 5.8 (out of 10), 8.1 (out of 10) and 17.4 (out of 20) respectively. The score was significantly different among doctors and nurses in ‘knowledge’ (p=0.000) and ‘attitude’ categories (p = 0.006). There was no significant difference in ‘practice’ scores (p = 0.664). Conclusion: Doctors and nurses of PMWH have positive attitude and good practice towards COVID-19. This characteristic can prove handy in bringing about useful behavioural changes and promoting safe practices while managing maternity patients in this hospital.

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