scholarly journals Knowledge and practice of physicians during COVID-19 pandemic: a cross-sectional study in Lebanon

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linda Abou-Abbas ◽  
Zeina Nasser ◽  
Youssef Fares ◽  
Mohammad Chahrour ◽  
Rana El Haidari ◽  
...  

Abstract Background As the Coronavirus disease 2019 (COVID-19) pandemic continues to evolve, physicians must be equipped with adequate knowledge, skills on the prevention measures, and confidence in diagnosing and treating COVID-19 patients. Therefore, it is of great interest to assess the knowledge and practices of Physicians to identify existing gaps and improve occupational safety and viral surveillance. Methods A cross-sectional study was conducted in Lebanon between 28th March and 11th April 2020. Data was collected through an online survey that included information on socio-demographic characteristics, knowledge, practice, physicians fear towards COVID-19 as well as their perceptions regarding actions/policies implemented by the Ministry of Public Health (MOPH) and their health care facilities. Multivariable logistic regression analyses were carried out to identify the factors associated with good knowledge of COVID-19 and good practice toward its prevention. Adjusted odds ratio and their 95% confidence intervals were reported. Results Our survey revealed that the majority of Lebanese physicians had good knowledge about the disease (89.5%) while approximately half of the respondents adopted good preventive practices (49.7%). The odds of having good knowledge was 2.16 times higher among physicians aged 40 and above (adjusted OR = 2.16 with a 95% confidence interval (CI) of 1.08 to 4.34) compared to their counterparts aged less than 40 years old. Our results also showed that the odds of good practice was 2 times higher among frontline compared to the second line workers (adjusted OR = 2.01 with 95% CI of 1.21 to 3.34). Physicians with an experience of 10 years and above were 3.35 times more likely to have good practice compared to their counterparts (adjusted OR = 3.35 with 95% CI of 1.60 to 7.02). Finally, participants with good knowledge of COVID-19 were 2.04 times more likely to have a good practice (OR = 2.04 with 95% CI of 1.01 to 4.12). Conclusion Lebanese physicians revealed a good level of knowledge; however, they had limited comprehension of the precautionary measures that protect them from this virus. Our findings have important implications for the development of strategies suitable for improving the level of practice among physicians and enhance prevention programs.

2019 ◽  
Vol 15 (1) ◽  
pp. 59-66
Author(s):  
Prerna Bansal ◽  
Dipendra Khatiwada ◽  
Hari Prasad Upadhyay

Background: Tuberculosis (TB) is one of the top 10 causes of death worldwide and sixth leading cause of death in Nepal. Preventing new infections of Mycobacterium tuberculosis is crucial to reduce TB burden and death. The source of infection is an open (sputum positive) case of pulmonary tuberculosis. Poor management of TB-related waste like disposal of sputum by patients has been reported as a risk factor for increasing susceptibility to active TB infection. The present study was undertaken to assess preventive measures practiced by TB patients. Methods: A cross-sectional study was conducted among 82 tuberculosis patients who visited the five different DOTs centres of Bharatpur Municipality of Chitwan district, Nepal during December 2016 to February 2017. To find the association between variables, chi-square test was used. P-value less than 0.05 were considered as statistically significant.  Results: The Mean ± SD of age of patients was 37.02±18.90 years. 67.10% of the patients received health education on preventive measures. 59.8% of the respondents had good practice on prevention measures of TB. Only 3.70% used burning method for the sputum disposal after diagnosis of TB. None of the respondents used boiling method for the disposal of sputum. Among all only 6% practiced safe method of sputum disposal. The statistically significant variables with health education were preventive measures like self isolation (ᵪ2 = 7.54, p = 0.006), covering face while coughing and sneezing (ᵪ2 = 4.113, p = 0.043) and keeping surrounding clean (ᵪ2= 7.880, p = 0.005).  Conclusions: Patients and family members should be well educated on practicing different preventive measures by further strengthening the preventive measures strategy in the transmission of tuberculosis if we envisioned to end TB by 2035.


2019 ◽  
Author(s):  
Patrick Aboh Akande

Abstract Background: Nurses are particularly vulnerable to nosocomial tuberculosis (TB) infection because, being in the frontline of patient care, they are frequently exposed to patients with infectious TB disease. Although cost-effective measures are available for TB infection control (TBIC), they are often poorly implemented. Knowledge of TBIC is known to positively influence the practice of the measures. There is however limited data on the knowledge and practice of TBIC among nurses in Nigeria. This study was aimed at determining the levels of TBIC-related knowledge and practices of nurses in Ibadan, and associated socio-demographic factors. Methods: This cross-sectional study utilized a self-administered questionnaire to collect data from 200 nurses in two secondary health facilities, in May 2014. STATA version 13 was used to analyze data: mean knowledge and practice scores of the nurses and logistic regression to explore their association with socio-demographic factors. Results: The respondents had mean knowledge and practice scores of 68.2% and 79.9% respectively. Using cut-off points of 80% and 100% for good knowledge and practice scores respectively, small proportions of the nurses had good scores- knowledge (10.5%) and practice (6%). Knowledge was found not to be significantly associated with the socio-demographic factors. Work experience was the only factor that was significantly associated with practice, with the more experienced nurses (>18 years of experience) having lesser odds of obtaining good practice scores (OR 0.25, 95%CI 0.06-0.94). Also, there was no significant association between knowledge and practice scores. No structured TBIC training had been conducted at this time. Conclusions: The study revealed that small proportions of the nurses had good knowledge and practice scores. The findings from this study will be useful for the planning of interventions to improve TBIC among nurses and other healthcare workers, and to benchmark monitoring and evaluation of the interventions. It is recommended that the nurses should be trained on TBIC to equip them with necessary knowledge and skills. This, together with appropriate TBIC policy directives, availability of TBIC equipment/supplies and facility architectural remodeling will contribute to optimal implementation of TB preventive measures.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e048702
Author(s):  
María Romay-Barja ◽  
Mario Pascual-Carrasco ◽  
María José De Tena-Dávila ◽  
María Falcón ◽  
Carmen Rodriguez-Blazquez ◽  
...  

ObjectiveMost patients with mild COVID-19 had to stay at home trying to implement an optimal quarantine. The aim of this study was to describe the COVID-19 cases during the first wave of the pandemic in Spain, how they managed the disease at home, focusing on differences by age, as well as differences in knowledge, attitudes and preventive practices, compared with the uninfected population.DesignAn online survey was used to conduct a cross-sectional study of individuals who were 14 years or older living in Spain during the COVID-19 lockdown. The main variable was a COVID-19 case. Logistic regression models for COVID-19 cases were obtained using a backward stepwise procedure to assess the association between social variables, disease knowledge, attitudes, prevention practices and emotional impact.Results3398 people completed the survey. Participants’ mean age was 49.6 (SD=14.3). COVID-19 was significantly more prevalent among married people (5.3%) and those currently doing an on-site work (8.7%). Most of the COVID-19 cases stayed at home (84.0%) during the episode. There were significant age-based differences with regard to self-isolation conditions at home during the disease. COVID-19 cases showed better attitudes, practices and knowledge about disease symptoms and transmission than the uninfected population. COVID-19 cases also felt more depressed (adjusted OR: 3.46, 95% CI 1.45 to 8.26) and had better preventive behaviour than the uninfected population, such as always wearing a mask outside the home (adjusted OR 1.58, 95% CI 1.06 to 2.30).ConclusionCOVID-19 cases found it difficult to comply with recommended home self-isolation conditions, with differences by age group. COVID-19 had an important impact on care dependency in non-hospitalised patients, who were mostly dependent on their families for care. It is necessary to reinforce social and health services and to be ready to meet the care needs of populations during the different waves or in future epidemics.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256239
Author(s):  
Devipriya J. S. ◽  
Ashok Kumar Gupta ◽  
Rajendra Babu Veeri ◽  
Pavan Garapati ◽  
Rishikesh Kumar ◽  
...  

Background In the Indian state of Bihar, visceral leishmaniasis (VL) is a major public health issue that has been aggravated by the rising incidence of new Human immunodeficiency virus (HIV) infections. In endemic areas, the risk of VL infections in patients living with HIV (PLHIV) is higher. It is important to investigate the disease-related knowledge, attitude, and practices (KAP) of PLHIV in Bihar in order to monitor HIV/VL co-infection. Adequate knowledge, a positive attitude, and good practices for VL control are essential to stamp out the disease. This study investigated the KAP towards VL in HIV patients attending antiretroviral therapy (ART) clinic at ICMR-RMRIMS, Patna. Methods A questionnaire based cross-sectional study was performed among 120 HIV patients aged ≥18 years, to evaluate their KAP regarding visceral leishmaniasis. For the KAP indicators, each correct answer received a score of 1, while unsure and incorrect responses received a score of 0. Descriptive statistics and logistic regression were used for the analysis. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) version 27. Results The study population had a male (68.30%) preponderance with a mean age of 37.03 years ± 9.80 years of standard deviation. The majority (93.30%) of the study participants had previously heard about VL. Only 32.10% of those who had heard about VL knew that the disease was transmitted by the sandfly. Most (80.40%) of the study respondents were ignorant of the sandfly breeding grounds. The vast majority (75.90%) had no idea how to recognize sandflies and were unaware of their biting time, leishmaniasis transmission season, and preventive practices. Although PLHIV are vulnerable to VL, only 27.70% of them agreed that VL is a fatal disease if untreated, and 42.90% believed they wear not at risk of developing the disease. Regarding the control methods of sandflies, 28.60% of participants did not use any methods to avoid sandfly bites. The multivariable analysis revealed that occupation and family history were the two independent predictor variables of the knowledge index. Age and gender were significantly associated with attitude towards VL. Participants working as laborers had significantly lesser odds (AOR: 0.248, 95% CI: 0.073–0.844) to follow good preventive practices. There were significantly higher odds of having good practice among participants aged 18–40 years (AOR: 6.866, 95% CI: 1.694–27.834) and those residing in urban areas (AOR: 4.159, 95% CI: 1.317–13.139) than their peers. Overall, 27.7% of respondents were knowledgeable, 41.1% had a positive mindset, and 33.9% had strong VL preventive habits, according to the study. Conclusion The study determined a remarkable gap in the knowledge attitude and practices towards VL among PLHIV. This underscores the need of augmented health education initiatives for PLHIV in endemic areas for good VL awareness and preventive practices.


2020 ◽  
Author(s):  
Dr Zahir Ansari ◽  
Dr Babu Dhanendra Chaurasiya ◽  
Dr Sirjana Adhikari ◽  
Dr Uday Chandra Prakash ◽  
Bikram Adhikari ◽  
...  

Background: Being an added high-risk group, ophthalmic HCP are actively providing emergency eye care services, also enthusiastically participating in prevention and control of the COVID-19 pandemic. Hence, this study aimed to assess the level of knowledge, attitude, and practice (KAP) among ophthalmic HCP towards COVID-19 pandemic. Methods: A web-based cross-sectional study was conducted during the period of lockdown among ophthalmic HCP including consultant ophthalmologist, resident, optometrist, ophthalmic assistant, nursing staff, and other paramedics of eye care centers in Nepal. The KAP questionnaire was designed and distributed online. Data were analyzed using the Chi-square test, Pearson correlation, and binary logistic regression. All tests were performed at 95% Confidence Interval (CI) and p-value <0.05 was considered statistically significant. Results: Of 694 participants, the majority were male (59.1%) from the age group 31-40 years (41.5%) and tertiary eye center (68.9%). Among ophthalmic HCP, there were 29.8% consultants ophthalmologist, 22.6% residents, 23.3% optometrist, 15% ophthalmic assistant, and 9.2% other ophthalmic paramedics, 11.7% working as front-liners in COVID-19 centers. Findings showed, 98.1% had good knowledge, 59.4% had a positive attitude and only 13.3% had good practice regarding COVID-19. Binary logistic regression analysis demonstrated the age of HCP to be a significant determinant of good knowledge (Crude Odds Ratio (COR)=0.72, 95%CI=0.62-0.82), positive attitude (COR=0.92, 95%CI=0.90-0.94) and good practice (COR=1.16, 95%CI=1.10-1.21). Lower odds of poor practice was seen among junior resident (COR=0.26, 95% CI=0.14-0.47) and higher odds of poor practice was seen among HCP with job experience of 5-10 years (COR=2.38, 95% CI=1.23-4.60) towards COVID-19 pandemic. Conclusion: The majority of ophthalmic HCP have good knowledge, insufficient positive attitude, and inadequate evidence-based practice towards the COVID-19 pandemic in Nepal. Hence, this study conclusively recommends to modify existing guidelines and formulate new policies to improve KAP among ophthalmic HCP to effectively control the spread of COVID-19.


2017 ◽  
Vol 14 (1) ◽  
pp. 25-28
Author(s):  
Asmita Adhikari ◽  
Buna Bhandari

Background and Aims: Hypertension is one of the emerging public health problems in developing country like Nepal. Among complications of hypertension, Myocardial Infarction is most distressing. Although, myocardial infarction is life threatening disease, it is yet preventable. Good knowledge and practice is required for prevention and control of myocardial infarction. Therefore, this study intended to assess knowledge and practice of hypertensive patients regarding prevention of myocardial infarction.Methods: Hospital based cross- sectional study was conducted among ninety-six hypertensive patients in outpatient department of Sahid Gangalal National Heart Centre, Nepal. Purposive sampling method was used to select calculated number of study participants. Data was collected by interview method using structured questionnaire and descriptive and inferential statistics was used to analyze the data.Results: More than half of the participants (60.4%) had high level of knowledge of prevention of myocardial infarction whereas 39.6% had low level of knowledge. Similarly, 57.3% had good practice; however, 42.7% had poor practice. This study found significant association of knowledge with gender, education and socio-economic status. In the same manner, there was significant association of practice with ethnicity and awareness of disease.Conclusion: Only around half of the hypertensive patients had good knowledge and practice of the prevention of myocardial infraction. Therefore, awareness level should be increased and identified factors needs to be addressed.Nepalese Heart Journal 2017; 14(1): 25-28


2021 ◽  
Vol 9 ◽  
Author(s):  
Thinley Dorji ◽  
Karma Wangmo ◽  
Yezer ◽  
Tashi Wangchuk ◽  
Tshokey ◽  
...  

Bhutan has reopened schools and colleges after an initial closure to contain coronavirus disease 2019 (COVID-19) transmission. However, the risk of transmissions is higher in the schools and colleges due to crowding. Therefore, this study aimed to assess the level of knowledge, attitude, and practice (KAP) toward COVID-19 among the students of Sherubtse College in Bhutan. A cross-sectional study using a questionnaire was conducted in September 2020 among the students of Sherubtse College, Bhutan. The questionnaire was made in the Google Forms and administered through a social forum WeChat app. The KAP scores were calculated that include mean scores. The association between the KAP was assessed using the Pearson's correlation coefficient. A total of 613 students participated in the survey. The majority of the participants (57%) were female and 56% were from the third year. The mean knowledge score was 10.7 (SD = 1.7; range 0–14), mean attitude score of 3.67 (SD = 1.0; range: 0–5), and mean practice score of 5.19 (SD = range: 0–6). A majority of the students had good knowledge (98%) and practice (93.5%) scores, and a positive attitude (86.6%) toward COVID-19. A positive but weak correlation between good knowledge and practice (r = 0.1, p = 0.0126) was observed. Having a positive attitude led to practicing appropriately most of the time (r = 0.1866, p &lt; 0.001). The students had good KAP scores and followed the COVID-19 prevention protocols advocated by the government. Good knowledge and a positive attitude were translated into good practice. Therefore, the education campaign of the Bhutan government seems to be effective in the students.


2021 ◽  
Author(s):  
Yusuke Konno ◽  
Makoto Okawara ◽  
Ayako Hino ◽  
Tomohisa Nagata ◽  
Keiji Muramatsu ◽  
...  

Background There are increasing concerns that prevention measures against coronavirus disease 2019 (COVID-19) such as social distancing and telework are leading to loneliness and poor lifestyle habits like increased alcohol consumption. The purpose of this study was to assess whether loneliness reported among workers during the COVID-19 pandemic is associated with changes in alcohol consumption. Methods The study comprised a cross-sectional, online survey of 27,036 workers between December 22 and 26, 2020. A questionnaire was used to assess loneliness, usual alcohol consumption and whether that consumption had changed. The odds ratios (ORs) were estimated by logistic regression analysis. Results A total of 2831 (10.5%) workers indicated they had increased alcohol consumption during the pandemic. Increased alcohol consumption was significantly associated with loneliness (OR=1.94, 95%CI 1.70-2.21). This association held true for those who indicated they were drinking two or more days per week (OR=1.98 95%CI 1.71-2.30) and those who drank less than one day per week (OR=1.51 95%CI 0.71-3.25). In contrast, there was no association between increased drinking and loneliness among those who indicated they hardly ever drank (OR=1.22 95%CI 0.55-2.72). Conclusions Among those with a drinking habit, increased alcohol consumption is associated with loneliness.


Author(s):  
Fadilah Sfouq Aleanizy ◽  
Fulwah Yahya Alqahtani

Abstract Objective Healthcare workers (HWs) perform a critical role not only in the clinical management and organization of patients but also in providing adequate infection control and prevention measures and waste management to be implemented in health care facilities. It is important therefore for HWs to have adequate and correct knowledge and awareness towards any pandemic. The aim of this study is to evaluate HWs awareness and knowledge of COVID-19 infection control precautions and waste management in Saudi Arabia hospitals. Methods This is a descriptive cross-sectional study. Information on knowledge, awareness and practice of HWs of infection control and waste management were obtained with the aid of a structured questionnaire. Thematic analysis was used to analyse the data. Results Our findings of assessing the Saudi HWs awareness and knowledge of COVID-19 infection control precautions and waste management during COVID-19 pandemic indicate that most study participants were knowledgeable and achieved a mean of 78.3%. About (92.5%) were aware of the infection control precautions, and 90.3% knew waste management during COVID-19 and 91.7% knew of all the infection control supplies availability. The knowledge of HW regarding waste procedure in their facility correlate significantly with gender (p = 0.0001), education (p = 0.024), and working experience (p = 0.029). The knowledge of infection control precaution correlate with gender (p = 0.0003), education (p = 0.043) and working experience (p = 0.009). Conclusion Most participants appreciated the importance of their role in infection control, surveillance and monitoring the ongoing safety of their patients themselves and their facility and community. Saudi Ministry of health initiatives to improve education and provide training to HW during COVID-19 pandemic has facilitated to expand HW knowledge.


2018 ◽  
Vol 2 (4) ◽  
pp. 654-662
Author(s):  
Yanuarita Tursinawati ◽  
Wijayanti Fuad

Abstrak Pengetahuan, sikap dan tindakan yang baik oleh tenaga kesehatan seperti dokter dalam upaya strategi pencegahan thalassemia sangat diperlukan, karena dokter yang berperan sebagai penyampai informasi kepada masyarakat. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap dan tindakan mahasiswa kedokteran tentang pencegahan thalassemia. Penelitian dengan pendekatan cross sectional study ini melibatkan 96 mahasiswa angkatan tahun I s.d IV, di Fakultas Kedokteran, Universitas Muhammadiyah Semarang antara bulan April-Juni 2018. Analisis pengetahuan, sikap, tindakan terhadap thalasemia menggunakan kuesioner. Skor tiap angkatan dibandingkan dengan uji Kruskal wallis, hubungan antara skor sikap, tindakan dengan pengetahuan diuji dengan regresi linier sederhana. Sebanyak 42,7 % mahasiswa memiliki pengetahuan yang baik, mayoritas memiliki sikap yang positif (72,9%), tindakan yang baik (91,7%). Sebagian besar (70,8%) memiliki rencana untuk memeriksakan status karier thalassemia, namun lebih memilih menunda pemeriksaan sampai saat akan menikah (58,3%). Terdapat hubungan yang signifikan (P=0,023) antara sikap dengan pengetahuan dan antara tindakan dengan pengetahuan (p=0,039). Mahasiswa memiliki pengetahuan, sikap dan tindakan yang baik tentang pencegahan thalassemia serta tingkat pengetahuan mempengaruhi sikap dan tindakan mahasiswa.   Abstract Adequate knowledge, attitudes and practice by health workers such as doctors in thalassemia prevention strategies are needed, because doctors as informers to the public. This study aims to determine knowledge, attitudes and practice of medical students about thalassemia. This study was a cross sectional study involving 96 students from grade year I to IV, at the Faculty of Medicine, University of Muhammadiyah Semarang between April-June 2018. Analysis of knowledge, attitudes, practice against thalassemia used a questionnaire. The score of each grade was compared using Kruskal Wallis, relationship between attitude, practice with knowledge was analyzed with simple linear regression. A total of 42.7% of students had good knowledge, the majority had a positive attitude (72.9%), good practice (91.7%). Most (70.8%) had plans to check thalassemia career status, but prefered to postpone until get married (58.3%). There was a significant relationship (p = 0.023) between attitudes with knowledge and between practice with knowledge (p = 0.039). Students have good knowledge, attitudes and practice and level of knowledge influences their attitudes and practice.  


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