卡拉奇中区全科医生关于成人破伤风免疫的知识、态度和实践

Knowledge, attitudes and practices of general practitioners in Karachi District Central about tetanus immunization in adults.

作者信息

Ahmed S I, Baig L, Thaver I H, Siddiqui M I, Jafery S I, Javed A

机构信息

Faculty of Health Management, Baqai Medical University, Karachi.

出版信息

J Pak Med Assoc. 2001 Oct;51(10):367-9.

PMID:11768940

Abstract

OBJECTIVE

To assess the knowledge, attitude and practices of general practitioners regarding tetanus immunization in adults.

SETTING

The study was conducted in District Central, Karachi.

STUDY DESIGN

This was a Knowledge, Attitude and practices (KAP) survey.

METHODS

From a list of 1050 general practitioners (GPs), 100 were selected through simple random sampling and interviewed through a written questionnaire.

RESULTS

Only 25% general practitioners had adequate knowledge about pre-exposure and 13% both pre- and post-exposure tetanus immunization. All were ready to participate in any program to update their knowledge. Ninety seven percent were practicing only post-exposure immunization. In unimmunized patients with history of road side/street injury, 55% started tetanus immunization with tetanus toxoid (TT) only, 43% with Anti Tetanus Serum/Tetanus Immunoglobin (ATS/TIG) and only 2% with both TT and ATS/TIG. Only 13% GPs advised their patients to complete three doses of tetanus toxoid after initial contact.

CONCLUSION

As majority of GPs had poor knowledge and incorrect practices so interventions like seminars and display of immunization protocols in the clinics are recommended.

摘要

目的

评估全科医生对成人破伤风免疫接种的知识、态度和实践情况。

背景

该研究在卡拉奇市中心区开展。

研究设计

这是一项知识、态度和实践（KAP）调查。

方法

从1050名全科医生名单中，通过简单随机抽样选取100名，并通过书面问卷进行访谈。

结果

只有25%的全科医生对暴露前破伤风免疫接种有足够了解，13%对暴露前和暴露后破伤风免疫接种都有足够了解。所有人都愿意参加任何更新知识的项目。97%的医生仅进行暴露后免疫接种。在有路边/街道受伤史的未免疫患者中，55%仅用破伤风类毒素（TT）开始破伤风免疫接种，43%用破伤风抗毒素/破伤风免疫球蛋白（ATS/TIG），仅2%同时使用TT和ATS/TIG。只有13%的全科医生建议患者在初次接触后完成三剂破伤风类毒素接种。