Oladimeji Abisola M, Gidado Saheed, Nguku Patrick, Nwangwu Iruoma Genevieve, Patil Nikhil D, Oladosu Femi, Roberts Alero Ann, Waziri Ndadilnasiya E, Shuaib Faisal, Oguntimehin Olukayode, Musa Emmanuel, Nasidi Abdulsalami, Adewuyi Peter, Olayinka Adebola, Odubanjo Oladoyin, Poggensee Gabriele
Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria.
Department of Community Health & Primary Care, College of Medicine University of Lagos, Nigeria.
Trop Med Int Health. 2015 Sep;20(9):1162-1170. doi: 10.1111/tmi.12528. Epub 2015 Jun 1.
Healthcare workers (HCWs) play pivotal roles in outbreak responses. Ebola virus disease (EVD) outbreak spread to Lagos, Nigeria, in July 2014, infecting 11 HCWs (case fatality rate of 45%). This study was conducted during the outbreak to assess HCWs' EVD-related knowledge and practices.
A health facility-based cross-sectional study was conducted among HCWs across Lagos State using stratified sampling technique. An interviewer-administered questionnaire was administered to elicit respondents' socio-demographic characteristics, knowledge and practices. A checklist assessing health facility's level of preparedness and HCWs' EVD-related training was employed. HCWs' knowledge and practices were scored and classified as either good or poor. Multivariate analysis was performed with confidence interval set at 95%.
A total of 112 health facilities with 637 HCWs were recruited. Mean age of respondents was 40.1 ± 10.9 years. Overall, 72.5% had good knowledge; doctors knew most. However, only 4.6% of HCWs reported good practices. 16.6% reported having been trained in identifying suspected EVD patient(s); 12.2% had a triaging area for febrile patients in their facilities. Higher proportions of HCWs with good knowledge and training reported good practices. HCWs with EVD-related training were three times more likely to adopt good practices.
Lagos State HCWs had good knowledge of EVD without a corresponding level of good practices. Training was a predictor of good practices.
医护人员在疫情应对中发挥着关键作用。2014年7月，埃博拉病毒病（EVD）疫情蔓延至尼日利亚拉各斯，感染了11名医护人员（病死率为45%）。本研究在疫情期间开展，旨在评估医护人员与埃博拉病毒病相关的知识和实践情况。
采用分层抽样技术，在拉各斯州的医护人员中开展了一项基于医疗机构的横断面研究。通过访谈员实施的问卷调查来获取受访者的社会人口学特征、知识和实践情况。使用一份评估医疗机构准备水平和医护人员埃博拉病毒病相关培训情况的清单。对医护人员的知识和实践进行评分，并分为良好或不佳两类。进行多变量分析，置信区间设定为95%。
共招募了112家医疗机构的637名医护人员。受访者的平均年龄为40.1±10.9岁。总体而言，72.5%的人知识掌握良好；医生了解得最多。然而，只有4.6%的医护人员报告实践情况良好。16.6%的人报告接受过识别疑似埃博拉病毒病患者的培训；12.2%的人所在机构设有发热患者分诊区。知识掌握良好且接受过培训的医护人员中，报告实践情况良好的比例更高。接受过埃博拉病毒病相关培训的医护人员采取良好实践的可能性高出三倍。
拉各斯州的医护人员对埃博拉病毒病知识掌握良好，但实践水平与之不匹配。培训是良好实践的一个预测因素。
