Alli Adewale L, Nwegbu Maxwell M, Ibekwe Perpetua U, Ibekwe Titus S
Department of Medical Biochemistry, University of Abuja, Abuja, Nigeria.
Department of Chemical Pathology, University of Abuja Teaching Hospital, Abuja, Nigeria.
Ann Afr Med. 2016 Oct-Dec;15(4):171-178. doi: 10.4103/1596-3519.194278.
Ebola virus disease (EVD) is a viral hemorrhagic illness with great propensity for spread across international borders. The latest outbreak in the West African region, which involved Nigeria, was the worst among previously documented 25 outbreaks since discovery in 1976. The Nigerian response toward attaining Ebola free status was phenomenal and a case study for most nations. However, the persistence of EVD in West Africa is still a risk to recurrence, hence, the need to assess the level of consciousness of Nigerian physicians towards this.
A cross-sectional study utilizing the instrument of a pretested semi-structured questionnaire was conducted among physicians practicing within the federal capital city of Nigeria. General knowledge, treatment, prevention, and reporting of EVD were assessed and appropriate statistical analyses done using SPSS 20.
Of the 101 respondents, 45% and 87% showed excellent level (>80% score) of "general knowledge" and "reporting" on EVD, respectively. However, only 51% respondents had good (60-80%) knowledge on EVD treatment. Three percent correctly identified the "EVD helpline" phone-numbers for reporting suspected cases. Furthermore, 43.6% admitted the availability of personal protective equipment (PPE) in their hospitals while 35.6% had witnessed a demonstration of the use. The distribution of the PPEs appeared skewed - 74.4% (teaching-hospitals), 16% (private-hospitals), and the primary health care centers (9.6%).
A majority of the physicians showed good level of preparedness as it relates to general knowledge on EVD, knowledge on good clinical practice, use of protocols and standard precautions and PPE. The identification of deficits in knowledge on treatment of EVD and flow path for the notification of suspected cases requires urgent redress given the risk of re-occurrence in the country.
埃博拉病毒病(EVD)是一种病毒性出血热疾病,极易跨境传播。西非地区最近一次疫情爆发涉及尼日利亚,是自1976年发现以来有记录的25次疫情中最严重的一次。尼日利亚为实现无埃博拉状态所采取的应对措施成效显著,堪称多数国家的典范。然而,埃博拉病毒病在西非地区的持续存在仍是疫情复发的风险因素,因此,有必要评估尼日利亚医生对此病的认知水平。
采用预先测试的半结构化问卷对尼日利亚联邦首都地区的执业医生进行了一项横断面研究。评估了医生对埃博拉病毒病的一般知识、治疗、预防及报告情况,并使用SPSS 20进行了适当的统计分析。
在101名受访者中,分别有45%和87%的人在埃博拉病毒病“一般知识”和“报告”方面表现出色(得分>80%)。然而,只有51%的受访者对埃博拉病毒病治疗有良好(60%-80%)的认知。3%的人正确识别了报告疑似病例的“埃博拉病毒病求助热线”电话号码。此外,43.6%的人承认其所在医院有个人防护装备(PPE),35.6%的人目睹过PPE使用演示。PPE的分布似乎不均衡——教学医院占74.4%,私立医院占16%,初级卫生保健中心占9.6%。
大多数医生在埃博拉病毒病的一般知识、良好临床实践知识、方案和标准预防措施及PPE的使用方面表现出较高的准备水平。鉴于该国存在疫情复发风险,埃博拉病毒病治疗知识和疑似病例报告流程方面的知识缺陷亟待纠正。