喀麦隆雅温得医务人员关于特应性皮炎的知识、态度和实践

Knowledge, attitudes and practices of the medical personnel regarding atopic dermatitis in Yaoundé, Cameroon.

作者信息

Kouotou Emmanuel Armand, Nansseu Jobert Richie N, Ngangue Engome Alexandra Dominique, Tatah Sandra Ayuk, Zoung-Kanyi Bissek Anne Cécile

机构信息

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, P.O. Box: 8314, Yaoundé, Cameroon.

Yaoundé University Teaching Hospital, Yaoundé, Cameroon.

出版信息

BMC Dermatol. 2017 Feb 16;17(1):1. doi: 10.1186/s12895-017-0053-x.

DOI:10.1186/s12895-017-0053-x

PMID:28209147

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5314472/

Abstract

BACKGROUND

Atopic dermatitis (AD) is a chronic, relapsing and pruritic inflammatory skin disease whose management remains unclear to most non-dermatologists. This study aimed to assess the knowledge, attitudes and practices (KAP) of the medical staff regarding AD in Yaoundé, Cameroon.

METHODS

This was a cross-sectional study conducted from January to April 2014 in 20 health facilities located in Yaoundé, the capital city of Cameroon. All medical staff who provided their consent were included in the study. A score was established for each of the KAP categories, and subsequently grouped into 4 classes considering a score <50, 50-<65, 65-<85 or ≥85%, respectively.

RESULTS

We enrolled 100 medical personnel, 62% of whom were females. Overall, the level of knowledge on AD was moderate (65%). Allergy was the main cause of AD, stated by 64% of participants. Only 43% personnel cited the genetic cause. Asthma was mentioned by 78% as an associated pathology. Regarding attitudes, the majority (84%) thought that AD is equally common among Black and Caucasian populations; 42% of participants believed that evolution is favorable when appropriate medical treatment is prescribed. These attitudes were considered wrong (64%). Similarly, the general level of practice was inadequate: 50%.

CONCLUSION

Levels of knowledge, attitudes and practices of the medical staff regarding AD were poor, implying that management of this condition is non optimal in our setting.

摘要

背景

特应性皮炎（AD）是一种慢性、复发性且瘙痒性的炎症性皮肤病，大多数非皮肤科医生对其治疗方法仍不明确。本研究旨在评估喀麦隆雅温得医务人员对AD的知识、态度和实践（KAP）情况。

方法

这是一项于2014年1月至4月在喀麦隆首都雅温得的20家医疗机构开展的横断面研究。所有同意参与的医务人员均纳入研究。为KAP的每个类别设定了一个分数，随后分别考虑分数<50%、50%-<65%、65%-<85%或≥85%将其分为4类。

结果

我们招募了100名医务人员，其中62%为女性。总体而言，对AD的知识水平中等（65%）。64%的参与者表示过敏是AD的主要病因。只有43%的人员提到了遗传病因。78%的人提到哮喘是一种相关病症。关于态度，大多数人（84%）认为AD在黑人和白人人群中同样常见；42%的参与者认为在开具适当的药物治疗时病情会好转。这些态度被认为是错误的（64%）。同样，总体实践水平不足：50%。