Lugo-Caballero César I, Dzul-Rosado Karla, Dzul-Tut Irving, Balam-May Ángel, Zavala-Castro Jorge
Laboratorio de Enfermedades Emergentes y Reemergentes, Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán (UADY), UADY, Mérida, Yuc., México.
Facultad de Medicina, UADY, Mérida, Yuc., México.
Gac Med Mex. 2017 May-Jun;153(3):321-328.
The ecological conditions of Yucatan made it a suitable region for the acquisition of vector-borne diseases such as dengue, rickettsiosis, and Chagas disease. As the epidemiological burden of these diseases shows an alarming increase of severe cases, the early establishment of diagnosis and therapeutics by first-contact physicians is a critical step that is not being fulfilled due to several reasons, including poor knowledge.
To determine the level of knowledge related to dengue, Chagas disease, and rickettsiosis among rural first-contact physicians of Yucatan.
A survey was applied to 90 first-contact physicians from rural clinics of Yucatan, which included 32 items related to the diagnosis, treatment, and prevention of dengue, rickettsiosis, and Chagas disease. Answers were analyzed by central tendency statistics.
Differences were observed among every category, however; diagnosis and therapeutics showed the lower values. Globally, 62.5% of respondents showed moderate knowledge, 37.5% poor knowledge, and 0% adequate knowledge.
Results suggest that a strong campaign for a continuous diffusion of knowledge regarding these diseases is needed. In regions with high prevalence of these kinds of diseases, like Yucatan, the impact of these results on the epidemiological burden of these diseases must be evaluated.
尤卡坦半岛的生态条件使其成为登革热、立克次体病和恰加斯病等媒介传播疾病的适宜滋生地区。由于这些疾病的流行病学负担显示重症病例惊人地增加，首诊医生尽早进行诊断和治疗是关键一步，但由于包括知识匮乏在内的多种原因，这一步骤尚未得到落实。
确定尤卡坦半岛农村首诊医生对登革热、恰加斯病和立克次体病的知识水平。
对来自尤卡坦半岛农村诊所的90名首诊医生进行了一项调查，其中包括32项与登革热、立克次体病和恰加斯病的诊断、治疗及预防相关的问题。通过集中趋势统计分析答案。
然而，各分类之间存在差异；诊断和治疗方面得分较低。总体而言，62.5%的受访者知识水平中等，37.5%知识匮乏，0%知识充足。
结果表明，需要开展一场大力宣传这些疾病知识的运动。在这些疾病高发地区（如尤卡坦半岛），必须评估这些结果对这些疾病流行病学负担的影响。
