乌干达一个地方病流行区与鼠疫相关的知识和实践
Knowledge and practices related to plague in an endemic area of Uganda.
作者信息
Kugeler Kiersten J, Apangu Titus, Forrester Joseph D, Griffith Kevin S, Candini Gordian, Abaru Janet, Okoth Jimmy F, Apio Harriet, Ezama Geoffrey, Okello Robert, Brett Meghan, Mead Paul
机构信息
Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, USA.
Uganda Virus Research Institute, Plague Program, Arua and Entebbe, Uganda.
出版信息
Int J Infect Dis. 2017 Nov;64:80-84. doi: 10.1016/j.ijid.2017.09.007. Epub 2017 Sep 19.
BACKGROUND
Plague is a virulent zoonosis reported most commonly from Sub-Saharan Africa. Early treatment with antibiotics is important to prevent mortality. Understanding knowledge gaps and common behaviors informs the development of educational efforts to reduce plague mortality.
METHODS
A multi-stage cluster-sampled survey of 420 households was conducted in the plague-endemic West Nile region of Uganda to assess knowledge of symptoms and causes of plague and health care-seeking practices.
RESULTS
Most (84%) respondents were able to correctly describe plague symptoms; approximately 75% linked plague with fleas and dead rats. Most respondents indicated that they would seek health care at a clinic for possible plague; however plague-like symptoms were reportedly common, and in practice, persons sought care for those symptoms at a health clinic infrequently.
CONCLUSIONS
Persons in the plague-endemic region of Uganda have a high level of understanding of plague, yet topics for targeted educational messages are apparent.
背景
鼠疫是一种烈性人畜共患病，最常见于撒哈拉以南非洲地区。早期使用抗生素治疗对于预防死亡至关重要。了解知识差距和常见行为有助于制定教育措施以降低鼠疫死亡率。
方法
在乌干达鼠疫流行的西尼罗河地区对420户家庭进行了多阶段整群抽样调查，以评估对鼠疫症状、病因的了解以及寻求医疗保健的行为。
结果
大多数（84%）受访者能够正确描述鼠疫症状；约75%的人将鼠疫与跳蚤和死鼠联系起来。大多数受访者表示他们会因可能感染鼠疫而去诊所寻求医疗保健；然而，据报道类似鼠疫的症状很常见，但实际上人们很少因这些症状而去健康诊所就医。
结论
乌干达鼠疫流行地区的人们对鼠疫有较高的了解程度，但仍有明显的针对性教育信息主题。
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