乌干达西部流行地区卫生工作者对人畜共患病的认识。
Health workers' knowledge of zoonotic diseases in an endemic region of Western Uganda.
机构信息
Department of Medical Microbiology, College of Health Sciences, Makerere University, Kampala, Uganda.
Department of Community Health, School of Public Health, Makerere University, Kampala, Uganda.
出版信息
Zoonoses Public Health. 2018 Nov;65(7):850-858. doi: 10.1111/zph.12509. Epub 2018 Aug 3.
Many factors, including lack of knowledge, influence diagnosis and reporting of disease in Sub-Saharan Africa. Health Care workers (HCWs) are in constant interaction with communities and play an important role in the prevention, diagnosis and treatment of infectious diseases, including zoonoses. We determined knowledge of HCWs regarding cause, vector, transmission, diagnosis and clinical symptoms of five zoonotic diseases: anthrax, brucellosis, rabies as well as Ebola and marburg haemorrhagic fevers in endemic western Uganda. This was a descriptive cross-sectional study among HCWs based at health centres in and around Queen Elizabeth Conservation Area, Western Uganda. A self-administered questionnaire was used to measure knowledge of these five most common zoonoses recently recorded in the area. Data were captured as true if the responses were correct or false if incorrect. Analyses were in STATA and inferential statistics by cross-tabulation, and a chi-square P-value of less than 0.05 was considered significant. A majority (114/140; 81.4%) of the respondents had heard about zoonoses. The most accurately identified zoonoses were anthrax (128/140; 91.4%) closely followed by rabies (126/140; 90%), while only 21 (15%) respondents knew that cryptosporidiosis was zoonotic. Up to 20% (28/140) and 12.8% (18/140) thought that malaria and HIV, respectively, were zoonotic. There was poor overall knowledge of the endemic diseases brucellosis among all the participants, where only 1.4% (2/140) knew its causative agent, clinical symptoms and transmission. There was a total lack of knowledge (0%) about anthrax and Ebola whereby none of the 140 HCWs knew all the three above aspects required to be knowledgeable for each of the two diseases. Generally, there was poor knowledge of the five zoonoses. We recommend that medical curricula incorporate training on zoonotic and other emerging diseases, and continuing medical education regarding zoonoses should be designed for the HCWs practicing in hotspot zones.
许多因素,包括知识的缺乏,影响了撒哈拉以南非洲地区疾病的诊断和报告。卫生保健工作者(HCWs)与社区保持着密切的联系,在传染病(包括人畜共患病)的预防、诊断和治疗方面发挥着重要作用。我们确定了乌干达西部伊丽莎白女王自然保护区及其周边卫生中心的 HCWs 对五种人畜共患病(炭疽、布鲁氏菌病、狂犬病以及埃博拉和马尔堡出血热)的病因、媒介、传播、诊断和临床症状的了解程度。这是一项在乌干达西部伊丽莎白女王自然保护区及其周边卫生中心工作的 HCWs 进行的描述性横断面研究。使用自填式问卷来衡量这些五种最近在该地区记录的最常见人畜共患病的知识。如果回答正确,则数据为真;如果回答错误,则数据为假。数据分析采用 STATA 软件,并通过交叉表进行推断统计,P 值小于 0.05 被认为具有统计学意义。大多数(114/140;81.4%)受访者听说过人畜共患病。最准确识别的人畜共患病是炭疽(128/140;91.4%),紧随其后的是狂犬病(126/140;90%),而只有 21 名(15%)受访者知道隐孢子虫病是人畜共患病。高达 20%(28/140)和 12.8%(18/140)的人认为疟疾和 HIV 分别是人畜共患病。所有参与者对地方性疾病布鲁氏菌病的总体知识都很差,只有 1.4%(2/140)知道其病原体、临床症状和传播途径。对炭疽和埃博拉病毒完全缺乏了解,140 名 HCWs 中没有一个人知道这两种疾病所需的所有三个方面的知识。总的来说,对这五种人畜共患病的了解都很差。我们建议医学课程纳入对人畜共患病和其他新发传染病的培训,并且应该为在热点地区工作的 HCWs 设计关于人畜共患病的继续医学教育。