喀麦隆卫生工作者对蛇伤管理的知识、态度和实践：需要持续培训和能力建设。
Knowledge, attitude and practices of snakebite management amongst health workers in Cameroon: Need for continuous training and capacity building.
机构信息
Emerging Diseases epidemiology unit, Institut Pasteur, Paris, France.
Centre for Translational Science, Institut Pasteur, Paris, France.
出版信息
PLoS Negl Trop Dis. 2018 Oct 25;12(10):e0006716. doi: 10.1371/journal.pntd.0006716. eCollection 2018 Oct.
Abstract
BACKGROUND
Snakebite has only recently been recognized as a neglected tropical disease by the WHO. Knowledge regarding snakebites and its care is poor both at the population level, and at the health care staff level. The goal of this study was to describe the level of knowledge and clinical practice regarding snakebite among health care staff from Cameroon.
METHODS
A two-day training dedicated to snakebite and its care was organized in 2015 in Yaoundé, capital city of Cameroon. A total of 98 health care staff from all over Cameroon attended the training. Prior to and after the training, an evaluation quantified the attendees' level of knowledge. Pre- and post-training evaluations were compared to assess knowledge improvement.
RESULTS
Overall, prior to the training knowledge regarding snakebite and care was poor, and wrong beliefs that "pierre noire" or tourniquet were useful in case of snakebite were common. Knowledge was statistically improved after the training.
CONCLUSION
Trainings dedicated to all type of health care staff towards snakebite to improve care are needed, this training must take into consideration the context and the targeted population.
摘要
背景
蛇伤最近才被世界卫生组织确认为被忽视的热带病。在人群层面和医疗保健人员层面，有关蛇伤及其护理的知识都很差。本研究的目的是描述喀麦隆医疗保健人员对蛇伤的了解程度和临床实践。
方法
2015 年，在喀麦隆首都雅温得组织了为期两天的专门针对蛇伤及其护理的培训。共有来自喀麦隆各地的 98 名医疗保健人员参加了培训。在培训之前和之后，通过评估来量化参与者的知识水平。比较培训前后的评估结果，以评估知识的提高情况。
结果
总的来说，在培训之前，有关蛇伤和护理的知识很差，而且普遍存在错误的观念，认为“黑石头”或止血带在蛇咬伤时有用。培训后，知识水平有了统计学上的提高。
结论
需要针对所有类型的医疗保健人员开展专门的蛇伤培训，以改善护理，培训必须考虑到当地情况和目标人群。
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