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埃塞俄比亚一家三级医院中儿科住院医师和实习医生对儿科计算机断层扫描电离辐射剂量及其相关风险的认知

Pediatric Residents' and Medical Interns' Awareness about Pediatric Ionizing Radiation Dose from Computed Tomography and Its Associated Risks in Tertiary Hospital in Ethiopia.

作者信息

Teferi Seife, Zewdeneh Daniel, Bekele Solomon

机构信息

Department of Radiology, College of Health Sciences, Addis Ababa University.

出版信息

Ethiop J Health Sci. 2018 Jul;28(4):383-392. doi: 10.4314/ejhs.v28i4.4.

Abstract

BACKGROUND

The international literature on physicians' knowledge regarding radiation dosages and risks due to computed tomography showed a widespread underestimation of diagnostic radiation doses. Hence, the objective of this work is to assess the awareness of pediatric residents and medical interns about pediatric CT dose and possible risks.

METHODS

A cross-sectional study was conducted on May/2016 among year I to year III pediatric residents and 2015/2016 year medical interns attaching Pediatrics Department during the study period in Tikur Anbessa Specialized Referral and Teaching Hospital. Data was collected by distributing standardized structured questionnaires. Finally, after the data was checked for clarity and completeness, it was analyzed by using SPSS software.

RESULT

While the majority (76.3%) of the residents and interns knew that children were more sensitive to radiation than adults, 93.7% did not know that there is currently no annual dose limit set for medical exposure of patients. The majority of the respondents (81.3%) know the risk of cancer from CT scan, but most (60%) of the respondents did not know that many imaging facilities still use adult doses for pediatric patients. Furthermore, 18.8% thought that magnetic resonance imaging involves ionizing radiation, and 8.9% of the physicians associated ultrasound examinations with ionizing radiation.

CONCLUSION

Within resident group, since the level of clinical experience did not affect the outcome, we recommend that formal education and training on awareness of radiation with special concern on pediatric population is mandatory especially for pediatric residents and pediatricians who are major caretakers of children.

摘要

背景

关于医生对计算机断层扫描辐射剂量和风险的了解的国际文献表明,对诊断性辐射剂量普遍存在低估。因此,本研究的目的是评估儿科住院医师和医学实习生对儿科CT剂量及可能风险的认知情况。

方法

2016年5月,在提库尔·安贝萨专科医院对一至三年级的儿科住院医师以及2015/2016学年在儿科实习的医学实习生进行了一项横断面研究。通过发放标准化的结构化问卷收集数据。最后,在检查数据的清晰度和完整性后,使用SPSS软件进行分析。

结果

虽然大多数(76.3%)住院医师和实习生知道儿童对辐射比成人更敏感,但93.7%的人不知道目前没有针对患者医疗照射设定年度剂量限制。大多数受访者(81.3%)知道CT扫描有致癌风险,但大多数(60%)受访者不知道许多影像设施仍对儿科患者使用成人剂量。此外,18.8%的人认为磁共振成像涉及电离辐射,8.9%的医生将超声检查与电离辐射联系起来。

结论

在住院医师群体中,由于临床经验水平不影响结果,我们建议尤其针对作为儿童主要护理人员的儿科住院医师和儿科医生,必须开展关于辐射认知的正规教育和培训,特别关注儿科人群。

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