知识、态度和实践在城市和农村公共卫生保健设施的卫生保健工作者对病毒性出血热：一项横断面研究。
Knowledge, attitudes and practices towards viral haemorrhagic fevers amongst healthcare workers in urban and rural public healthcare facilities in the N'zérékoré prefecture, Guinea: a cross-sectional study.
机构信息
Division of Infectious Diseases and Tropical Medicine, University Hospital (LMU), Leopoldstr. 5, 80802, Munich, Germany.
Institute of Medical Informatics, Biometry and Epidemiology, Pettenkofer School of Public Health, Ludwig Maximilian University Munich, Marchioninistr. 15, 81377, Munich, Germany.
出版信息
BMC Public Health. 2020 Mar 6;20(1):296. doi: 10.1186/s12889-020-8433-2.
BACKGROUND
The 2013-2016 Ebola epidemic in West Africa began in Guinea's Forest region, a region now considered to be at high risk for future epidemics of viral haemorrhagic fevers (VHF). Good knowledge, attitudes and practices towards VHF amongst healthcare workers in such regions are a central pillar of infection prevention and control (IPC). To inform future training in IPC, this study assesses the knowledge, attitudes and practices (KAP) towards VHF amongst healthcare workers in public healthcare facilities in the most populated prefecture in Forest Guinea, and compares results from urban and rural areas.
METHODS
In June and July 2019, we interviewed 102 healthcare workers in the main urban and rural public healthcare facilities in the N'zérékoré prefecture in Forest Guinea. We used an interviewer-administered questionnaire adapted from validated KAP surveys.
RESULTS
The great majority of respondents demonstrated good knowledge and favourable attitudes towards VHF. However, respondents reported some gaps in preventive practices such as VHF suspect case detection. They also reported a shortage of protective medical equipment used in everyday clinical work in both urban and rural healthcare facilities and a lack of training in IPC, especially in rural healthcare facilities. However, whether or not healthcare workers had been trained in IPC did not seem to influence their level of KAP towards VHF.
CONCLUSIONS
Three years after the end of the Ebola epidemic, our findings suggest that public healthcare facilities in the N'zérékoré prefecture in Forest Guinea still lack essential protective equipment and some practical training in VHF suspect case detection. To minimize the risk of future VHF epidemics and improve management of outbreaks of infectious diseases in the region, current efforts to strengthen the public healthcare system in Guinea should encompass questions of supply and IPC training.
背景
2013-2016 年西非埃博拉疫情始于几内亚的森林地区，该地区现在被认为是未来发生病毒性出血热（VHF）疫情的高风险地区。在这些地区，医疗保健工作者对 VHF 的良好知识、态度和实践是感染预防和控制（IPC）的核心支柱。为了为未来的 IPC 培训提供信息，本研究评估了森林几内亚人口最多的行政区公共卫生保健设施中医疗保健工作者对 VHF 的知识、态度和实践（KAP），并比较了城市和农村地区的结果。
方法
2019 年 6 月至 7 月，我们在森林几内亚的 N'zérékoré 行政区的主要城市和农村公共卫生保健设施中对 102 名医疗保健工作者进行了访谈。我们使用了从经过验证的 KAP 调查改编的访谈式问卷。
结果
绝大多数受访者对 VHF 表现出良好的知识和有利的态度。然而，受访者报告了一些预防实践方面的差距，例如 VHF 疑似病例的发现。他们还报告说，城市和农村卫生保健设施中都缺乏日常临床工作中使用的防护医疗设备，而且在 IPC 方面缺乏培训，尤其是在农村卫生保健设施中。然而，医疗保健工作者是否接受过 IPC 培训似乎并不影响他们对 VHF 的 KAP 水平。
结论
在埃博拉疫情结束三年后，我们的研究结果表明，森林几内亚 N'zérékoré 行政区的公共卫生保健设施仍然缺乏基本的防护设备和一些关于 VHF 疑似病例检测的实际培训。为了最大限度地降低未来 VHF 疫情的风险并改善该地区传染病暴发的管理，目前加强几内亚公共卫生系统的努力应包括供应和 IPC 培训问题。
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