Shrestha Sailesh Kumar, Bhattarai Ratna Bahadur, Joshi Lok Raj, Adhikari Nilaramba, Shrestha Suvesh Kumar, Basnet Rajendra, K C Kedar Narsingh
National Academy of Medical Sciences, Bir Hospital, Kathmandu 44600, Nepal.
National Tuberculosis Control Center, Bhaktapur 44800, Nepal.
Tuberc Res Treat. 2021 Mar 1;2021:6615180. doi: 10.1155/2021/6615180. eCollection 2021.
Drug-resistant tuberculosis (DR-TB) transmission is an important problem, particularly in low-income settings. This study is aimed at assessing the knowledge, attitude, and practices of DR-TB infection control among the healthcare workers under the National Tuberculosis Control Program in Nepal. In this cross-sectional study, we studied the healthcare workers from all the 11 functioning DR-TB treatment centers across Nepal in March 2018. Through face-to-face interviews, trained data collectors collected data on the characteristics of healthcare workers, their self-reported knowledge, attitude, and practice on DR-TB infection control. We entered the data in Microsoft Excel and analyzed in the R statistical software. We assigned a score of one to the correct response and zero to the incorrect or no response and calculated a composite score in each of the knowledge, attitude, and practice domains. We ascertained the healthcare workers as having good knowledge, appropriate attitude, and optimal practices when the composite score was ≥50%. We summarized the numerical variables with median (interquartile range (IQR)) and the categorical variables with proportions. We ran appropriate correlation tests to identify relationships between knowledge, attitude, and practice scores. We regarded a value of <0.05 as significant. A total of 95 out of 102 healthcare workers responded. There were 46 male respondents. The median age was 33 years (IQR 26-42). Most of them (53, 55.79%) were midlevel paramedics. We found 91 (95.79%) respondents had good knowledge, 49 (51.58%) had an appropriate attitude, and 35 (36.84%) had optimal practices on DR-TB infection control. We found a statistically significant positive correlation between attitude and practice scores ( = 0.37, ≤ 0.001). The healthcare workers at the DR-TB treatment centers in Nepal have good knowledge of DR-TB infection control, but it did not translate into an appropriate attitude or optimal practices.
耐多药结核病（DR-TB）传播是一个重要问题，在低收入环境中尤为如此。本研究旨在评估尼泊尔国家结核病控制项目下医护人员对耐多药结核病感染控制的知识、态度和实践情况。在这项横断面研究中，我们于2018年3月对尼泊尔所有11个运转中的耐多药结核病治疗中心的医护人员进行了研究。通过面对面访谈，经过培训的数据收集人员收集了医护人员的特征、他们自我报告的关于耐多药结核病感染控制的知识、态度和实践方面的数据。我们将数据录入Microsoft Excel并在R统计软件中进行分析。我们对正确回答赋值为1，对错误或无回答赋值为0，并在知识、态度和实践领域分别计算综合得分。当综合得分≥50%时，我们确定医护人员具有良好的知识、适当的态度和最佳实践。我们用中位数（四分位间距（IQR））总结数值变量，用比例总结分类变量。我们进行了适当的相关性检验以确定知识、态度和实践得分之间的关系。我们将P值<0.05视为具有显著性。102名医护人员中有95人做出了回应。有46名男性受访者。年龄中位数为33岁（IQR 26 - 42）。他们中的大多数（53人，55.79%）是中级医护人员。我们发现91名（95.79%）受访者对耐多药结核病感染控制有良好的知识，49名（51.58%）有适当的态度，35名（36.84%）有最佳实践。我们发现态度和实践得分之间存在统计学上显著的正相关（r = 0.37，P ≤ 0.001）。尼泊尔耐多药结核病治疗中心的医护人员对耐多药结核病感染控制有良好的知识，但这并未转化为适当的态度或最佳实践。
