Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Zoonoses Public Health. 2022 Sep;69(6):635-642. doi: 10.1111/zph.12952. Epub 2022 Apr 28.
The study aimed to explore the risk factors for MERS-CoV infection and systematic review of knowledge, attitudes and practices (KAP) with regard to MERS-CoV among the health care workers (HCWs) and the general population. The World Health Organization's MERS-CoV line list (January 2013-January 2020) of the Kingdom of Saudi Arabia (KSA) was analysed. A Poisson regression model was used to calculate the univariate relative risk of outcomes to each potential risk factor, p-values and 95% confidence intervals. An electronic literature search was conducted to assess knowledge, attitudes and practices of the HCWs and general population of the KSA, with regards to transmission of the infection, risk factors and preventative measures. The line list analysis shows that age, gender, comorbidity, exposure to camels and camel milk consumption were associated with an increased risk of fatality; however, year-wise analysis did not show any decline. Over the years, the mean durations between the symptom onset and hospitalization; the hospitalization and laboratory confirmation have reduced. The review of literature shows that the health care workers and the general population had inadequate knowledge about MERS-CoV, lacked motivation and were disconnected from the health authorities. The WHO line list provides information on risk factors for MERS-CoV, KAP analysis helps to know the potential underlying factors. The literature review shows that continuous education for HCWs and increasing public awareness can help effectively manage future MERS-CoV.
本研究旨在探讨中东呼吸综合征冠状病毒(MERS-CoV)感染的危险因素,并对医护人员和普通人群中关于 MERS-CoV 的知识、态度和实践(KAP)进行系统综述。分析了沙特阿拉伯王国(KSA)世界卫生组织(WHO)的 MERS-CoV 清单(2013 年 1 月至 2020 年 1 月)。采用泊松回归模型计算每个潜在危险因素对结果的单变量相对风险、p 值和 95%置信区间。进行了电子文献检索,以评估 KSA 的医护人员和普通人群对感染传播、危险因素和预防措施的知识、态度和实践。清单分析表明,年龄、性别、合并症、接触骆驼和骆驼奶消费与病死率增加有关;然而,逐年分析并未显示任何下降。多年来,症状出现与住院之间的平均时间间隔;住院和实验室确诊时间都有所减少。文献回顾表明,医护人员和普通人群对 MERS-CoV 的知识不足,缺乏动力,与卫生当局脱节。世卫组织清单提供了关于 MERS-CoV 危险因素的信息,KAP 分析有助于了解潜在的相关因素。文献回顾表明,对医护人员进行持续教育和提高公众意识可以帮助有效管理未来的 MERS-CoV。
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