拉各斯州和联邦首都地区医护人员对虫媒病毒感染诊断的知识与实践评估：一项横断面研究
Assessment of knowledge and practices towards the diagnosis of arboviral infections amongst healthcare workers in Lagos State and the Federal Capital Territory: a cross-sectional study.
作者信息
Ipadeola Abiodun Feyikemi, Akinnola Olayemi Oluseun, Kolawole Olatunji Matthew, Isere Elvis Efe, Attah Timothy Adejoh, Omenyi Lazarus Onyema, Oladokun Odunola Dorcas, Oyewunmi Kafayat Olabisi, Ekun Oyeronke Olufemi, Oparaocha Stellamaris Uche, Obazee Dorcas Yetunde, Ndaks Comfort, Ewa Egwu Emmanuel, Olasehinde Grace Iyabo
机构信息
Covenant University, Otta, Ogun State, Nigeria.
Datametrics Associates Limited, FCT-Abuja, Nigeria.
出版信息
Pan Afr Med J. 2024 Dec 17;49:124. doi: 10.11604/pamj.2024.49.124.44504. eCollection 2024.
INTRODUCTION
in Nigeria, misdiagnosis of arboviral infections poses a significant public health threat to prompt diagnosis and optimum treatment. This study investigates the knowledge about arboviral diseases and diagnostic practices among healthcare workers (HCW) in Nigeria.
METHODS
a cross-sectional study with multistage sampling was carried out among healthcare workers in Lagos and federal capital territory (FCT). Semi-structured questionnaires were administered to healthcare workers. Descriptive and inferential statistics were performed using a 5% level of significance.
RESULTS
a total of 395 HCWs were enrolled from Lagos State (48.4%) and from the FCT (51.6%). Majority of the HCWs in Lagos State (49.2%) and the FCT (50.5%) were ≥35 years (P<0.001). In Lagos State, laboratory scientists were most represented (40.3%) compared to 40.7% of the nurses in the FCT (P=0.013). All participant in the FCT practiced in secondary facilities compared to Lagos State (82.2%) and 38.7% had <5 years´ experience compared to 51.3% of HCWs in Lagos State with >10 years´ experience (P<0.001). A higher proportion of HCWs in Lagos State showed greater awareness about arboviral infections (33.5%) compared to those in the FCT (6.4%) (p < 0.001). In Lagos State, male, age ≥35 years, having good knowledge, and prior training on arboviral diseases and their diagnosis, increased the odds of diagnosing an arboviral infection. Also, medical doctors as well as laboratory scientists were more likely than nurses to diagnose an arboviral infection (P<0.05). In the FCT, good knowledge and training on arboviruses and arboviral infection diagnosis increased the odds of arboviral disease diagnosis (P<0.05).
CONCLUSION
our study found differences in arboviral infection diagnostic practices in Lagos and FCT. Enhancing training and dissemination of knowledge gained from training is vital to improve diagnosis and surveillance of arboviral infection and diseases.
引言
在尼日利亚，虫媒病毒感染的误诊对及时诊断和最佳治疗构成了重大的公共卫生威胁。本研究调查了尼日利亚医护人员对虫媒病毒疾病的了解情况及诊断实践。
方法
在拉各斯和联邦首都地区（FCT）的医护人员中开展了一项采用多阶段抽样的横断面研究。向医护人员发放了半结构化问卷。使用5%的显著性水平进行描述性和推断性统计。
结果
共招募了395名医护人员，其中来自拉各斯州的占48.4%，来自联邦首都地区的占51.6%。拉各斯州的大多数医护人员（49.2%）和联邦首都地区的大多数医护人员（50.5%）年龄≥35岁（P<0.001）。在拉各斯州，实验室科学家占比最高（40.3%），而在联邦首都地区护士占比为40.7%（P=0.013）。与拉各斯州相比，联邦首都地区的所有参与者都在二级医疗机构工作（拉各斯州为82.2%），且38.7%的人工作经验<5年，而拉各斯州51.3%的医护人员工作经验>10年（P<0.001）。与联邦首都地区的医护人员（6.4%）相比，拉各斯州有更高比例的医护人员对虫媒病毒感染有更高的认知度（33.5%）（p < 0.001）。在拉各斯州，男性、年龄≥35岁、具备良好知识以及接受过虫媒病毒疾病及其诊断的培训，会增加诊断虫媒病毒感染的几率。此外，医生和实验室科学家比护士更有可能诊断出虫媒病毒感染（P<0.05）。在联邦首都地区，对虫媒病毒和虫媒病毒感染诊断的良好知识和培训增加了诊断虫媒病毒疾病的几率（P<0.05）。
结论
我们的研究发现拉各斯和联邦首都地区在虫媒病毒感染诊断实践方面存在差异。加强培训并传播培训中获得的知识对于改善虫媒病毒感染和疾病的诊断及监测至关重要。
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