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医学专业人员对登革热及其病媒的知识、态度和行为:一项横断面研究。

Knowledge, attitudes, and practices regarding dengue and its vectors among medical professionals: a cross-sectional study.

作者信息

Mohamed Rania Ali El Hadi, Khan Yasir, Alzahrani Khalid J, Alzahrani Fuad M, Alsharif Khalaf F, Khan Aamir, Noor Fazal, Qadeer Abdul, Lin Geng-Bai, Chen Chien-Chin

机构信息

Department of Biology, College of Science, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

Lady Reading Hospital, Peshawar, Khyber Pakhtunkhwa, Pakistan.

出版信息

Front Cell Infect Microbiol. 2025 Apr 30;15:1560054. doi: 10.3389/fcimb.2025.1560054. eCollection 2025.

Abstract

Dengue fever remains a significant global public health issue, necessitating a collaborative One Health strategy for efficient management. This cross-sectional study evaluated the knowledge, attitudes, and practices (KAP) of 516 healthcare professionals regarding dengue and its vectors. Most participants were young (82.6%), male (75.6%), and had MBBS qualifications (61.4%), predominantly employed in hospital settings (70.3%), and living in non-hotspot areas (53.3%). The research indicated that 65.1% of respondents possessed moderate knowledge about dengue, while 19.6% exhibited high knowledge and 15.3% showed low knowledge. Most participants (87.8%) correctly identified mosquitoes as the main vector, with 52.7% recognizing stagnant clean water as their breeding habitat. Positive attitudes were noted among 72.5% of participants; 51% viewed dengue as a moderately serious threat, and 47.3% strongly agreed on the crucial role of healthcare professionals in prevention. Conversely, 48.9% pointed out insufficient preventive measures in their facilities. In terms of practices, 80.8% of participants regularly informed patients about prevention, and 79.1% recommended CBC tests for suspected cases. Protective measures such as repellents and mosquito nets were consistently utilized by 57.2%, whereas 41.1% reported infrequent use. Remarkably, 59.7% had never undergone formal training on dengue prevention and management, with only 23.6% receiving consistent training. Furthermore, while 50.8% indicated that their facilities had adequate resources for dengue treatment, 42.8% reported a lack of mosquito control activities. These findings underline significant gaps in training, resource availability, and preventive practices, highlighting the urgent need for enhanced capacity-building, resource allocation, and intersectoral collaboration within the One Health framework to combat the effects of dengue in the region.

摘要

登革热仍然是一个重大的全球公共卫生问题,需要采取协作性的“同一健康”战略进行有效管理。这项横断面研究评估了516名医护人员对登革热及其病媒的知识、态度和实践。大多数参与者较为年轻(82.6%),男性(75.6%),拥有医学学士资格(61.4%),主要受雇于医院环境(70.3%),居住在非热点地区(53.3%)。研究表明,65.1%的受访者对登革热有中等程度的了解,19.6%表现出高知识水平,15.3%表现出低知识水平。大多数参与者(87.8%)正确识别出蚊子是主要病媒,52.7%认识到清洁的积水是其繁殖栖息地。72.5%的参与者态度积极;51%认为登革热是中度严重的威胁,47.3%强烈认同医护人员在预防中的关键作用。相反,48.9%指出其所在机构的预防措施不足。在实践方面,80.8%的参与者定期向患者宣传预防知识,79.1%建议对疑似病例进行全血细胞计数检测。57.2%的人持续使用驱蚊剂和蚊帐等防护措施,而41.1%的人报告使用频率较低。值得注意的是,59.7%的人从未接受过登革热预防和管理的正规培训,只有23.6%的人接受过持续培训。此外,虽然50.8%的人表示其所在机构有足够的登革热治疗资源,但42.8%的人报告缺乏蚊虫控制活动。这些发现凸显了培训、资源可用性和预防实践方面的重大差距,强调迫切需要在“同一健康”框架内加强能力建设、资源分配和部门间合作,以应对该地区登革热的影响。

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