Knowledge and attitude toward Crimean-Congo haemorrhagic fever in occupationally at-risk Iranian healthcare workers
Knowledge and attitude toward Crimean-Congo haemorrhagic fever in occupationally at-risk Iranian healthcare workers
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DOI：
10.1016/j.jhin.2008.02.007
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发表时间：
2008-05-01
影响因子：
6.9
通讯作者：
Dowlatshahi, S.
中科院分区：
文献类型：
--
作者：
Rahnavardi, M.;Rajaeinejad, M.;Dowlatshahi, S.
我们评估了职业高危医护人员 (HCW) 对克里米亚-刚果出血热 (CCHF) 的知识和态度 (K&A)。在伊朗 Systan-Baluchestan 省和伊斯法罕省的三家转诊医院进行了一项横断面调查，这些医院是 CCHF 高度流行的地区。总共有 191/209 名符合资格的医护人员参与其中（答复率：93%）。除 11 人（5.8%）外，其余所有人都听说过 CCHF。受访者的平均K&A得分分别为50.34%和79.25%。 K&A 之间相关性显着（相关系数：0.542；P < 0.001）。作为一名医生、在伊斯法罕工作（相对于相对贫困的西斯坦-巴图切斯坦）以及依赖学术材料而不是当地媒体是与更多知识显着相关的独立因素；高等教育和实验室人员态度较好也是重要因素。尽管医护人员在预防措施方面表现出了最好的 K&A，但只有 44% 的人在接触 CCHF 患者时戴了手套和口罩，22% 的人没有遵守任何安全措施。有经皮接触史的人（6.3%）的知识得分显着较低（P = 0.047）。有必要在流行严重的贫困地区开展专业教育活动，以改善医生的态度，鼓励护士使用学术材料并增加受教育程度较低的医护人员的知识。 (c) 2008 年医院感染协会。由爱思唯尔有限公司出版。保留所有权利。
We assessed the knowledge and attitude (K&A) toward Crimean-Congo haemorrhagic fever (CCHF) of occupationally at-risk healthcare workers (HCWs). A cross-sectional survey was performed in three referral hospitals in the Systan-Baluchestan and Isfahan provinces of Iran where CCHF is highly endemic. In all, 191/209 eligible HCWs were enrolled (response rate: 93%). All but 11 (5.8%) had heard of CCHF. The mean K&A scores of the respondents were 50.34% and 79.25%, respectively. The correlation between K&A was significant (correlation coefficient: 0.542; P < 0.001). Being a physician, working in Isfahan (versus the relativety deprived Systan-Batuchestan) and relying on academic material rather than local media were independent factors significantly associated with more knowledge; higher education and laboratory staff with better attitude were also significant factors. Although HCWs showed the best K&A for preventive measures, only 44% wore gloves and masks for contact with CCHF patients and 22% failed to observe any safety measure. Those with a history of percutaneous contact (6.3%) had significantly lower knowledge scores (P = 0.047). There is a need to establish professional education campaigns in highly endemic deprived areas in order to improve physicians' attitudes, encourage nurses' use of academic materials and increase the knowledge of less-educated HCWs. (c) 2008 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.