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Abbasi M, Zaim M, Moosazadeh M, Alizadeh M, Dorosti A, Khayatzadeh S, Nikookar SH, Raeisi A, Nikpoor F, Mirolyaie A, Hokmabad BN, Bazmani A, Kaveh F, Azimi S, Enayati A. Uncovering the knowledge gap: A web-based survey of healthcare providers' understanding and management of dengue fever in East Azerbaijan, Iran. PLoS One 2024; 19:e0305528. [PMID: 38905180 PMCID: PMC11192336 DOI: 10.1371/journal.pone.0305528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 06/02/2024] [Indexed: 06/23/2024] Open
Abstract
BACKGROUND Dengue fever (DF) is increasingly recognized as one of the world's major mosquito-borne diseases and causes significant morbidity and mortality in tropical and subtropical countries. Appropriate and timely diagnosis and risk stratification for severe disease are crucial in the appropriate management of this illness. Healthcare providers (HCPs) play a key role in dengue fever diagnosis, management and prevention. The present study was conducted to determine the knowledge, attitudes and practices (KAP) among HCPs in East Azerbaijan Province, Iran. METHODS A cross-sectional survey among 948 HCPs, using a structured questionnaire, was conducted in East Azerbaijan Province from May to July 2022. Data analysis was undertaken using descriptive methods, the Chi-square test or Fisher's exact test, and logistic regression. A P-value <0.05 was considered for statistical significance. RESULTS Out of the 948 (68.5% female) respondents, 227 were physicians and 721 were health professionals. The knowledge level of DF was found to be largely inadequate in the present study population (80.4%). The physician vs. health professional were a significant factor in differentiating attitude scores. The mean practice score regarding DF prevention and control measures among respondents was 8.40±1.97. CONCLUSION The findings call for urgent continuous education and training courses to increase KAP levels and increased capacity and capability for DF prevention and control. This is of outmost importance for the first point of care of DF patients.
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Affiliation(s)
- Madineh Abbasi
- Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Morteza Zaim
- Department of Medical Entomology & Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahmood Moosazadeh
- Faculty of Health, Department of Medical Entomology and Vector Control, Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran
- Non-Communicable Disease Institute, Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mahasti Alizadeh
- Health Management and Safety Promotion Research Institute, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Abbasali Dorosti
- Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Simin Khayatzadeh
- Province Health Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Seyed Hassan Nikookar
- Faculty of Health, Department of Medical Entomology and Vector Control, Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran
| | - Ahmad Raeisi
- Department of Medical Entomology & Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Vector Borne Diseases, Communicable Diseases Control, Ministry of Health, Tehran, Iran
| | - Fatemeh Nikpoor
- Department of Vector Borne Diseases, Communicable Diseases Control, Ministry of Health, Tehran, Iran
- Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran
| | - Abdolreza Mirolyaie
- Department of Vector Borne Diseases, Communicable Diseases Control, Ministry of Health, Tehran, Iran
| | - Behrooz Naghili Hokmabad
- Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Ahad Bazmani
- Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Farzad Kaveh
- Department of Vector Borne Diseases, Communicable Diseases Control, Ministry of Health, Tehran, Iran
| | - Somayeh Azimi
- Department of Health Education and Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Ahmadali Enayati
- Department of Medical Entomology and Vector Control, School of Public Health and Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran
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Togan RM, Diallo AI, Zida-Compaoré WIC, Ba MF, Sadio AJ, Konu RY, Bakoubayi AW, Tchankoni MK, Gnatou GYS, Gbeasor-Komlanvi FA, Diongue FB, Tine JAD, Faye A, Ekouévi DK. Knowledge, attitudes, and practices of health care professionals regarding dengue fever: need for training and provision of diagnostic equipment in Togo in 2022, a cross-sectional study. Front Public Health 2024; 12:1375773. [PMID: 38915751 PMCID: PMC11194359 DOI: 10.3389/fpubh.2024.1375773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Accepted: 05/21/2024] [Indexed: 06/26/2024] Open
Abstract
Background Health statistics on dengue are virtually non-existent, despite the fact that the virus is circulating in Togo. This study aimed to assess the knowledge, attitudes, and practices (KAP) of health professionals in the Kara health region. Methods A cross-sectional study was conducted from March to June 2022 among healthcare professionals who had worked in the Kara region of northern Togo were selected using an exhaustive recruitment method. Data were collected by trained resident doctors with a face-to-face interview using a standardized, pretested questionnaire based on the WHO 2009 dengue guide. Three multivariate regression models were utilized to investigate factors associated with knowledge, attitudes and, and practices. Results A total of 464 respondents (37.1% female), median age 35 years, interquartile range (29-43 years) were included. Only (3.0%) of the participants had received training on dengue fever diagnosis, treatment and prevention in the last 3 years, and 10.3% had dengue rapid diagnostic tests available at their hospital. Half of the respondents (49.1%) had good knowledge of dengue fever, compared with 30.0% who had positive attitudes. Of a total of 256 professionals who had encountered a case of dengue fever in their practice, only 24 (9.4%) had appropriate practices for diagnosing and treating dengue fever. In multivariate analysis, the healthcare professionals who had taken part in ongoing training on dengue fever were more likely to have adequate dengue diagnosis and treatment practice aOR = 8.1; CI 95% = [1.7-36.0]. Conclusion Strengthening healthcare professionals' dengue-related skills through ongoing training and the provision of dengue diagnostic tests could help improve early detection practices and management of dengue fever in Togo.
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Affiliation(s)
- Roméo Mèdéssè Togan
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (ACREPH), Lomé, Togo
- Institute of Health and Development (ISED), Cheikh Anta Diop University, Dakar, Senegal
- Training and Research Centre in Public Health, University of Lomé, Lomé, Togo
| | - Amadou Ibra Diallo
- Institute of Health and Development (ISED), Cheikh Anta Diop University, Dakar, Senegal
| | - Wendpouiré Ida Carine Zida-Compaoré
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (ACREPH), Lomé, Togo
| | - Mouhamadou Faly Ba
- Institute of Health and Development (ISED), Cheikh Anta Diop University, Dakar, Senegal
| | - Arnold Junior Sadio
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (ACREPH), Lomé, Togo
- Training and Research Centre in Public Health, University of Lomé, Lomé, Togo
- Unit 1219 - Global Health in Global South (GHiGS), Bordeaux Population Health Research Center (BPH), French National Health and Medical Research Institute (Inserm), French Research Institute for Development (IRD), University of Bordeaux, Bordeaux, France
| | - Rodion Yao Konu
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (ACREPH), Lomé, Togo
- Training and Research Centre in Public Health, University of Lomé, Lomé, Togo
- Unit 1219 - Global Health in Global South (GHiGS), Bordeaux Population Health Research Center (BPH), French National Health and Medical Research Institute (Inserm), French Research Institute for Development (IRD), University of Bordeaux, Bordeaux, France
| | - Akila Wimima Bakoubayi
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (ACREPH), Lomé, Togo
| | - Martin Kouame Tchankoni
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (ACREPH), Lomé, Togo
- Training and Research Centre in Public Health, University of Lomé, Lomé, Togo
| | - Gatibe Yendu-Suglpak Gnatou
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (ACREPH), Lomé, Togo
| | - Fifonsi Adjidossi Gbeasor-Komlanvi
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (ACREPH), Lomé, Togo
- Training and Research Centre in Public Health, University of Lomé, Lomé, Togo
| | | | | | - Adama Faye
- Institute of Health and Development (ISED), Cheikh Anta Diop University, Dakar, Senegal
| | - Didier Koumavi Ekouévi
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (ACREPH), Lomé, Togo
- Training and Research Centre in Public Health, University of Lomé, Lomé, Togo
- Unit 1219 - Global Health in Global South (GHiGS), Bordeaux Population Health Research Center (BPH), French National Health and Medical Research Institute (Inserm), French Research Institute for Development (IRD), University of Bordeaux, Bordeaux, France
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Mustafa UK, Sauli E, Brinkel J, Kreppel KS. Health professionals' knowledge on dengue and health facility preparedness for case detection: A cross-sectional study in Dar es Salaam, Tanzania. PLoS Negl Trop Dis 2023; 17:e0011761. [PMID: 37988330 PMCID: PMC10662763 DOI: 10.1371/journal.pntd.0011761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 10/30/2023] [Indexed: 11/23/2023] Open
Abstract
Dengue presents a growing public health concern in the Dar es Salaam region of Tanzania, marked by the recurring incidence of outbreaks. Unfortunately, there is little information available on the region's preparedness in terms of health care workers' knowledge on dengue as well as the availability of reagents and equipment essential for diagnosing and monitoring of dengue infections. To elucidate this, 78 health facilities were visited in Temeke district and structured questionnaires were distributed to 324 health care workers. The aim was to evaluate health care workers' knowledge on dengue and to assess the availability of reagents and equipment essential for diagnosing and monitoring of dengue infections. Content validity of the questionnaire was achieved through extensive literature review and it exhibited high reliability (Cronbach Alpha coefficient = 0.813). Cumulative scores for responses on knowledge questions by health care workers were computed. Characteristics such as level of education, place of work and gender were tested for association with these scores using chi-square tests and logistics regression. Almost all health care workers (99.7%) were aware of dengue disease. However, less than half (46.9%) had knowledge scores of or over 40%. Clinicians had approximately four times higher knowledge scores than other cadres (AOR, 3.637; p-value≤ 0.0001), and those who worked in private facilities had twice the knowledge score than those working in government institutions (AOR, 2.071; p-value = 0.007). Only 8.6%, 35.6% and 14.7% of respondents reported the availability of dengue rapid tests, medical guidelines and refresher training respectively, showing a lack of health facilities readiness for the detection of dengue infections. Based on findings from this study, we recommend government authorities to build capacity of health care workers, to improve their understanding of dengue. We also urge the government and stakeholders to work together to ensure availability of diagnostic tests and other tools needed for diagnosis and surveillance of dengue.
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Affiliation(s)
- Ummul-khair Mustafa
- School of Life Science and Bioengineering, Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania
| | - Elingarami Sauli
- School of Life Science and Bioengineering, Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania
| | - Johanna Brinkel
- Department of Infectious Disease Epidemiology, Bernhard Nocht lnstitute for Tropical Medicine, Hamburg, Germany
| | - Katharina Sophia Kreppel
- School of Life Science and Bioengineering, Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania
- Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
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Hunsawong T, Buddhari D, Rungrojcharoenkit K, Suthangkornkul R, Mongkolsirichaikul D, Lohachanakul J, Tayong K, Sirikajornpan K, Rodpradit P, Poolpanichupatam Y, Klungthong C, Utennam D, Kaewhiran S, Cotrone TS, Fernandez S, Jones AR. Anti-Arbovirus Antibodies Cross-React With Severe Acute Respiratory Syndrome Coronavirus 2. Microbiol Spectr 2022; 10:e0263922. [PMID: 36445096 PMCID: PMC9769545 DOI: 10.1128/spectrum.02639-22] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 11/10/2022] [Indexed: 12/02/2022] Open
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is found in regions where dengue (DENV) and chikungunya (CHIKV) viruses are endemic. Any serological cross-reactivity between DENV, CHIKV, and SARS-CoV-2 is significant as it could lead to misdiagnosis, increased severity, or cross-protection. This study examined the potential cross-reactivity of anti-DENV and CHIKV antibodies with SARS-CoV-2 using acute and convalescent-phase samples collected before the SARS-CoV-2 pandemic. These included healthy, normal human (NHS, n = 6), CHIKV-positive (n = 14 pairs acute and convalescent), primary DENV-positive (n = 20 pairs), secondary DENV-positive (n = 20 pairs), and other febrile illnesses sera (n = 23 pairs). Samples were tested using an in-house SARS-CoV-2 and a EUROIMMUN IgA and IgG ELISAs. All NHS samples were negative, whereas 3.6% CHIKV, 21.7% primary DENV, 15.7% secondary DENV, and 10.8% febrile diseases sera resulted as anti-SARS-CoV-2 antibody positive. The EUROIMMUN ELISA using spike 1 as the antigen detected more positives among the primary DENV infections than the in-house ELISA using spike 1-receptor binding domain (RBD) protein. Among ELISA-positive samples, four had detectable neutralizing antibodies against SARS-CoV-2 reporter virus particles yet none had detectable neutralizing antibodies against the live Wuhan strain of SARS-CoV-2. These data demonstrated the SARS-CoV-2 diagnostic cross-reactivity, but not neutralizing antibody cross-reactivity, among dengue seropositive cases. IMPORTANCE SARS-CoV-2 continues to cause significant morbidity globally, including in areas where DENV and CHIKV are endemic. Reports using rapid diagnostic and ELISAs have demonstrated that serological cross-reactivity between DENV and SARS-CoV-2 can occur. Furthermore, it has been observed that convalescent DENV patients are at a lower risk of developing COVID-19. This phenomenon can interfere with the accuracy of serological testing and clinical management of both DENV and COVID-19 patients. In this study, the cross-reactivity of primary/secondary anti-DENV, CHIKV, and other febrile illness antibodies with SARS-CoV-2 using two ELISAs has been shown. Among ELISA-positive samples, four had detectable levels of neutralizing antibodies against SARS-CoV-2 reporter virus particles. However, none had detectable neutralizing antibodies against the live Wuhan strain of SARS-CoV-2. These data demonstrated SARS-CoV-2 diagnostic cross-reactivity, but not neutralizing antibody cross-reactivity, among dengue seropositive cases. The data discussed here provide information regarding diagnosis and may help guide appropriate public health interventions.
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Affiliation(s)
- Taweewun Hunsawong
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Darunee Buddhari
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Kamonthip Rungrojcharoenkit
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Rungarun Suthangkornkul
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Duangrat Mongkolsirichaikul
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Jindarat Lohachanakul
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Kedsara Tayong
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Kanittha Sirikajornpan
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Prinyada Rodpradit
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Yongyuth Poolpanichupatam
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Chonticha Klungthong
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Darunee Utennam
- Research Division, Royal Thai Army, Armed Force Research Institute of Medical Sciences, Bangkok, Thailand
| | | | - Thomas S. Cotrone
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Stefan Fernandez
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
| | - Anthony R. Jones
- Department of Virology, US Army Medical Directorate, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
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