Level of Knowledge among Doctors and Nurses against Lassa Fever and the Control Mechanisms in FMC, Umuahia

Onyenwe Chinyere Patience, Ezugworie Flora Nnenna, Ajaegbu Eze Elijah, Ogbonnaya Florence, Iloabuchi Lucy Chineye, Dieke Adaobi Janefrances, O. Gloria, Nwaobodo Angel Chineye, Ugochukwu Jane Ijeoma
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Abstract

Background: Lassa fever is a zoonotic viral infection caused by rodents and is presently endemic in some part of Nigeria. The cross infection prevention and control measures practiced by doctors and nurses in Federal Medical Centre (FMC) Umuahia in Abia state was assessed along with the readiness of the health workers on the current Lassa fever outbreak. Methods: Well-structured questionnaire was used to collect data from the respondents. Data on the level of knowledge of respondents and their risk perception on the outbreak were collected and the proportion of risk perception was estimated. Results: One hundred and one respondents were recorded, 97 (96.0%) were aware of the current outbreak, 46 (45.5%) are aware of person to person transmission while 41 (40.6%) are not. Risk perception among doctors and nurses is up to 90.1%, 5.9% are not but 4% are not sure whether they are at risk. Up to 89.1% of the respondents are educated on the precaution measures while others are ignorant of them. Always sanitizing of hand after contact with patients recorded 79 (78.2%), 76 (75.2%) always change their hand gloves between patients, 37 (36.6%) always use facemask while attending to patients, 87 (86.1%) always wear their hand gloves while handling patient’s body fluid and materials, 62 (61.4%) always wear their personal protective equipment while caring for patients. The rate of readiness of doctors and nurses in FMC Umuahia Abia state was rated over 100% and only 43 (42.6%) are ready for the outbreak, others are not prepared. Conclusion: From all indication, there is a gap in the flow of knowledge on prevention and cross infection control measures among doctors and nurses in FMC, Umuahia. Refresher training should be conducted and adequate preventive equipment made available.
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乌穆阿希州FMC医生和护士对拉沙热的知识水平及控制机制
背景:拉沙热是一种由啮齿动物引起的人畜共患病毒感染,目前在尼日利亚部分地区流行。评估了阿比亚州乌穆阿希亚联邦医疗中心医生和护士采取的交叉感染预防和控制措施,以及卫生工作者对当前拉沙热暴发的准备情况。方法:采用结构合理的调查问卷,对被调查者进行问卷调查。收集了应答者的知识水平及其对疫情的风险认知的数据,并估计了风险认知的比例。结果:101名被调查者中,97人(96.0%)知道当前疫情,46人(45.5%)知道人际传播,41人(40.6%)不知道。医生和护士的风险认知高达90.1%,5.9%不确定,4%不确定自己是否有风险。高达89.1%的受访者对预防措施进行了教育,而其他人对此一无所知。与患者接触后始终进行手部消毒79人(78.2%),患者间始终更换手套76人(75.2%),护理时始终佩戴口罩37人(36.6%),处理患者体液和材料时始终佩戴手套87人(86.1%),护理时始终佩戴个人防护用品62人(61.4%)。乌穆阿比亚州FMC的医生和护士的准备率超过100%,只有43人(42.6%)对疫情做好了准备,其他人没有做好准备。结论:从各指征来看,乌默亚州FMC的医护人员对预防和交叉感染控制措施的知识流通存在差距。应进行进修培训,并提供适当的预防设备。
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