评估医务人员对 Q 热的认识

Igor Rosa Meurer, Marcio Roberto Silva, Ronald Kleinsorge Roland, José Otávio Do Amaral Corrêa, Elaine Soares Coimbra
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Univariate and multivariate logistic regression analyses were conducted to assess whether the variables medical specialty, level of health care in which they work, age range and gender were associated with a correct answer to at least one specific question about Q fever. Results: among the 254 physicians included, 236 (92.9%) were unaware of Q fever. Only three (16.6%) of the 18 who correctly answered at least one specific question about the disease had a score of more than 50%. The highest rates of correct answers for at least one question (p < 0.0001) occurred among the medical specialties most related to clinical signs and symptoms or the differential diagnosis of Q fever and among males. It is highlighted that 85.8% of physicians consider Q fever a neglected and underreported disease in Brazil. Additionally, all physicians responded that they were not aware of the One Health approach. 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引用次数: 0

摘要

目的:评估医疗专业人员对 Q 热的认识,寻求对公共卫生的综合贡献,以利于根据 "一体健康 "方法制定政策和战略。方法:这是一项横断面定量研究,通过对巴西三级医疗机构不同临床专业的医生进行面对面的结构化问卷调查来收集数据。问卷由 25 个问题组成,其中 7 个问题专门用于评估 Q 热的相关知识。我们进行了单变量和多变量逻辑回归分析,以评估医疗专业、工作医疗级别、年龄范围和性别等变量是否与至少一个有关 Q 热的特定问题的正确答案相关。结果:在纳入的 254 名医生中,有 236 人(92.9%)不知道 Q 热。在正确回答至少一个有关该疾病的具体问题的 18 人中,只有 3 人(16.6%)的得分超过 50%。在与 Q 热的临床症状和体征或鉴别诊断最相关的医学专业和男性中,至少回答一个问题的正确率最高(p < 0.0001)。值得强调的是,85.8% 的医生认为 Q 热在巴西是一种被忽视和报告不足的疾病。此外,所有医生都表示不了解 "统一健康 "方法。结论:医疗专业人员对 Q 热几乎完全不了解,这说明有必要在医学院、住院医师培训计划和一般医生中采用 "一体健康 "方法,更多地披露这种人畜共患病。此外,将 Q 热列入国家应通报疾病清单也很有意义,这样可以更好地了解巴西的流行病学状况。最后,必须采取有效的公共卫生行动,以避免诊断不足和严重病例的发生。方法:这是一项横断面定量研究,通过对巴西三级医疗机构不同临床专业的医生进行面对面的结构化问卷调查来收集数据。问卷由 25 个问题组成,其中 7 个问题专门用于评估 Q 热的相关知识。我们进行了单变量和多变量逻辑回归分析,以评估医疗专业、工作医疗级别、年龄范围和性别等变量是否与至少一个有关 Q 热的特定问题的正确答案相关。在正确回答至少一个有关该疾病的具体问题的 18 人中,只有 3 人(16.6%)的得分超过 50%。在与 Q 热的临床症状和体征或鉴别诊断最相关的医学专业和男性中,至少回答一个问题的正确率最高(p < 0.0001)。值得强调的是,85.8% 的医生认为 Q 热在巴西是一种被忽视和报告不足的疾病。结论:医疗专业人员对 Q 热几乎完全不了解,这说明有必要在医学院、住院医师培训计划和一般医生中以 "一体健康 "的方式更多地披露这种人畜共患病。此外,将 Q 热列入国家应通报疾病清单也很有意义,这样可以更好地了解巴西的流行病学状况。最后,必须采取有效的公共卫生行动,以避免诊断不足和出现严重病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of medical professionals’ knowledge about Q fever
Aims: evaluate the medical professionals’ knowledge about Q fever, seeking integrative contributions to public health that may favor the formulation of policies and the development of strategies based on a One Health approach. Methods: this is a cross-sectional and quantitative study with data collection through a structured questionnaire applied face-to-face to physicians from various clinical specialties working at the three levels of health care in Brazil. The questionnaire consisted of 25 questions, seven of which were specific to assessing knowledge about Q fever. Univariate and multivariate logistic regression analyses were conducted to assess whether the variables medical specialty, level of health care in which they work, age range and gender were associated with a correct answer to at least one specific question about Q fever. Results: among the 254 physicians included, 236 (92.9%) were unaware of Q fever. Only three (16.6%) of the 18 who correctly answered at least one specific question about the disease had a score of more than 50%. The highest rates of correct answers for at least one question (p < 0.0001) occurred among the medical specialties most related to clinical signs and symptoms or the differential diagnosis of Q fever and among males. It is highlighted that 85.8% of physicians consider Q fever a neglected and underreported disease in Brazil. Additionally, all physicians responded that they were not aware of the One Health approach. Conclusions: the almost total lack of knowledge among medical professionals regarding Q fever reinforces the need for greater disclosure for this zoonosis with a One Health approach in Medical Schools, in Residency Programs and for physicians in general. In addition, the inclusion of Q fever in the national list of notifiable diseases becomes relevant, allowing a better understanding of its epidemiological situation in Brazil. Finally, effective public health actions must be carried out to avoid underdiagnosis and the development of severe cases of the disease. Methods: this is a cross-sectional and quantitative study with data collection through a structured questionnaire applied face-to-face to physicians from various clinical specialties working at the three levels of health care in Brazil. The questionnaire consisted of 25 questions, seven of which were specific to assessing knowledge about Q fever. Univariate and multivariate logistic regression analyses were conducted to assess whether the variables medical specialty, level of health care in which they work, age range and gender were associated with a correct answer to at least one specific question about Q fever. Results: among the 254 physicians included, 236 (92.9%) were unaware of Q fever. Only three (16.6%) of the 18 who correctly answered at least one specific question about the disease had a score of more than 50%. The highest rates of correct answers for at least one question (p < 0.0001) occurred among the medical specialties most related to clinical signs and symptoms or the differential diagnosis of Q fever and among males. It is highlighted that 85.8% of physicians consider Q fever a neglected and underreported disease in Brazil. Additionally, all physicians responded that they were not aware of the One Health approach. Conclusions: the almost total lack of knowledge among medical professionals regarding Q fever reinforces the need for greater disclosure for this zoonosis with a One Health approach in Medical Schools, in Residency Programs and for physicians in general. In addition, the inclusion of Q fever in the national list of notifiable diseases becomes relevant, allowing a better understanding of its epidemiological situation in Brazil. Finally, effective public health actions must be carried out to avoid underdiagnosis and the development of severe cases of the disease.
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