叙利亚人对霍乱的了解:一项横断面研究

M. B. Almoshantaf, S. Swed, Hidar Alibrahim, H. Bohsas, Mohmad Nour Nasif, W. Hafez, Ahmad Aldaas
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引用次数: 0

摘要

背景:霍乱是一种由革兰氏阴性菌霍乱弧菌引起的传染性急性细菌感染。据估计,全世界每年有130万至400万人感染霍乱,导致21 000至143 000人死亡。预防霍乱需要采取积极主动的方法,而不是被动应对,因为这被认为是减少霍乱在特定人群或社区传播风险的最佳策略。世卫组织最近警告说,霍乱在叙利亚传播的风险非常高,这与饮用未经处理的水和食物污染有关。目的:我们开展这项研究的目的是评估叙利亚社区中关于霍乱感染风险、预防措施和准备的知识、态度和做法水平。因此,根据研究结果推荐合适的措施。方法:在叙利亚进行了一项在线横断面研究,以评估叙利亚普通人群对霍乱和霍乱疫苗的知识、态度和做法。参与的纳入标准为18岁或以上的叙利亚国籍,男性或女性,来自叙利亚所有省份,以前从未患过霍乱,并愿意参加。问卷由四个部分组成。第一部分是关于社会人口统计数据。第二部分评估了受访者自我报告的霍乱知识,并分为两部分(2a:霍乱知识、预防和治疗)。(b)关于霍乱疫苗的知识。第三节评价了答复者自我报告的与霍乱及其疫苗有关的做法,本节分为两部分(3a:与霍乱及其治疗/管理有关的做法)。3b:有关霍乱疫苗的做法。第四部分询问受访者对霍乱和霍乱疫苗的态度。52.9%的人认为霍乱疫情发生在夏季。结果:在1563名叙利亚国家参与者中,(n=982, 62.8%)为女性,(n=581, 37.2%)为男性。60.9%的应答者一开始没有认识到霍乱。水样便是霍乱最常见的症状(50.3%),严重脱水(31.1%)和反复呕吐(10.3%)。缺乏安全饮用水被认为是霍乱最常见的原因。大多数答复者(54.1%)选择静脉注射生理盐水作为霍乱的首选治疗方法。85.3%的答复者赞成在保健中心向感染者提供保健服务。结论:根据我们的研究结果,人们对霍乱的症状和危险因素认识不足。更好地了解这种常见的疾病爆发对于应对它们至关重要。因此,更有必要提高对霍乱的认识,并开展有关该病体征和症状及其危险因素的教育项目。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge of Cholera Among Syrians: A Cross-Sectional Study
Background: Cholera is a communicable acute bacterial infection caused by a gram-negative bacterium that is Vibrio Cholera. Worldwide, is estimated that an incidence of 1.3–4.0 millions of cholera infection, leading to 21,000–143,000 deaths annually. Prevention of cholera require a proactive approach rather than reactive, as it`s identified to be the best strategy to decrease the cholera spreading risk in given population or community. Recently WHO warned that, the cholera spreading risk in Syria is very high, which linked to drinking of untreated water and food contamination.   Aim: we conducted this study with aiming to assess the level of knowledge, attitude and practice regarding risks of cholera infection, preventive measures and preparedness among community in Syria. Consequently, recommending suitable measures based on study results.   Methods: An online cross-sectional study was conducted in Syria to assess knowledge, attitude, and practice regarding cholera and cholera vaccine among general population in Syria. The inclusion criteria for participation were Syrian nationality aged 18 or more, male or female, from all governorates of Syria, never have cholera previously, and were willing to participate. The questionnaire was consisting of four sections. The first section was about sociodemographic data. The second section evaluated respondents' self-reported knowledge on cholera and divided into two parts (2a: Knowledge on cholera, its prevention and treatment. 2b Knowledge on cholera vaccine). The third section evaluated respondents’ self-reported practice relating to cholera and its vaccine, this section divided into two parts (3a: Practice relating cholera and its treatment/management. 3b: Practice relating cholera vaccine. The fourth section inquired respondents’ attitude toward cholera and cholera vaccine. 52.9% thought that cholera outbreaks happen in summer seasons.   Results: Among 1563 Syrian national participants, (n=982, 62.8%) were females, and (n=581, 37.2%) males. 60.9% of respondents did not recognize the cholera in the first place. Passing watery stool was the most recognized symptom of cholera with 50.3%, severe dehydration with 31.1%, and repeated vomiting with 10.3%. Lack of safe drinking water was recognized as the most common cause for cholera. Most respondents (54.1%) have chosen IV saline as the treatment of choice for cholera. 85.3% of respondents are with providing health care to the infectants in health centers.   Conclusion: According to our findings, there is insufficient understanding of the cholera symptoms and risk factors. The need for better understanding of such common outbreaks is essential to counter them. Consequently, there is a greater need to increase cholera awareness and education programs on the disease's signs and symptoms and its risk factors.  
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