Hasan Fariha, Khan Mohammad O, Ali Mukarram
Department of Internal Medicine, Dow University of Health Sciences (DUHS), Karachi, Pakistan.
Department of Forensic Medicine and Toxicology, Dow University of Health Sciences (DUHS), Karachi, Pakistan.
Cureus. 2018 Jan 9;10(1):e2048. doi: 10.7759/cureus.2048.
Introduction Pakistan is extremely susceptible to an influenza outbreak, as it shares borders with the most affected countries, namely China and India. The medical and dental students come into direct contact with the affected population and should be aware of the risk factors and signs and symptoms pertaining to swine influenza virus (SIV). Hence, this survey was conducted to assess the knowledge, perceptions and self-care practices of the medical and dental students with regards to this pandemic. Methods A descriptive, cross-sectional study was conducted to evaluate the swine flu-related knowledge, attitudes and practices of the medical and dental students at various institutions in Karachi, Pakistan. We approached 613 students that were available on the dates of this survey, keeping a medical to dental student ratio of 75:25. All students from first to final year comprised of the study population, and no internists or medical personnel were included. The questionnaire was divided into three sections, namely knowledge, attitudes and, practices. All questions were based on a multiple choice format. The data were entered and interpreted using the IBM Statistical Package for the Social Sciences 23.0 (IBM Corp., Armonk, New York). Results The majority of the students were aware that the swine flu is a transmittable disease (n=485, 80.8%). Most students identified the signs and symptoms correctly; however, diarrhea (15.5%) and vomiting (32.2%) were the least correct answers (n=93, n=193 respectively). Most of the preventative measures were reported accurately by the participants. Despite this, only 15.5% students (n=93) reported the use of a facemask when suffering from fever, cough and a runny nose. Conclusion There is a dire need for the routine integration of the awareness and management programs in the medical and dental schools. There exists a gap between the policy and practice, and it is high time we bridge the divide. The students should also be vaccinated annually for influenza A.
引言
巴基斯坦极易爆发流感疫情,因为它与受影响最严重的国家,即中国和印度接壤。医学和牙医学专业的学生直接接触受感染人群,应该了解与猪流感病毒(SIV)相关的风险因素、体征和症状。因此,开展了这项调查,以评估医学和牙医学专业学生关于此次大流行病的知识、认知和自我护理做法。
方法
开展了一项描述性横断面研究,以评估巴基斯坦卡拉奇各机构医学和牙医学专业学生与猪流感相关的知识、态度和做法。我们接触了在此次调查日期时在校的613名学生,保持医学专业学生与牙医学专业学生75:25的比例。从一年级到最后一年的所有学生构成研究人群,不包括内科医生或医务人员。问卷分为三个部分,即知识、态度和做法。所有问题均采用多项选择题形式。使用IBM社会科学统计软件包23.0(IBM公司,纽约州阿蒙克)录入和解读数据。
结果
大多数学生知道猪流感是一种可传播的疾病(n = 485,80.8%)。大多数学生正确识别了体征和症状;然而,腹泻(15.5%)和呕吐(32.2%)是回答正确率最低的答案(分别为n = 93,n = 193)。参与者准确报告了大多数预防措施。尽管如此,只有15.5%的学生(n = 93)报告在发烧、咳嗽和流鼻涕时使用口罩。
结论
迫切需要在医学和牙医学院校常规纳入认识和管理项目。政策与实践之间存在差距,现在是弥合这一差距的时候了。学生还应每年接种甲型流感疫苗。