OBJECTIVE:To assess the knowledge, attitude and practices regarding tuberculosis (TB) and DOTS among young medical graduates (interns). DESIGN:Cross-sectional study. PLACE AND DURATION OF STUDY:Lady Hardinge Medical College and Maulana Azad Medical College, New Delhi, India, during November and December 2002, simultaneously. SUBJECTS AND METHODS:A pre-tested semi-structured questionnaire consisting of 30 items was administered to the young medical graduates/interns posted in different departments. The questions covered mode of transmission, symptoms of pulmonary TB, investigations, short course chemotherapy including DOTS as well as conventional anti-tubercular treatment, special situations, health education and chemoprophylaxis. RESULTS:A total of 287 interns were surveyed. Majority of the study subjects (92.7%) ranked DOTS strategy as more successful for treating tuberculosis in comparison to self-administered therapy. However, a mere 4.2% study subjects were aware of all modes of transmission. One hundred and eighty-nine (65.9%) correctly chose sputum examination for acid fast bacilli as the single most confirmatory test for diagnosing pulmonary TB. The rest either gave incorrect responses (including ELISA-17.0%, PCR-9.8%, X-ray chest-4.2%, ESR-1.7%) or did not respond (1.4%). Only 2.1% marked pyrazinamide and rifampicin as the agents to be avoided in patients with liver disease. One hundred and forty-one different treatment regimens were mentioned in the responses received and of those only 11(7.8%) were scientifically acceptable. CONCLUSION:TB is a major health problem in South-East Asian countries. There is a need for appropriate changes to be made in the undergraduate medical teaching/training curriculum in the concerned countries with regard to TB.

译文

目的:评估年轻医学毕业生(实习生)关于结核病(TB)和DOTS的知识,态度和做法。
设计:横断面研究。
研究的地点和时间:2002年11月至2002年12月,印度新德里哈丁夫人医学院和毛拉纳·阿扎德医学院。
研究对象和方法:对张贴在不同部门的年轻医学毕业生/实习生进行了预先测试的,由30个项目组成的半结构化问卷。问题包括传播方式,肺结核的症状,研究,包括DOTS在内的短期化疗以及常规抗结核治疗,特殊情况,健康教育和化学预防。
结果:共对287名实习生进行了调查。大多数研究对象(92.7%)将DOTS策略评为比自我治疗更成功的治疗结核病。但是,仅有4.2%的研究对象知道所有传播方式。一百八十九(65.9%)正确地选择了痰液检查来检查耐酸性细菌,这是诊断肺结核的最有力的方法。其余的患者反应不正确(包括ELISA-17.0%,PCR-9.8%,X射线胸腔仪4.2%,ESR-1.7%)或没有反应(1.4%)。仅有2.1%的患者将吡嗪酰胺和利福平标记为肝病患者应避免的药物。在收到的答复中提到了一百四十一种不同的治疗方案,其中只有11种(7.8%)在科学上是可以接受的。
结论:结核病是东南亚国家的主要健康问题。在有关结核病的有关国家中,有必要对本科医学教学/培训课程进行适当的修改。

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