Abstract:
OBJECTIVE:The aim of this study was to assess the knowledge and practice of health workers about multidrug-resistant tuberculosis (MDR-TB) prevention and control. STUDY DESIGN AND SETTINGS:A cross-sectional study was conducted at Gondar University Referral Hospital and Felege Hiwot Referral Hospital. PARTICIPANTS:Randomly selected health workers (ie, medical doctor, nurse, health officer, pharmacy, medical laboratory and midwifery) were the study participants. OUTCOME MEASURES:The main outcomes were knowledge and self-reported practice of health workers about MDR-TB. RESULTS:A total of 377 health workers (with a response rate of 93.7%) participated in the study. The majority of respondents were nurses (52.5%, n=198) and medical doctors (15.6%, n=59). The mean knowledge score was seven out of 10; 149 (39.5%) of respondents scored seven or more which was considered as good knowledge. MDR-TB knowledge of health workers was significantly associated with having a postgraduate degree (adjusted odds ratio (AOR)=5.78; 95% CI 2.33 to 14.33), taking infection prevention training (AOR=1.79; 95% CI 1.00, to 3.17) and having a history of tuberculosis (TB) (AOR=1.85; 95% CI 1.12, to 3.03). The mean self-reported practice score was four out of seven; one-fifth (19.6%) of respondents scored four or more which was considered as good practice. Self-reported practice of health workers was significantly associated with working at internal medicine (AOR=4.64; 95% CI 1.99, to 10.81) and paediatrics (AOR=3.85; 95% CI 1.11, to 13.34) wards, being in the age groups of 26-30 years (AOR=2.70; 95% CI 1.27, to 5.76), and 30 years and above (AOR=4.42; 95% CI 1.77, to 11.00). CONCLUSIONS:This study found low knowledge and self-reported practice score among health workers. MDR-TB knowledge of health workers was significantly associated with educational status, infection prevention training and previous history of TB. This finding highlights the potential of providing MDR-TB training for health workers to increase their knowledge about MDR-TB.
journal_name
BMJ Openjournal_title
BMJ openauthors
Alene KA,Adane AA,Yifiru S,Bitew BD,Adane A,Koye DNdoi
10.1136/bmjopen-2018-022948subject
Has Abstractpub_date
2019-02-19 00:00:00pages
e022948issue
2issn
2044-6055pii
bmjopen-2018-022948journal_volume
9pub_type
杂志文章,多中心研究相关文献
BMJ Open文献大全abstract:INTRODUCTION:Fetal growth restriction (FGR) is a serious pregnancy complication, associated with increased rates of perinatal death and morbidity among survivors. Most commonly FGR results from placental insufficiency, where the placenta fails to deliver the oxygen and nutrients required for normal fetal growth. This l...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028243
更新日期:2019-06-22 00:00:00
abstract:OBJECTIVES:To examine barriers and facilitators to sustaining a sexual health continuous quality improvement (CQI) programme in clinics serving remote Aboriginal communities in Australia. DESIGN:Qualitative study. SETTING:Primary health care services serving remote Aboriginal communities in the Northern Territory, Au...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026679
更新日期:2019-05-05 00:00:00
abstract:BACKGROUND:In recent years, there has been increased interest in the use of ultrasound technology in the evaluation of spinal and paraspinal regions. OBJECTIVE:This study aimed to investigate trends in spinal ultrasound research from 1994 to 2015 and compare the contributions of such research from different countries ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015317
更新日期:2017-10-22 00:00:00
abstract:OBJECTIVES:To review the metrics and findings of studies evaluating effects of drug decriminalisation or legal regulation on drug availability, use or related health and social harms globally. DESIGN:Systematic review with narrative synthesis. DATA SOURCES:We searched MEDLINE, Embase, PsycINFO, Web of Science and six...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035148
更新日期:2020-09-21 00:00:00
abstract:INTRODUCTION:Health professions need to prepare for the increase of older patients with osteoarthritis requiring health services including those requiring total joint arthroplasty (TJA). The primary objective of this study is to assess the effect of a tailored prehabilitation programme of older patients awaiting primar...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2019-031626
更新日期:2019-12-30 00:00:00
abstract:OBJECTIVES:We aimed to examine associations between markers of pubertal timing and leisure-time physical activity (LTPA) from ages 36 to 68 years in men and women from the Medical Research Council National Survey of Health and Development. STUDY DESIGN:Pubertal timing was ascertained by physicians at age 14-15 years. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017407
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:This study investigated self-perception of overall health (SPH) and quality of life (QoL) at onset and after 3, 6 and 12 months of fitness club membership. Also, we compared SPH and QoL between those who reported regular use of the fitness club (≥2 exercise sessions/week the last month) with those who did no...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036250
更新日期:2020-06-07 00:00:00
abstract:INTRODUCTION:Although a great majority of patients with cervical radiculopathy syndrome can successfully be treated non-operatively, a considerable proportion experience persistent symptoms, severe enough to require neurosurgical intervention. During the past decade, cervical spine procedures have increasingly been per...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2019-032575
更新日期:2019-11-26 00:00:00
abstract:OBJECTIVES:To examine the characteristics and persistence in patients newly initiated with oral anticoagulants (OACs) for stroke prevention in non-valvular atrial fibrillation (NVAF). DESIGN:Cohort study in Clinical Practice Research Datalink. SETTING:UK primary care. PARTICIPANTS:15 242 patients with NVAF newly pre...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011471
更新日期:2016-09-26 00:00:00
abstract:OBJECTIVES:To develop a better understanding of general practitioners' (GPs) views and experiences of the management of patients with headaches and use of direct-access MRI scans, and observe outcomes of an educational session offered by a GP with a special interest (GPwSI) to GPs. DESIGN:A qualitative study using sem...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018169
更新日期:2017-11-09 00:00:00
abstract:BACKGROUND:Epidemiological data from high-income countries suggest that women with hypertensive disorders of pregnancy (HDP) are more likely to develop diabetes later in life. OBJECTIVE:We investigated the association between pre-eclampsia and eclampsia (PE&E) during pregnancy and the risk of diabetes in Indian women....
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-011000
更新日期:2016-08-05 00:00:00
abstract:INTRODUCTION:Tobacco causes kidney damage that can progress to chronic kidney disease. However, the diagnostic parameters used in clinics are not effective in identifying smokers at risk. Our first objective is to more effectively detect subclinical renal damage in smokers. In addition, we hypothesise that tobacco cons...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032918
更新日期:2020-03-08 00:00:00
abstract:INTRODUCTION:Pain is an expected and appropriate experience following traumatic musculoskeletal injury. By contrast, chronic pain and disability are unhelpful yet common sequelae of trauma-related injuries. Presently, the mechanisms that underlie the transition from acute to chronic disabling post-traumatic pain are no...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017876
更新日期:2018-04-28 00:00:00
abstract:OBJECTIVE:To investigate feasibility of multiple sclerosis (MS) exercise guidelines for inactive people with MS (PwMS) and to examine preliminary efficacy for walking. To investigate effect of augmenting that intervention with education based on social cognitive theory (SCT). DESIGN:Pilot multicentre, double-blind, ra...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-016336
更新日期:2017-10-12 00:00:00
abstract::Objectives Low serum vitamin D levels have been associated with risk for certain malignancies, but studies have not directly analysed levels between community oncology and primary care practices. The purpose of this study was to compare serum vitamin D levels in patients at a community oncology practice with non-cance...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000397
更新日期:2011-12-19 00:00:00
abstract:INTRODUCTION:Home-based self-rehabilitation programmes combined with botulinum toxin injections (BTIs) appear to be a relevant approach to increase the recommended intensive rehabilitation of patients with spasticity following a stroke. The literature highlights a lack of evidence of beneficial effects of this adjuvant...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-020915
更新日期:2018-08-30 00:00:00
abstract:OBJECTIVE:Public opinion and support can be powerful mandates for smoke-free policy. However, the scarcity of evidence on public opinion among Malaysians necessitates further investigation. Therefore, this study aimed to determine the level of support for smoke-free policy at various public domains and its associated f...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020304
更新日期:2019-02-12 00:00:00
abstract:OBJECTIVE:To examine the association between social capital and the health of male and female left-behind older adults in rural China. STUDY DESIGN:This cross-sectional study among the left-behind older adults aged 60 and older and with all their children working outside of Hubei, Shaanxi and Guangdong provinces in Ch...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030804
更新日期:2019-11-25 00:00:00
abstract:OBJECTIVES:Record review is the most used method to quantify patient safety. We systematically reviewed the reliability and validity of adverse event detection with record review. DESIGN:A systematic review of the literature. METHODS:We searched PubMed, EMBASE, CINAHL, PsycINFO and the Cochrane Library and from their...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-011078
更新日期:2016-08-22 00:00:00
abstract:INTRODUCTION:Process evaluations are conducted alongside research projects to identify the context, impact and consequences of research, determine whether it was conducted per protocol and to understand how, why and for whom an intervention is effective. We present a process evaluation protocol for the Getting it Right...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017612
更新日期:2017-11-03 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:Macrolides have been associated with proarrhythmic properties, but the evidence is conflicting. We evaluated the risk of out-of-hospital cardiac arrest (OHCA) associated with specific macrolides in a retrospective study. Associations between specific macrolides and OHCA were examined by cond...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019997
更新日期:2018-02-23 00:00:00
abstract:OBJECTIVES:The research aimed to support the effectiveness and necessity of the communication training and methodology introduced in the postgraduate pharmacy training and community pharmacy practice in Hungary. DESIGN:Two cross-sectional questionnaire surveys before and after the introduction of a methodological reco...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039603
更新日期:2020-12-08 00:00:00
abstract:OBJECTIVES:This study aims to describe the association between use of municipality healthcare services before an emergency department (ED) contact and mortality, hospital reattendance and institutionalisation. DESIGN:Population-based prospective cohort study. SETTING:ED of a large university hospital. PARTICIPANTS:A...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026881
更新日期:2019-04-24 00:00:00
abstract:OBJECTIVES:In May 2018, the British Health Secretary announced the 'serious failure' that 450 000 women had missed out on invitations to breast screening in England, leading to extensive media coverage. This study measured public awareness of the story and tested for associated factors (eg, educational level and trust ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028040
更新日期:2019-09-06 00:00:00
abstract:OBJECTIVE:To review the epidemiology of pertussis-related intensive care unit (ICU) admissions across Australia, over a 17-year period. DESIGN:Retrospective descriptive study. SETTING:Australian ICUs contributing data to the Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry. The number of contrib...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010386
更新日期:2016-04-06 00:00:00
abstract:OBJECTIVE:Perioperative shivering (POS) is a common complication in patients undergoing spinal anaesthesia. The present study investigated the efficacy of 5-HT3 receptor antagonists in preventing POS following spinal anaesthesia. DESIGN:Systematic review and meta-analysis. DATA SOURCES:Pubmed, Embase, the Web of Scie...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038293
更新日期:2020-10-05 00:00:00
abstract:OBJECTIVE:Control of glycaemic, hypertension and low-density lipoprotein-cholesterol (LDL-C) among patients with type 2 diabetes mellitus (T2DM) is vital for the prevention of cardiovascular diseases. The current study was an audit of glycaemic, hypertension and LDL-C control among ambulant patients with T2DM in Botswa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026807
更新日期:2019-07-23 00:00:00
abstract:OBJECTIVES:To identify and describe the outcomes and facilitating processes of participation at 'Find Your Sense of Tumour' (FYSOT), a 2-day residential programme/conference for young people with cancer, from the perspective of professionals attending and patient representatives. DESIGN:Case study. SETTING:Observatio...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-015309
更新日期:2017-07-13 00:00:00
abstract:INTRODUCTION:The prevalence of emotional difficulties in young people is increasing. This upward trend is largely accounted for by escalating symptoms of anxiety and depression. As part of a public health response, there is increasing emphasis on universal prevention programmes delivered in school settings. This protoc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029044
更新日期:2019-09-03 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine the current work distribution of health professionals from a public Ugandan medical school in a period of major donor funding for HIV programmes. We explore the hypothesis that programmes initiated under unprecedented health investments from the US President's Emerge...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002875
更新日期:2013-05-31 00:00:00