Healthcare workers' knowledge and preparedness for unprecedented foodborne botulism outbreak in Saudi Arabia.

Autor:	Alhuzaimi A; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Pediatric Cardiology Department, Cardiac Science Department, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia. Electronic address: aalhuzaimi@ksu.edu.sa., Alshahrani FS; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, King Saud University and King Saud University Medical City, Riyadh 11451, Saudi Arabia; Infection Prevention and Control Department, King Saud University Medical City, Riyadh 11451, Saudi Arabia. Electronic address: Falshahrani1@ksu.edu.sa., Aljamaan F; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Critical Care Department, College of Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia; Department of Medicine, Al Rayan Hospital, Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia. Electronic address: faljamaan@ksu.edu.sa., Al-Ajwad FH; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Infectious Diseases Unit, Pediatric Department, King Saud University Medical City, Riyadh 11451, Saudi Arabia. Electronic address: Falajwad@ksu.edu.sa., Altamimi I; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia. Electronic address: 439100669@student.ksu.edu.sa., Bukhari A; College of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia. Electronic address: Aabdulqaderalbukhari@stu.kau.edu.sa., Al-Eyadhy L; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia. Electronic address: Lama.Aleyadhy@gmail.com., Al-Subaie S; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Infectious Diseases Unit, Pediatric Department, King Saud University Medical City, Riyadh 11451, Saudi Arabia. Electronic address: salsubaie@ksu.edu.sa., Alharbi NS; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Pediatric Pulmonology Unit, Pediatric Department, King Saud University Medical City, Riyadh 11451, Saudi Arabia. Electronic address: nsalharbi@ksu.edu.sa., Barry M; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, King Saud University and King Saud University Medical City, Riyadh 11451, Saudi Arabia; Division of Infectious Diseases, Faculty of Medicine, University of Ottawa, Ottawa, Canada. Electronic address: mbarry@ksu.edu.sa., Shayah Y; College of Medicine, Alfaisal University, Riyadh, Saudi Arabia. Electronic address: Yshayah97@outlook.com., Jamal A; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Department of Family and Community Medicine, King Saud University Medical City, Riyadh 11362, Saudi Arabia; Evidence-Based Health Care & Knowledge Translation Research Chair, Family & Community Medicine Department, College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia. Electronic address: amrjamal@ksu.edu.sa., Alanteet AA; Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia. Electronic address: aalanteet@ksu.edu.sa., Alhasan K; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Kidney & Pancreas Health Center, Organ Transplant Center of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh 12713, Saudi Arabia. Electronic address: kalhasan@ksu.edu.sa., Aljuhani SM; Department of Pathology & Laboratory Medicine, King Abdulaziz Medical City (KAMC-R), Ministry of National Guard Hospital, Riyadh, Saudi Arabia; College of Medicine, King Saud bin AbdulAziz University for Health Science, Riyadh, Saudi Arabia. Electronic address: Johanisms@gmail.com., Al-Tawfiq JA; Specialty Internal Medicine and Quality Department, Johns Hopkins Aramco Healthcare, Dhahran 34465, Saudi Arabia; Infectious Disease Division, Department of Medicine, Indiana University School of Medicine, Indianapolis IN46202, USA; Infectious Disease Division, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore MD21218, USA. Electronic address: jaltawfi@yahoo.com., Temsah MH; College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia; Evidence-Based Health Care & Knowledge Translation Research Chair, Family & Community Medicine Department, College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia. Electronic address: mtemsah@ksu.edu.sa.
Jazyk:	angličtina
Zdroj:	Journal of infection and public health [J Infect Public Health] 2024 Dec; Vol. 17 (12), pp. 102584. Date of Electronic Publication: 2024 Nov 05.
DOI:	10.1016/j.jiph.2024.102584
Abstrakt:	Background: The recent unprecedented foodborne botulism outbreak in Saudi Arabia necessitated an assessment of healthcare workers' (HCWs) knowledge, attitudes, and practices (KAP). This study assessed healthcare workers' knowledge regarding the transmission, contagiousness, presentation, and diagnosis of foodborne botulism, as well as their management practices, including contacting public health authorities, administering antitoxin, preparedness to respond to botulism cases and consulting generative Artificial Intelligent (AI)-chatbots, like ChatGPT. Methods: A cross-sectional online survey targeting Saudi HCWs was conducted from May 6-19, 2024, following the first foodborne botulism outbreak. The survey, developed by infectious disease and public health experts according to the Saudi Public Health Authority (SPHA) botulism guidelines, covered several sections: demographics, knowledge about foodborne botulism, attitudes and perceptions, intended practices, and worry level. Statistical analysis included descriptive statistics, multivariable linear regression to assess factors influencing knowledge, and multivariable logistic binary regression to evaluate factors affecting confidence in handling botulism. Results: Among the 1058 participants, the knowledge score was 9.69/20 (48.4 % correct ± 18 %), with higher scores among HCWs working in tertiary centers, older than 34 years, reading SPHA botulism protocol, and using scientific journals as main information sources. HCWs consulting ChatGPT had significantly lower knowledge scores (p-value < 0.001). HCWs displayed highly intended practices in managing botulism, with a mean score of 4.10/5. The self-rated management confidence was moderate (2.84 ± 1.05 out of 5-points). Multivariable logistic binary regression showed that previous experience with botulism and reading SPHA protocol were the most significant factors associated with a higher management confidence. Conclusions: This study highlights significant HCWs' knowledge gaps during unprecedented foodborne botulism outbreak. Previous experience with botulism cases and reading recent guidelines were associated with higher knowledge and confidence, while reliance on ChatGPT was linked to lower scores. This study emphasizes the importance of timely publishing local guidelines to favorably affect both knowledge and confidence to deal with infectious outbreaks. Future research should evaluate long-term effectiveness of educational interventions. Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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