Bronchoscopy in Nigerian Clinical Practice: A Survey of Medical Doctors’ Perception, Use and Associated Challenges
| Autor: | Olufemi Olumuyiwa Desalu, Cajetan C Onyedum, Joseph O Fadare, Adekunle Olatayo Adeoti, Wemimo Alaofin |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Lung Neoplasms Interventional pulmonology Attitude of Health Personnel media_common.quotation_subject education Nigeria Respiratory medicine 03 medical and health sciences 0302 clinical medicine Bronchoscopy Physicians Surveys and Questionnaires Perception Pulmonary Medicine medicine Humans Training 030212 general & internal medicine Practice Patterns Physicians' Training programme media_common medicine.diagnostic_test business.industry Mortality rate General Medicine Awareness Middle Aged Foreign Bodies medicine.disease Bronchoscopy Nigeria Respiratory medicine Interventional pulmonology Training Respiratory Medicine Clinical Practice Bronchoscopes Cross-Sectional Studies 030228 respiratory system Foreign body aspiration Health Resources Female Original Article Clinical Competence Medical emergency business |
| Zdroj: | Ethiopian Journal of Health Sciences Ethiopian Journal of Health Sciences; Vol 27, No 4 (2017); 331-338 |
| ISSN: | 1029-1857 |
| Popis: | BACKGROUND : Bronchoscopy is a vital diagnostic and therapeutic procedure in pulmonological practice. The aim of this study was to determine the perception, use and challenges encountered by Nigerian medical doctors involved in this procedure. MATERIALS AND METHODS : A cross-sectional study was conducted among 250 medical doctors recruited from three major tertiary institutions in Nigeria between September 2013 and June 2014. A semi-structured questionnaire was self-administered to adult physicians, paediatricians, and surgeons as well as their trainees to obtain their perception, use and associated challenges in the use of bronchoscopy in clinical practice. RESULTS : The majority (91.6%) of the respondents perceived bronchoscopy as a beneficial procedure to respiratory medicine. However, 59.2% of them were not aware of the low mortality rate associated with this procedure. The commonest indications for bronchoscopic use were foreign body aspiration (88.8%) and management of lung tumors (75.6%). Only 21 (8.4%) of the respondents had received formal training in bronchoscopy. Very few procedures (1-5 cases per month) were performed. The respondents identified the lack of formal training in the art of bronchoscopy as the foremost challenge facing its practice in Nigeria. In addition, availability of bronchoscopes, level of awareness, knowledge of the procedure among medical doctors and the cost of the procedure were the challenges faced by the medical doctors. CONCLUSION : There is an urgent need to equip training centers with modern bronchoscopic facilities. In addition,well-structured bronchoscopic training programme is imperative to enhance the trainees’ proficiency for the furtherance of bronchoscopic practice. KEYWORDS : Bronchoscopy, Nigeria, Respiratory medicine, Interventional pulmonology, Training |
| Databáze: | OpenAIRE |
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