Evaluation of knowledge and awareness of invasive fungal infections amongst resident doctors in Nigeria

Autor: Rita Oladele, Akaninyene Asuquo Otu, Olubunmi Olubamwo, Olufunmilola Bamidele Makanjuola, Ernest Afu Ochang, Joan Ejembi, Nicholas Irurhe, Iember Ajanaku, Halimat Ayodele Ekundayo, Adebola Olayinka, Oluwole Atoyebi, David Denning
Jazyk: English<br />French
Rok vydání: 2020
Předmět:
Zdroj: The Pan African Medical Journal, Vol 36, Iss 297 (2020)
Druh dokumentu: article
ISSN: 1937-8688
DOI: 10.11604/pamj.2020.36.297.23279
Popis: INTRODUCTION: It has been estimated that about 11.8% of the Nigerians suffer serious fungal infections annually. A high index of suspicion with early diagnosis and institution of appropriate therapy significantly impacts on the morbidity and mortality of invasive fungal infections (IFIs). METHODS: we conducted a cross-sectional multicentre survey across 7 tertiary hospitals in 5 geopolitical zones of Nigeria between June 2013 and March 2015. Knowledge, awareness and practice of Nigerian resident doctors about the diagnosis and management of invasive fungal infections were evaluated using a semi-structured, self-administered questionnaire. Assessment was categorized as poor, fair and good. RESULTS: 834(79.7%) of the 1046 participants had some knowledge of IFIs, 338(32.3%) from undergraduate medical training and 191(18.3%) during post-graduate (specialty) residency training. Number of years spent in clinical practice was positively related to knowledge of management of IFIs, which was statistically significant (p=0.001). Only 2 (0.002%) out of the 1046 respondents had a good level of awareness of IFIs. Only 4(0.4%) of respondents had seen 10 cases of IFIs; while 10(1%) had seen between 5-10 cases, 180(17.2%) less than 5 cases and the rest had never seen or managed any cases of IFIs. There were statistically significant differences in knowledge about IFIs among the various cadres of doctors (p=0.001) as level of knowledge increased with rank/seniority. CONCLUSION: knowledge gaps exist that could militate against optimal management of IFIs in Nigeria. Targeted continuing medical education (CME) programmes and a revision of the postgraduate medical education curriculum is recommended.
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