PDF (Español)
FLIP
How to Cite
1.
Polanco Pasaje JE, Benjumea Bedoya D, del Corral Londoño H. Knowledge about tuberculosis in health workers in the department of Cauca, Colombia. Hacia Promoc. Salud [Internet]. 2023 Jan. 1 [cited 2024 May 20];28(1):68-82. Available from: https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/8302
More Citation Formats
Authors
Jhon Edwin Polanco Pasaje
Perfil Google Scholar
Dione Benjumea Bedoya
Helena del Corral Londoño
Abstract
Objective: to describe the level of knowledge physicians and nursing professionals have regarding risk factors, diagnosis and isolation measures for tuberculosis. Materials and methods: cross-sectional study carried out in eight health service providers (HSP) during 2017 through application of a questionnaire that was filled out by each participant. Results: a total of 72 people were surveyed (48 doctors and 24 nursing professionals) of whom 51.4% of were women and 44.4% were under 35 years of age. Among them, 59.7% worked in public HSPs while 40.3% worked in private HSPs (including 9.7% who worked in indigenous HSPs). Overall, 64.4% of the respondents were correct in the questions related to behavior or initial care measures for the patient and 60.8% were correct in their diagnosis impression. There were 66.7% correct answers on risk factors, 69.4% correct answers regarding the clinical profile of the disease, 67.0% correct answers on questions related to diagnosis and 47.5% correct answers related to isolation measures. According to the professions, physicians had a higher percentage of correct answers in questions about risk factors, clinical symptoms, and diagnosis, while nurses had better scores in questions about isolation measures. Conclusions: the general level of correct answers was 62.6%. The lowest levels of correct answers were found in questions related to isolation measures. These deficiencies in knowledge can influence the opportunity in the diagnosis and control of the disease and, as a consequence, continuous training programs on tuberculosis for these professionals should be strengthened.
Keywords:
References
1. World Health Organization. Global tuberculosis report 2022 [Internet]. Geneva: World Health Organization; 2022 [citado 5 de noviembre de 2022]. Disponible en: https://apps.who.int/iris/handle/10665/363752
2. World Health Organization. Global strategy and targets for tuberculosis prevention, care and control after 2015 [Internet]. Geneva: WHO; 2015 p. 1-4. 2014 [citado 5 de noviembre de 2022]. Disponible en: https://apps.who.int/gb/ebwha/pdf_files/EB134/B134_12-en.pdf?ua=1
3. Instituto Nacional de Salud. Informe de evento tuberculosis [Internet]. Bogotá, D.C.: Instituto Nacional de Salud [citado 24 de abril de 2022]. Disponible en: https://bit.ly/3MpoW2c
4. Cubides Munevar Á, Daza Arana J, García Puerta M, Zapara Ossa H, Arenas Quintana B, Palacio S. Sintomáticos respiratorios desde un enfoque poblacional. Rev Cub Salud Publica . 2018;44(4):153-68.
5. Vigenschow A, Edoa JR, Adegbite BR, Agbo PA, Adegnika AA, Alabi A, et al. Knowledge, attitudes and practices regarding tuberculosis amongst healthcare workers in Moyen-Ogooué Province, Gabon. BMC Infect Dis. 2021; 21(1):486.
6. Alene KA, Adane AA, Yifiru S, Bitew BD, Adane A, Koye DN. Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study. BMJ Open. 2019; 9(2):e022948.
7. Carvajal-Barona R, Varela-Arévalo M, Hoyos P, Angulo-Valencia E, Duarte-Alarcón C. Conocimientos, actitudes y prácticas frente a la tuberculosis en trabajadores del sector salud en municipios prioritarios de la Costa Pacífica colombiana. Revista ciencias de la salud. 2014;12(3):339-52.
8. Cruz Martinez ÓA, Flórez Suancha ÉL, Muñoz Sánchez AI. Conocimientos sobre tuberculosis en trabajadores de la salud en una localidad de Bogotá D. C. Avances en enfermería. 2011; 29(1):143-51.
9. Wilches-luna EC. Conocimientos, actitudes, prácticas y educación sobre tuberculosis en estudiantes de una facultad de salud. Rev Salud Pública. 2016;18(1):129-41.
10. Ortega Barón GL, Rodríguez Quezada PA, Jiménez Beltrán EC, Muñoz Sánchez AI. Conocimientos sobre tuberculosis en estudiantes de enfermería de una universidad colombiana. Salud UIS. 2015;47(3):261-270.
11. Gobernación del Cauca Colombia. Comportamiento de la tuberculosis en el departamento del Cauca. Popayán: Secretaría de Salud Departamental del Cauca; 2020.
12. Getnet F, Demissie M, Assefa N, Mengistie B, Worku A. Delay in diagnosis of pulmonary tuberculosis in low-and middle income settings: systematic review and meta-analysis. BMC Pulm Med. 2017; 17(202).
13. Bogale S, Diro E, Shiferaw AM, Yenit MK. Factors associated with the length of delay with tuberculosis diagnosis and treatment among adult tuberculosis patients attending at public health facilities in Gordar town, Northwest, Ethiopia. BMC Infect Dis. 2017; 17(145).
14. Roberts DJ, Mannes T, Verlander NQ, Anderson C. Factors associated with delay in treatment initiation for pulmonary tuberculosis. ERJ Open Res. 2019; 6(00161-2019).
15. Ulin PR, Robinson ET, Tolley EE. Investigación aplicada en salud pública: métodos cualitativos. Washington, D.C.: OPS; 2006.
16. Sreeramareddy CT, Qin ZZ, Satyanarayana S, Subbaraman R, Pai M. Delays in diagnosis and treatment of pulmonary tuberculosis in India: a systematic review. Int J Tuberc Lung Dis. 2014; 18(3):255-66.
17. Gaviria MB, Henao HM, Martínez T, Bernal E. Papel del personal de salud en el diagnóstico tardío de la tuberculosis pulmonar en adultos de Medellín, Colombia. Rev Panam Salud Publica. 2010; 27(2):83-92.
18. Buregyeya E, Kasasa S, Mitchell EMH. Tuberculosis infection control knowledge and attitudes among health workers in Uganda: a cross-sectional study. BMC Infect Dis. 2016;16(416).
19. Wilches-luna EC. Conocimientos, actitudes, prácticas y educación sobre tuberculosis en estudiantes de una facultad de salud. Rev Salud Pública. 2016; 18(1):129-41.
20. Rajgopal P, Souza MD, Chandra R. Tuberculosis knowledge and attitude in aspiring doctors and nurses - Is it time for our TB teaching methods to evolve?. Indian J Tuberc. 2016; 137:1-6.
21. Romani Romani RF, Roque Henríquez J, Catacora López F, Hilasaca Yngas G. Conocimientos, percepciones y prácticas de personal de salud en la detección de sintomáticos respiratorios en una región de muy alto riesgo de trasmisión de tuberculosis en el Perú. Fac Med. 2016; 77(2):123-7.
22. Alotaibi B, Yassin Y, Mushi A, Maashi F, Thomas A, Mohamed G, et al. Tuberculosis knowledge, attitude and practice among healthcare workers during the 2016 Hajj. PLoS ONE. 2019; 14(1):e0210913.
23. Shrestha A, Bhattarai D, Thapa B, Basel P, Raj Wagle R. Health care workers’ knowledge, attitudes and practices on tuberculosis infection control, Nepal. BMC Infect Dis. 2017; 17(724).
24. Naikoba S, Senjovu KD, Mugabe P, Mccarthy CF, Riley PL, Kadengye DT, et al. Improved HIV and TB Knowledge and Competence Among Mid-level Providers in a Cluster-Randomized Trial of One-on-One Mentorship for Task Shifting. J Acquir Immune Defic Syndr. 2017;75(5):120-7.
25. Weaver MR, Crozier I, Eleku S, Makanga G, Sebuyira LM, Nyakake J, et al. Capacity-Building and Clinical Competence in Infectious Disease in Uganda: A Mixed-Design Study with Pre/Post and Cluster-Randomized Trial Components. PLoS ONE. 2012; 7(12):e51319.
26. Alene KA, Adane AA, Yifiru S, Bitew BD, Adane A, Koye DN. Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study. BMJ Open. 2019; 9:e022948.
27. Wambura Mbuthia G, Owour Olungah C, Gesora Ondicho T. Knowledge and perceptions of tuberculosis among patients in a pastoralist community in Kenya: a qualitative study. Pan Afr Med J. 2018; 30(287).
28. Alipanah N, Jarlsberg L, Miller C, Linh NN, Falzon D, Jaramillo E, et al. Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies. PLoS Med. 2018; e1002595-e1002595.
29. Kigozi NG, Heunis JC, Engelbrecht MC, Rensburg APJV, Rensburg HCJDV. Tuberculosis knowledge, attitudes and practices of patients at primary health care facilities in a South African metropolitan: research towards improved health education. BMC Public Health. 2017; 17(795).
30. Carvajal R, Hoyos PA, Varela MT, Angulo ES, Duarte C. Estigma y discriminación ante la tuberculosis por profesionales de la salud de la costa pacífica colombiana. Hacia Promoc Salud. 2018; 23(1):13-25.
31. Calixo-Aguilar L, Manrique-Zegarra M, Gotuzzo-Herencia E, Samalvides-Cuba F. Conductas frente al viraje de la prueba de tuberculina en estudiantes de Medicina de una universidad de Lima, Perú. Rev Peru Med Exp Salud Publica. 2016; 33(2):283-7.
32. Hassan AO, Olukolade R, Ogbuji QC, Afolabi S, Okwuonye LC, Kusimo OC, et al. Knowledge about Tuberculosis: A Precursor to Effective TB Control-Findings from a Follow-Up National KAP Study on Tuberculosis among Nigerians. Tuberc Res Treat. 2017.
33. Vanaja K, Banu R, Reddy L, Kumar PC, Srinivas C, Rajani T, et al. A study on knowledge and awareness about tuberculosis in senior school children in Bangalore, India. Indian J Tuberc. 2015;36.
34. Carvalho CF, Ponce MAZ, Silva-Sobrino RA, Mendez RDR, Santos MA, Santos EM, et al. Tuberculosis: knowledge among nursing undergraduate students. Rev Bras Enferm. 2018; 72(5):1279-87.
2. World Health Organization. Global strategy and targets for tuberculosis prevention, care and control after 2015 [Internet]. Geneva: WHO; 2015 p. 1-4. 2014 [citado 5 de noviembre de 2022]. Disponible en: https://apps.who.int/gb/ebwha/pdf_files/EB134/B134_12-en.pdf?ua=1
3. Instituto Nacional de Salud. Informe de evento tuberculosis [Internet]. Bogotá, D.C.: Instituto Nacional de Salud [citado 24 de abril de 2022]. Disponible en: https://bit.ly/3MpoW2c
4. Cubides Munevar Á, Daza Arana J, García Puerta M, Zapara Ossa H, Arenas Quintana B, Palacio S. Sintomáticos respiratorios desde un enfoque poblacional. Rev Cub Salud Publica . 2018;44(4):153-68.
5. Vigenschow A, Edoa JR, Adegbite BR, Agbo PA, Adegnika AA, Alabi A, et al. Knowledge, attitudes and practices regarding tuberculosis amongst healthcare workers in Moyen-Ogooué Province, Gabon. BMC Infect Dis. 2021; 21(1):486.
6. Alene KA, Adane AA, Yifiru S, Bitew BD, Adane A, Koye DN. Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study. BMJ Open. 2019; 9(2):e022948.
7. Carvajal-Barona R, Varela-Arévalo M, Hoyos P, Angulo-Valencia E, Duarte-Alarcón C. Conocimientos, actitudes y prácticas frente a la tuberculosis en trabajadores del sector salud en municipios prioritarios de la Costa Pacífica colombiana. Revista ciencias de la salud. 2014;12(3):339-52.
8. Cruz Martinez ÓA, Flórez Suancha ÉL, Muñoz Sánchez AI. Conocimientos sobre tuberculosis en trabajadores de la salud en una localidad de Bogotá D. C. Avances en enfermería. 2011; 29(1):143-51.
9. Wilches-luna EC. Conocimientos, actitudes, prácticas y educación sobre tuberculosis en estudiantes de una facultad de salud. Rev Salud Pública. 2016;18(1):129-41.
10. Ortega Barón GL, Rodríguez Quezada PA, Jiménez Beltrán EC, Muñoz Sánchez AI. Conocimientos sobre tuberculosis en estudiantes de enfermería de una universidad colombiana. Salud UIS. 2015;47(3):261-270.
11. Gobernación del Cauca Colombia. Comportamiento de la tuberculosis en el departamento del Cauca. Popayán: Secretaría de Salud Departamental del Cauca; 2020.
12. Getnet F, Demissie M, Assefa N, Mengistie B, Worku A. Delay in diagnosis of pulmonary tuberculosis in low-and middle income settings: systematic review and meta-analysis. BMC Pulm Med. 2017; 17(202).
13. Bogale S, Diro E, Shiferaw AM, Yenit MK. Factors associated with the length of delay with tuberculosis diagnosis and treatment among adult tuberculosis patients attending at public health facilities in Gordar town, Northwest, Ethiopia. BMC Infect Dis. 2017; 17(145).
14. Roberts DJ, Mannes T, Verlander NQ, Anderson C. Factors associated with delay in treatment initiation for pulmonary tuberculosis. ERJ Open Res. 2019; 6(00161-2019).
15. Ulin PR, Robinson ET, Tolley EE. Investigación aplicada en salud pública: métodos cualitativos. Washington, D.C.: OPS; 2006.
16. Sreeramareddy CT, Qin ZZ, Satyanarayana S, Subbaraman R, Pai M. Delays in diagnosis and treatment of pulmonary tuberculosis in India: a systematic review. Int J Tuberc Lung Dis. 2014; 18(3):255-66.
17. Gaviria MB, Henao HM, Martínez T, Bernal E. Papel del personal de salud en el diagnóstico tardío de la tuberculosis pulmonar en adultos de Medellín, Colombia. Rev Panam Salud Publica. 2010; 27(2):83-92.
18. Buregyeya E, Kasasa S, Mitchell EMH. Tuberculosis infection control knowledge and attitudes among health workers in Uganda: a cross-sectional study. BMC Infect Dis. 2016;16(416).
19. Wilches-luna EC. Conocimientos, actitudes, prácticas y educación sobre tuberculosis en estudiantes de una facultad de salud. Rev Salud Pública. 2016; 18(1):129-41.
20. Rajgopal P, Souza MD, Chandra R. Tuberculosis knowledge and attitude in aspiring doctors and nurses - Is it time for our TB teaching methods to evolve?. Indian J Tuberc. 2016; 137:1-6.
21. Romani Romani RF, Roque Henríquez J, Catacora López F, Hilasaca Yngas G. Conocimientos, percepciones y prácticas de personal de salud en la detección de sintomáticos respiratorios en una región de muy alto riesgo de trasmisión de tuberculosis en el Perú. Fac Med. 2016; 77(2):123-7.
22. Alotaibi B, Yassin Y, Mushi A, Maashi F, Thomas A, Mohamed G, et al. Tuberculosis knowledge, attitude and practice among healthcare workers during the 2016 Hajj. PLoS ONE. 2019; 14(1):e0210913.
23. Shrestha A, Bhattarai D, Thapa B, Basel P, Raj Wagle R. Health care workers’ knowledge, attitudes and practices on tuberculosis infection control, Nepal. BMC Infect Dis. 2017; 17(724).
24. Naikoba S, Senjovu KD, Mugabe P, Mccarthy CF, Riley PL, Kadengye DT, et al. Improved HIV and TB Knowledge and Competence Among Mid-level Providers in a Cluster-Randomized Trial of One-on-One Mentorship for Task Shifting. J Acquir Immune Defic Syndr. 2017;75(5):120-7.
25. Weaver MR, Crozier I, Eleku S, Makanga G, Sebuyira LM, Nyakake J, et al. Capacity-Building and Clinical Competence in Infectious Disease in Uganda: A Mixed-Design Study with Pre/Post and Cluster-Randomized Trial Components. PLoS ONE. 2012; 7(12):e51319.
26. Alene KA, Adane AA, Yifiru S, Bitew BD, Adane A, Koye DN. Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study. BMJ Open. 2019; 9:e022948.
27. Wambura Mbuthia G, Owour Olungah C, Gesora Ondicho T. Knowledge and perceptions of tuberculosis among patients in a pastoralist community in Kenya: a qualitative study. Pan Afr Med J. 2018; 30(287).
28. Alipanah N, Jarlsberg L, Miller C, Linh NN, Falzon D, Jaramillo E, et al. Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies. PLoS Med. 2018; e1002595-e1002595.
29. Kigozi NG, Heunis JC, Engelbrecht MC, Rensburg APJV, Rensburg HCJDV. Tuberculosis knowledge, attitudes and practices of patients at primary health care facilities in a South African metropolitan: research towards improved health education. BMC Public Health. 2017; 17(795).
30. Carvajal R, Hoyos PA, Varela MT, Angulo ES, Duarte C. Estigma y discriminación ante la tuberculosis por profesionales de la salud de la costa pacífica colombiana. Hacia Promoc Salud. 2018; 23(1):13-25.
31. Calixo-Aguilar L, Manrique-Zegarra M, Gotuzzo-Herencia E, Samalvides-Cuba F. Conductas frente al viraje de la prueba de tuberculina en estudiantes de Medicina de una universidad de Lima, Perú. Rev Peru Med Exp Salud Publica. 2016; 33(2):283-7.
32. Hassan AO, Olukolade R, Ogbuji QC, Afolabi S, Okwuonye LC, Kusimo OC, et al. Knowledge about Tuberculosis: A Precursor to Effective TB Control-Findings from a Follow-Up National KAP Study on Tuberculosis among Nigerians. Tuberc Res Treat. 2017.
33. Vanaja K, Banu R, Reddy L, Kumar PC, Srinivas C, Rajani T, et al. A study on knowledge and awareness about tuberculosis in senior school children in Bangalore, India. Indian J Tuberc. 2015;36.
34. Carvalho CF, Ponce MAZ, Silva-Sobrino RA, Mendez RDR, Santos MA, Santos EM, et al. Tuberculosis: knowledge among nursing undergraduate students. Rev Bras Enferm. 2018; 72(5):1279-87.
