Martín PN, Angel NF, Amores SD, Cordoví PRA

Language: Spanish
References: 27
Page:
PDF size: 104.61 Kb.

ABSTRACT

In the General and Provincial Academic Hospital “Capitán Roberto Rodríguez Fernández”, from Morón, Ciego de Ávila province, Cuba, a quasi-experimental study without control group was carried out among medical doctors and technicians with the objective to evaluate the impact of an educative intervention in parasitic intestinal diseases. With this aim a provincial course about “Updating on parasitic intestinal diseases” was carried out during one week; the course had lecture´s sections every morning for all participants and practical sections every afternoon only for laboratory personnel. So much at the beginning as at the end of the course, writing and practical evaluations was applied for laboratory personnel, and other writing evaluations for physicians. Various diagnostic errors were found in the practical identification, but leukocytes had the highest percentage of errors. In the rest of writing evaluations important cognitive deficiencies were found. Finally, a significant improve in all score evaluations was reached showing the efficacy of this intervention. However, we consider that these actions should be carry out systematically and with sustainability in order to obtain a continuous improve of knowledge and practices related to the diagnosis and treatment of parasitic intestinal diseases in the public health network.

REFERENCES

1. Pérez Molina JA, Díaz Menéndez M, Pérez Ayala A, Ferrere F, Begoña M, Normany F, et al. Tratamiento de las enfermedades causadas por parásitos. Enferm Infecc Microbiol Clín. 2010; 28:44-59.

2. Van den Enden E. Pharmacotherapy of helminth infection. Expert Opin Pharmacother. 2009; 10:435-51.

3. Wright SG. Protozoan infections of the gastrointestinal tract. Infect Dis Clin North Am. 2012; 26(2): 323-39.

4. Sinha R, Rajesh A, Rawat S, Rajiah P, Ramachandran I. Infections and infestations of the gastrointestinal tract. Part 2: parasitic and other infections. Clin Radiol. 2012; 67(5):495-504.

5. Ortega YR, Sanchez R. Update on Cyclospora cayetanensis, a food-borne and waterborne parasite. Clin Microbiol Rev. 2010; 23:218-34.

6. Nguyen NL, Gelaye B, Aboset N, Kumie A, Williams MA, Berhane Y. Intestinal parasitic infection and nutritional status among school children in Angolela, Ethiopia. J Prev Med Hyg. 2012; 53(3):157-64.

7. Petri WA, Miller M, Binder HJ, Levine MM, Dillingham R, Guerrant RL. Enteric infections, diarrhea, and their impact on function and development. J Clin Invest. 2008; 118:1277-90.

8. Núñez FA, Finlay CM. Adiestramiento en el diagnóstico de las parasitosis intestinales. Cad Saúde Públ. 2001; 17: 719-24.

9. Serrano MRG, Mira NO, De Gopegui ER, Oviesa MR, Cardona CG, Pérez JL. Análisis de resultados del Programa Externo de Control de Calidad SEIMC. Año 2008. Enferm Infecc Microbiol Clin. 2010; 28(Supl 1):1-6.

10. Castro J, Yovera J, Núñez F. Control de calidad del diagnóstico coproparasitológico en centros de salud de Lima y Callao. Rev Peruana Epidemiol. 1995; 68:18-22.

11. Núñez FA, Ginorio D, Finlay CM. Control de la calidad del diagnóstico coproparasitológico en la provincia de Ciudad Habana, Cuba. Cad Saúde Públ. 1997; 13: 67-72.

12. Núñez FA, Ginorio D, Cordoví R, Finlay CM. Intervención educativa para mejorar la calidad del diagnóstico coproparasitológico en la red de salud de Ciudad Habana, Cuba. Cad Saúde Púb 1998; 14:139-44.

13. Dean AG, Dean JA, Coulombier D, Brendel KA, Smith DC, Burton AH, et al. Epi Info version 6: a word processing, database, and statistics program for epidemiology on microcomputers. Atlanta: Centers for Disease Control; 1994.

14. Fotedar R, Stark D, Beebe N, Marriott D, Ellis J, Harkness J. Laboratory diagnostic techniques for Entamoeba species. J Clin Microbiol. 2007; 20: 511–32.

15. Khan AI, Huq S, Malek MA, Hossain M, Talukder KA, Faruque AS, et al. Analysis of fecal leukocytes and erythrocytes in Shigella infections in urban Bangladesh. Southeast Asian J Trop Med Publ Health. 2006; 37:747-54.

16. Botero D, Restrepo M. Parasitosis humanas. 4ta ed. Medellín: CIB; 2004.

17. Vázquez Drake C, del Risco Barrios U. Incidencia de errores en la identificación microscópica de parásitos intestinales en unidades de salud de Camagüey. Arch Méd Camagüey 2005; 9(3).

18. Kettelhut MM, Chiodini PL, Edwards H, Moody A. External quality assessment schemes raise standards: evidence from the UKNEQAS parasitology subschemes. J Clin Pathol. 2003; 56: 927-32.

19. Libman MD, Gyorkos TW, Kokoskin E, MacLean JD. Detection of pathogenic protozoa in the diagnostic laboratory: result reproducibility, specimen pooling, and competency assessment. J Clin Microbiol. 2008; 46: 2200-205.

20. Chiodini PL. New diagnostics in parasitology. Infect Dis Clin North Am. 2005; 19: 267-70.

21. Jones JL, Schulkin J, Maguire JH. Therapy for common parasitic diseases in pregnancy in the United States: a review and a survey of obstetrician/gynecologists' level of knowledge about these diseases. Obstet Gynecol Surv. 2005; 60:386-93.

22. Krueger A, Schulkin J, L Jones J. Survey of obstetrician-gynecologists about giardiasis. Infect Dis Obstet Gynecol. 2007; 2007: 21261.

23. Rodríguez González DP, Zuazo Silva JL, Macola Olano S, Prieto Márquez GA. Aprendizaje y consolidación de la asignatura de microbiología y parasitología médicas en la carrera de Medicina. Revista Haban Cienc Méd. 2010; 9: 99-106.

24. Morin CA, Roberts CL, Mshar PA, Addiss DG, Hadler JL. What do physicians know about cryptosporidiosis? A survey of Connecticut physicians. Arch Intern Med. 1997; 157: 1017-22.

25. Bruschi F. How Parasitology is taught in medical faculties in Europe? Parasitology, lost? Parasitol Res. 2009; 105: 1759–62.

26. Acholonu ADW. Trends in teaching parasitology: the American situation. Trends Parasitol. 2003; 19:6-9.

27. Barnish G, Crewe W, Theakston RD. Parasitologists lost? Trends Parasitol. 2006; 22:454–55.