2013, Number 3
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Rev Cubana Med Trop 2013; 65 (3)
Intervention to improve knowledge, perceptions and practices in the diagnosis, treatment and control of giardiasis
Fonte GL, Ali AS, Monzote LA, Fonte GO, Sánchez VL
Language: Spanish
References: 23
Page: 297-308
PDF size: 180.61 Kb.
ABSTRACT
Objective: evaluate the results of an intervention aimed at improving physicians' knowledge, perceptions and practices in the diagnosis, treatment and control of giardiasis.
Methods: a 27-question survey was designed, validated and given to family doctors from the municipality of Playa, Havana, aimed at inquiring about their knowledge, perceptions and practices in the diagnosis, treatment and control of giardiasis. To make up for deficiencies found in the application of this tool, a number of academic actions were implemented. For example, a book on giardiasis was prepared, published and distributed free-of-charge among all doctors, and lectures on the topic were delivered. Six months after implementation of the intervention, the questionnaire was applied again with the purpose of evaluating the results obtained.
Results: the first application of the questionnaire revealed that knowledge was insufficient, perceptions inadequate and practices incorrect. For instance, the mean number of correct answers to the 19 questions on cognitive aspects was 7.69. The second application of the questionnaire showed a significant improvement in practically all the cognitive, perceptual and behavioral aspects evaluated. This time the mean number of correct answers to questions on cognitive aspects was significantly higher (14.61; p‹0.0001).
Conclusion: the results obtained from the intervention implemented in the municipality of Playa point to the advisability of its expansion to the rest of the country. They also suggest, once again, the need to regularly monitor and update the contents of training programs for doctors and specialists in relation to the diagnosis, treatment and control of parasitic diseases.
REFERENCES
Ali SA, Hill DR. Giardia intestinalis. Curr Opin Infect Dis. 2003; 16:453-60.
Lane S, Lloyd D. Current trends in research into the waterborne parasite Giardia. Crit Rev Microbiol. 2002;28:123-47.
Homan WL, Mank TG. Human giardiasis genotype linked differences in clinical symptomatology. Intern J Parasitol. 2001;31:822-6.
Read C, Walters J, Robertson ID, Thompson RC. Correlation between genotype of Giardia duodenalis and diarrhoea. Intern J Parasitol. 2002;32:229-31.
Meyers DJ, Kuharic HA, Holmes KK. Giardia lamblia infection in homosexual men. Br J Vener Dis. 1977;53:54-5.
Goldstein F, Thornton JJ, Szildlowski T. Biliary tract dysfunction in giardiasis. Am J Dig Dis. 1978;23:559-60.
Pietrzak A, Chodorowska G, Urban J, Bogucka V, Dybiec E. Cutaneous manifestation of giardiasis -case report. Ann Agric Environ Med. 2005;12:299-303.
Almannoni SA, Pupo D, Monzote A, Fonte L. Giardiasis extraintestinal. Entre realidades y mitos. Rev Habanera Ciencias Médicas. 2008;7:13-7.
Almannoni SA, Pupo D, Rodríguez ME, Cordoví R, Doménech I, Manssur J, et al. Manifestaciones cutáneas de la giardiasis, sobredimensión de un problema de salud. Rev Cubana Med Trop. 2008;60:31-5.
Gomez MA. Análisis de contenido cualitativo y cuantitativo: Definición, clasificación y metodología. Rev Ciencias Humanas [serie en Internet]. 1999 [citado 19 Nov 2012]; 20. Disponible en: http://www.utp.edu.co/~chumanas/revistas/revistas/rev20/gomez.htm
Fonte L, Almannoni SA. Giardiasis. Entre realidades y mitos. La Habana: Editorial Ciencias Médicas; 2009.
Krueger A, Schulkin J, Jones JL. Survey of obstetrician-gynecologist about giardiasis. Infect Dis Obstet Gynecol. 2007; 2007:1-6.
Gardner TB, Hill DR. Treatment of Giardiasis. Clin Microbiol. Rev 2001;14:114-28.
Escobedo A, Cimerman S. Giardiasis: a pharmacotherapy review. Expert Opin Pharmacother. 2007;8:1886-902.
Faubert G. Immune response to Giardia duodenalis. Clin Microbiol Rev. 2000; 13:35-54.
Roxston LK, Palm D, Reiner D, Ringqvist E, Svärd SD. Giardia immunity-an update. Trends parasitol. 2006;22:26-31.
Fonte L, Montalvo AM, Alberti E, Núñez F, Rojas L. Overdiagnosis of intestinal amoebiasis associated to serial microscopical examination of faeces. Some Precisions on a Problem. Mem Inst Oswaldo Cruz. 1998;93:799-800.
Núñez YO, Fernández MA, Sánchez L, Marín H, Núñez YO, Fonte L, et al. Multiplex PCR amplification and differentiation of Entamoeba histolytica and Entamoeba dispar DNA from stool samples. Am J Trop Med Hyg. 2001;64:293-7.
Fernández MA, Sánchez L, Marín H, Montano I, Fonte L. Conocimientos, creencias y prácticas en relación con la amebiasis intestinal. Resultados de una encuesta aplicada a médicos de la provincia de Cienfuegos. Rev Cubana Med Int. 1998;32:71-80.
Fonte L, Sánchez L, Fernández MA, Marín H, Montano I, Fonte O, et al. Conocimientos, creencias y prácticas en relación con la amebiasis intestinal. Evaluación de una intervención en la provincia de Cienfuegos. Rev Cubana Med Trop. 2003; 55:185-90.
Acholonu A. Trends in teaching parasitology: the American situation. Trends Parasitol. 2003;19:6-9.
Meléndez R. Trends in teaching parasitology: where to complain?. Trends Parasitol. 2003;19:387.
Pawlowski Z, Goullier-Fleuret A, Bruschi F. Undergraduate teaching of medical parasitology. Parasiology Today. 1998;14:128