2017, Number 3
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Gac Med Mex 2017; 153 (3)
Conocimiento de enfermedades transmitidas por vectores (dengue, rickettsiosis y enfermedad de Chagas) en médicos
Lugo-Caballero CI, Dzul-Rosado K, Dzul-Tut I, Balam-May Á, Zavala-Castro J
Language: Spanish
References: 30
Page: 321-328
PDF size: 107.47 Kb.
ABSTRACT
Background: The ecological conditions of Yucatan made it a suitable region for the acquisition of vector-borne diseases such
as dengue, rickettsiosis, and Chagas disease. As the epidemiological burden of these diseases shows an alarming increase
of severe cases, the early establishment of diagnosis and therapeutics by first-contact physicians is a critical step that is not
being fulfilled due to several reasons, including poor knowledge.
Objective: To determine the level of knowledge related to dengue, Chagas disease, and rickettsiosis among rural first-contact physicians of Yucatan.
Methods: A survey was applied to 90 first-contact physicians from rural clinics of Yucatan, which included 32 items related to the diagnosis, treatment, and prevention of dengue, rickettsiosis, and Chagas disease. Answers were analyzed by central tendency statistics.
Results: Differences were observed among every category, however; diagnosis and therapeutics showed the lower values. Globally, 62.5%
of respondents showed moderate knowledge, 37.5% poor knowledge, and 0% adequate knowledge.
Discussion: Results suggest that a strong campaign for a continuous diffusion of knowledge regarding these diseases is needed. In regions with high prevalence of these kinds of diseases, like Yucatan, the impact of these results on the epidemiological burden of these
diseases must be evaluated.
REFERENCES
Hotez PJ, Bottazzi ME, Dumonteil E, Buekens P. The Gulf of Mexico: a “hot zone” for neglected tropical diseases? PLoS Negl Trop Dis. 2015;9:e0003481.
Dumonteil E, Nouvellet P, Rosecrans K, et al. Eco-bio-social determinants for house infestation by non-domiciliated Triatoma dimidiata in the Yucatan Peninsula, Mexico. PLoS Negl Trop Dis. 2013;7:e2466.
Dumonteil E, Rosado-Vallado M, Zavala-Castro JE. Pioneering neglected disease research in southern Mexico at the “Dr. Hideyo Noguchi” regional research center. PLoS Negl Trop Dis. 2013;7:e2530.
Guzman MG, Halstead SB, Artsob H, et al. Dengue: a continuing global threat. Nat Rev Microbiol. 2010;8(12 Suppl):S7-16.
Montgomery SP, Starr MC, Cantey PT, Edwards MS, Meymandi SK. Neglected parasitic infections in the United States: Chagas disease. Am J Trop Med Hyg. 2014;90:814-8.
Abarca K, Oteo JA. [Clinical approach and main tick-borne rickettsiosis present in Latin America]. Rev Chilena Infectol. 2014;31:569-76.
Álvarez-Hernández G. Letalidad por fiebre manchada por Rickettsia rickettsii en pacientes de un hospital pediátrico del estado de Sonora, 2004-2012. Salud Pública de Mexico. 2013;55:151-2.
Dantes HG, Farfan-Ale JA, Sarti E. Epidemiological trends of dengue disease in Mexico (2000-2011): a systematic literature search and analysis. PLoS Negl Trop Dis. 2014;8:e3158.
Carabarin-Lima A, González-Vázquez MC, Rodríguez-Morales O, et al. Chagas disease (American trypanosomiasis) in Mexico: an update. Acta Trop. 2013;127:126-35.
Zavala-Velázquez J, Zavala-Castro J. Rickettsiosis en Yucatan. En: Jiménez- Delgadillo B, Vado-Solís I, Alvarado-Mejía JR, editores. Aportes al conocimiento de la salud en Yucatán. Merida, Yuc.: UADY; 2010. p. 141-9.
Zavala-Velázquez JE, Yu XJ, Walker DH. Unrecognized spotted fever group rickettsiosis masquerading as dengue fever in Mexico. Am J Trop Med Hyg. 1996;55:157-9.
Álvarez-Hernández G. La fiebre manchada de las Montañas Rocosas, una epidemia olvidada. Salud Pública de México. 2010;52:1-3.
Gutiérrez JP, García-Saiso S, Dolci GF, Hernández Ávila M. Effective access to health care in Mexico. BMC Health Serv Res. 2014;14:186.
Nigenda G. Servicio social en medicina en México: una reforma urgente y posible. Salud Pública de México. 2013;55:519-27.
Kakkar M, Ramani S, Menon G, Sankhe L, Gaidhane A, Krishnan S. ‘Zoonoses? Not sure what that is...’ An assessment of knowledge of zoonoses among medical students in India. Trans R Soc Trop Med Hyg. 2011;105:254-61.
John K, Kazwala R, Mfinanga GS. Knowledge of causes, clinical features and diagnosis of common zoonoses among medical practitioners in Tanzania. BMC Infect Dis. 2008;8:162.
O’Reilly M, Paddock C, Elchos B, Goddard J, Childs J, Currie M. Physician knowledge of the diagnosis and management of Rocky Mountain spotted fever: Mississippi, 2002. Ann N Y Acad Sci. 2003;990:295-301.
Stimpert KK, Montgomery SP. Physician awareness of Chagas disease, USA. Emerg Infect Dis. 2010;16:871-2.
Rafique I, Saqib MA, Munir MA, et al. Dengue knowledge and its management practices among physicians of major cities of Pakistan. J Pak Med Assoc. 2015;65:392-6.
Mosites E, Carpenter LR, McElroy K, et al. Knowledge, attitudes, and practices regarding Rocky Mountain spotted fever among healthcare providers, Tennessee, 2009. Am J Trop Med Hyg. 2013;88:162-6.
IMSS MIoSS. Catálogo de Unidades Médicas IMSS. 2014. (Actualizado en enero de 2014.) Disponible en: http://www.imss.gob.mx/sites/all/statics/ imssOportunidades/catalogoUMF_enero2014.pdf
Taylor LH, Latham SM, Woolhouse ME. Risk factors for human disease emergence. Philos Trans R Soc Lond B Biol Sci. 2001;356:983-9.
Junxiong P, Yee-Sin L. Clustering, climate and dengue transmission. Expert Rev Anti Infect Ther. 2015;13:731-40.
NORMA Oficial Mexicana NOM-032-SSA2-2010, para la vigilancia epidemiológica, prevención y control de las enfermedades transmitidas por vector. NOM-032-SSA2-2010 (2010).
WHO. Dengue guidelines for diagnosis, treatment, prevention and control. Switzerland: WHO, TDR; 2009.
Tomashek KM, Biggerstaff BJ, Ramos MM, Pérez-Guerra CL, García Rivera EJ, Sun W. Physician survey to determine how dengue is diagnosed, treated and reported in Puerto Rico. PLoS Negl Trop Dis. 2014;8:e3192.
Paico-Romero C, Polo-Capuñay A, Díaz-Exebio G, Díaz-Vélez C. Validación y desarrollo del instrumento: nivel de conocimientos en diagnóstico y tratamiento sobre dengue en médicos de la región Lambayeque. Acta Médica Peruana. 2012;29:143-7.
Ho TS, Huang MC, Wang SM, Hsu HC, Liu CC. Knowledge, attitude, and practice of dengue disease among healthcare professionals in southern Taiwan. J Formos Med Assoc. 2013;112:18-23.
Centers for Disease Control and Prevention. Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain spotted fever, ehrlichioses, and anaplasmosis - United States: a practical guide for physicians and other health-care and public health professionals. Centers for Disease Control and Prevention; 2006. Contract No.: RR-4.
Muñoz-Vilches MJ, Salas-Coronas J, Gutiérrez-Izquierdo MI, Metz D, Salvador-Sánchez J, Giménez-Sánchez F. Conocimiento de la enfermedad de Chagas por parte de los profesionales sanitarios de tres hospitales en la provincia de Almería. Rev Esp Salud Publica. 2013;87:267-75.