Evidence map›Paper›PMID 28883952›Full record

ArticleTropical diseases, travel medicine and vaccines2016

Knowledge, attitudes, and practices regarding dengue infection among public sector healthcare providers in Machala, Ecuador.

Andrew S Handel, Efraín Beltrán Ayala, Mercy J Borbor-Cordova, Abigail G Fessler, Julia L Finkelstein, Roberto Xavier Robalino Espinoza, Sadie J Ryan, Anna M Stewart-Ibarra

Open access · goldAbstract read
In one paragraph

Article in Tropical diseases, travel medicine and vaccines, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Andrew S HandelDepartment of Pediatrics, Stony Brook Children's Hospital, Stony Brook, NY USA.
Efraín Beltrán AyalaUniversidad Técnica de Machala, Machala, Ecuador.
Mercy J Borbor-CordovaFacultad de Ingenieria Maritima, Ciencias Oceanicas y Recursos Naturales, Escuela Superior Politécnica del Litoral (ESPOL), Guayaquil, Guayas Ecuador.
Abigail G FesslerDivision of Nutritional Sciences, Cornell University, Ithaca, NY USA.
Julia L FinkelsteinDivision of Nutritional Sciences, Cornell University, Ithaca, NY USA.
Roberto Xavier Robalino EspinozaMinisterio de Salud Publica, Machala, El Oro Ecuador.
Sadie J RyanDepartment of Geography, University of Florida, Gainesville, FL USA.
Anna M Stewart-IbarraEmerging Pathogens Institute, University of Florida, Gainesvillee, fl USA.
Cornell University · USUniversity of Florida · USEscuela Superior Politecnica del Litoral · ECMinisterio de Salud Pública · ECStony Brook Children's Hospital · USUniversidad Tecnica de Machala · EC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDengue fever is a rapidly emerging infection throughout the tropics and subtropics with extensive public health burden. Adequate training of healthcare providers is crucial to reducing infection incidence through patient education and collaboration with public health authorities. We examined how public sector healthcare providers in a dengue-endemic region of Ecuador view and manage dengue infections, with a focus on the 2009 World Health Organization (WHO) Dengue Guidelines.

methodsA 37-item questionnaire of dengue knowledge, attitudes, and practices was developed and administered to dengue healthcare providers in Machala, Ecuador. Survey focus areas included: "Demographics," "Infection and Prevention of Dengue," "Dengue Diagnosis and the WHO Dengue Guide," "Laboratory Testing," "Treatment of Dengue," and "Opinions Regarding Dengue."

resultsA total of 76 healthcare providers participated in this study, of which 82 % were medical doctors and 14 % were nurses. Fifty-eight percent of healthcare professionals practiced in ambulatory clinics and 34 % worked in a hospital. Eighty-nine percent of respondents were familiar with the 2009 WHO Dengue Guidelines, and, within that group, 97 % reported that the WHO Dengue Guide was helpful in dengue diagnosis and clinical management. Knowledge gaps identified included

conclusionParticipants demonstrated a high level of knowledge of dengue symptoms and treatment, but additional training regarding prevention, diagnosis, and admission criteria is needed. Interventions should not only focus on increasing knowledge, but also encourage review of the WHO Dengue Guidelines, avoidance of presumptive self-medication, and recognition of dengue as a major health problem. This study provided an assessment tool that effectively captured healthcare providers' knowledge and identified critical gaps in practice.

Indexed as

Dengue feverEcuadorKAP surveyMedical practitioners

Identifiers

PMID28883952
PMCPMC5531027
OpenAlexW2412147869

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.