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https://doi.org/10.1186/s12879-017-2525-3
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dc.title | Assessing changes in knowledge, attitude and practices on dengue diagnosis and management among primary care physicians after the largest dengue epidemic in Singapore | |
dc.contributor.author | Pang J. | |
dc.contributor.author | Hildon Z.J.-L. | |
dc.contributor.author | Thein T.L. | |
dc.contributor.author | Jin J. | |
dc.contributor.author | Leo Y.S. | |
dc.date.accessioned | 2020-09-01T08:03:33Z | |
dc.date.available | 2020-09-01T08:03:33Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Pang J., Hildon Z.J.-L., Thein T.L., Jin J., Leo Y.S. (2017). Assessing changes in knowledge, attitude and practices on dengue diagnosis and management among primary care physicians after the largest dengue epidemic in Singapore. BMC Infectious Diseases 17 (1) : 428. ScholarBank@NUS Repository. https://doi.org/10.1186/s12879-017-2525-3 | |
dc.identifier.issn | 14712334 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/173876 | |
dc.description.abstract | Background: Dengue results in high morbidity and mortality globally. The knowledge, attitude and practices (KAP) of dengue management, including diagnosis, among primary care physicians (PCPs) are important to reduce dengue transmission and burden. However, there is a lack of understanding on the impact of dengue epidemic on dengue management. Hence, the aim of this study is to examine the changes in KAP on dengue management among PCPs before and after the largest dengue epidemic in 2013 in Singapore. Methods: Surveys were mailed to 2000 and 1514 PCPs registered under the Singapore Medical Council in March of year 2011 and 2014, respectively. Survey data were then collected between April and June of that year. Chi-square or Fisher's exact test was used for comparing categorical variables. A multivariate logistic regression model was implemented to determine independent factors for frequent use of dengue diagnostic tests (DDTs). All tests were conducted at 5% level of significance. Adjusted odds ratio and corresponding 95% confidence intervals were reported, where applicable. Qualitative data were descriptively coded for themes and analysis. Results: Among PCPs surveyed in 2011 and 2014, 89.9% and 86% had good knowledge on dengue management respectively. The usage of DDTs had increased significantly in 2014 (N = 164;56%) as compared to 2011 (N = 107;29. 5%) in both private and public clinics (p < 0.001). Dengue Duo point-of-care test (POCT) kits was independently associated with frequent use of DDTs (adjusted odds ratio = 2.15; 95% confidence interval = 1.25-3.69). There was a significant reduction in referral of dengue patients to hospital (31.4% in 2011; 13.3% in 2014; p < 0.001), and a significant increase in frequency of clinic follow-ups (18.4% in 2011; 28.5% in 2014; p = 0.003). One key theme highlighted was that dengue management can be improved with availability of POCT kit, better awareness of the disease and any revised clinical guidelines. Conclusion: The knowledge on dengue management remained high, while the attitude and practices, particularly on the usage of DDTs improved significantly after a large epidemic. Furthermore, PCPs had more confident in managing dengue patients in primary care settings and in educating patients on the importance of vector control and dengue warning signs to reduce dengue transmission and burden. © The Author(s). 2017. | |
dc.publisher | BioMed Central Ltd. | |
dc.source | Unpaywall 20200831 | |
dc.subject | diagnostic kit | |
dc.subject | adult | |
dc.subject | attitude to health | |
dc.subject | dengue | |
dc.subject | diagnostic kit | |
dc.subject | epidemic | |
dc.subject | female | |
dc.subject | general practitioner | |
dc.subject | health survey | |
dc.subject | human | |
dc.subject | male | |
dc.subject | middle aged | |
dc.subject | odds ratio | |
dc.subject | patient referral | |
dc.subject | point of care system | |
dc.subject | Singapore | |
dc.subject | statistical model | |
dc.subject | statistics and numerical data | |
dc.subject | Adult | |
dc.subject | Dengue | |
dc.subject | Epidemics | |
dc.subject | Female | |
dc.subject | Health Knowledge, Attitudes, Practice | |
dc.subject | Health Surveys | |
dc.subject | Humans | |
dc.subject | Logistic Models | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Odds Ratio | |
dc.subject | Physicians, Primary Care | |
dc.subject | Point-of-Care Systems | |
dc.subject | Reagent Kits, Diagnostic | |
dc.subject | Referral and Consultation | |
dc.subject | Singapore | |
dc.type | Article | |
dc.contributor.department | SAW SWEE HOCK SCHOOL OF PUBLIC HEALTH | |
dc.description.doi | 10.1186/s12879-017-2525-3 | |
dc.description.sourcetitle | BMC Infectious Diseases | |
dc.description.volume | 17 | |
dc.description.issue | 1 | |
dc.description.page | 428 | |
dc.published.state | Published | |
Appears in Collections: | Elements Staff Publications |
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