Evaluation of Knowledge Regarding Rheumatic Fever and Its Prevention among Doctors at a Tertiary Cardiac Care Unit

Background: Rheumatic heart disease is one of the most frequent types of acquired heart disease, and it is one of the leading causes of morbidity and death. Awareness of doctors regarding rheumatic fever and how to prevent it is important for primary and secondary prevention. Objective: The study...

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Main Authors: Salman Ahmed, Ghazanfar Ali Shah, Tahir Saghir, Shehzad Khatti, Naveen Roy, Romana Awan, Syed Abdul Bari, Jawaid Akbar Sial, Khadijah Abid
Format: Article
Language:English
Published: Liaquat National Hospital and Medical College 2022-11-01
Series:Liaquat National Journal of Primary Care
Subjects:
Online Access:https://journals.lnh.edu.pk/lnjpc/pdf/dd926d0f-3a6b-4ad8-933a-b7de385c9594.pdf
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author Salman Ahmed
Ghazanfar Ali Shah
Tahir Saghir
Shehzad Khatti
Naveen Roy
Romana Awan
Syed Abdul Bari
Jawaid Akbar Sial
Khadijah Abid
author_facet Salman Ahmed
Ghazanfar Ali Shah
Tahir Saghir
Shehzad Khatti
Naveen Roy
Romana Awan
Syed Abdul Bari
Jawaid Akbar Sial
Khadijah Abid
author_sort Salman Ahmed
collection DOAJ
description Background: Rheumatic heart disease is one of the most frequent types of acquired heart disease, and it is one of the leading causes of morbidity and death. Awareness of doctors regarding rheumatic fever and how to prevent it is important for primary and secondary prevention. Objective: The study aimed to assess the knowledge of rheumatic fever and its prevention and the association of knowledge with cardiology working experience among local doctors working at a tertiary cardiac care unit. Methodology: It was a cross-sectional study conducted at the department of cardiology of a national institute of cardiovascular disease and its satellite centers, Karachi, Pakistan from December, 2020 to June 2021. Doctors of age more than 25 years of either gender were included in the study. A self-administered questionnaire, circulated through emails was used to collect data on age, gender, designation, total years of experience, and years of experience in the cardiac unit and 10 questions to assess the knowledge regarding rheumatic fever and its prevention. Based on the correct response, the doctors were categorized as either having adequate knowledge or inadequate knowledge regarding various aspects of rheumatic fever. Data was entered and analyzed using SPSS version 21. Results: A total of 225 participants were approached, out of which 200 responded and completed the survey with response rate of 88.9%. The mean age of the doctors was 37.40±6.55 years. Most of the participants were males (87.5%). About 82% of the doctors had adequate knowledge about the mechanism of rheumatic fever. A large proportion of participants answered correctly about prophylaxis post-surgery (58%). Doctors with more than 2 years of experience in the cardiology department had better knowledge about the mechanism (p=0.017), diagnosis (p=0.005), post-surgery prophylaxis (p=0.005), duration of secondary prophylactic treatment (p=0.03), drug of choice for secondary prophylaxis (p=0.026) as compared to doctors with up to 2 years of experience in the cardiology department. Conclusion: Knowledge regarding the duration of secondary prophylaxis and primary prophylaxis was low among doctors. Years of working experience in the cardiology unit was a significant factor in the knowledge of the m
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spelling doaj.art-a0ede24f3840410c91a0dc4dad9dd3b52022-12-22T04:13:44ZengLiaquat National Hospital and Medical CollegeLiaquat National Journal of Primary Care2707-35212708-91342022-11-01427983https://doi.org/10.37184/lnjpc.2707-3521.5.1Evaluation of Knowledge Regarding Rheumatic Fever and Its Prevention among Doctors at a Tertiary Cardiac Care UnitSalman Ahmed0Ghazanfar Ali Shah1Tahir Saghir2Shehzad Khatti3Naveen Roy4Romana Awan5Syed Abdul Bari6Jawaid Akbar Sial7Khadijah Abid8Department of Adult Cardiology, NICVD, Tando Mohammad Khan, PakistanDepartment of Adult Cardiology, NICVD, Tando Mohammad Khan, PakistanDepartment of Adult Cardiology, NICVD, Tando Mohammad Khan, PakistanDepartment of Adult Cardiology, NICVD, Tando Mohammad Khan, PakistanDepartment of Adult Cardiology, NICVD, Tando Mohammad Khan, PakistanDepartment of Adult Cardiology, NICVD, Tando Mohammad Khan, PakistanDepartment of Adult Cardiology, NICVD, Tando Mohammad Khan, PakistanDepartment of Adult Cardiology, NICVD, Karachi, PakistanDepartment of Public Health, SZABIST, Karachi, PakistanBackground: Rheumatic heart disease is one of the most frequent types of acquired heart disease, and it is one of the leading causes of morbidity and death. Awareness of doctors regarding rheumatic fever and how to prevent it is important for primary and secondary prevention. Objective: The study aimed to assess the knowledge of rheumatic fever and its prevention and the association of knowledge with cardiology working experience among local doctors working at a tertiary cardiac care unit. Methodology: It was a cross-sectional study conducted at the department of cardiology of a national institute of cardiovascular disease and its satellite centers, Karachi, Pakistan from December, 2020 to June 2021. Doctors of age more than 25 years of either gender were included in the study. A self-administered questionnaire, circulated through emails was used to collect data on age, gender, designation, total years of experience, and years of experience in the cardiac unit and 10 questions to assess the knowledge regarding rheumatic fever and its prevention. Based on the correct response, the doctors were categorized as either having adequate knowledge or inadequate knowledge regarding various aspects of rheumatic fever. Data was entered and analyzed using SPSS version 21. Results: A total of 225 participants were approached, out of which 200 responded and completed the survey with response rate of 88.9%. The mean age of the doctors was 37.40±6.55 years. Most of the participants were males (87.5%). About 82% of the doctors had adequate knowledge about the mechanism of rheumatic fever. A large proportion of participants answered correctly about prophylaxis post-surgery (58%). Doctors with more than 2 years of experience in the cardiology department had better knowledge about the mechanism (p=0.017), diagnosis (p=0.005), post-surgery prophylaxis (p=0.005), duration of secondary prophylactic treatment (p=0.03), drug of choice for secondary prophylaxis (p=0.026) as compared to doctors with up to 2 years of experience in the cardiology department. Conclusion: Knowledge regarding the duration of secondary prophylaxis and primary prophylaxis was low among doctors. Years of working experience in the cardiology unit was a significant factor in the knowledge of the mhttps://journals.lnh.edu.pk/lnjpc/pdf/dd926d0f-3a6b-4ad8-933a-b7de385c9594.pdfawarenesspost-exposure prophylaxisrheumatic fever
spellingShingle Salman Ahmed
Ghazanfar Ali Shah
Tahir Saghir
Shehzad Khatti
Naveen Roy
Romana Awan
Syed Abdul Bari
Jawaid Akbar Sial
Khadijah Abid
Evaluation of Knowledge Regarding Rheumatic Fever and Its Prevention among Doctors at a Tertiary Cardiac Care Unit
Liaquat National Journal of Primary Care
awareness
post-exposure prophylaxis
rheumatic fever
title Evaluation of Knowledge Regarding Rheumatic Fever and Its Prevention among Doctors at a Tertiary Cardiac Care Unit
title_full Evaluation of Knowledge Regarding Rheumatic Fever and Its Prevention among Doctors at a Tertiary Cardiac Care Unit
title_fullStr Evaluation of Knowledge Regarding Rheumatic Fever and Its Prevention among Doctors at a Tertiary Cardiac Care Unit
title_full_unstemmed Evaluation of Knowledge Regarding Rheumatic Fever and Its Prevention among Doctors at a Tertiary Cardiac Care Unit
title_short Evaluation of Knowledge Regarding Rheumatic Fever and Its Prevention among Doctors at a Tertiary Cardiac Care Unit
title_sort evaluation of knowledge regarding rheumatic fever and its prevention among doctors at a tertiary cardiac care unit
topic awareness
post-exposure prophylaxis
rheumatic fever
url https://journals.lnh.edu.pk/lnjpc/pdf/dd926d0f-3a6b-4ad8-933a-b7de385c9594.pdf
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