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  • 文章类型: Journal Article
    未经证实:蜱传疾病(TBD)发病率的上升强调了熟练诊断TBD的重要性。临床医生对其所在地区的媒介蜱和TBD的了解可能会影响患者是否被询问潜在的蜱暴露以及对TBD的诊断测试的考虑。
    未经评估:我们的目标是评估知识,态度,以及伊利诺伊州临床医生对蜱和TBD的做法。这项研究旨在1)确定与知识相关的预测因素,2)识别知识差距,和3)评估与TBD相关的态度和实践。
    未经评估:基于Web的知识,态度,关于伊利诺伊州蜱和TBD的实践调查被传播给医生,中层从业者,和护士在2020年8月至2022年2月之间。进行泊松回归分析以确定较高得分的预测因子。
    未经评估:在346名受访者中,80%的人正确地认为莱姆病是伊利诺伊州的地方病,95%的人熟悉莱姆的诊断测试。对该州其他TBD的了解在医生中最高,然而,只有26%的医生认为伊利诺伊州存在落基山斑疹热(RMSF),只有17%的人认为埃里希菌病是地方性的。只有32%的医生知道α-gal综合征的原因,不到18%的医生知道可用的诊断测试。过去两年与滴答或TBD相关的教育是分数较高的最重要预测因素,总体知识得分提高26%(RR1.26,95%CI1.13-1.41),TBD特异性得分提高42%(RR1.42,95%CI1.19-1.69).
    未经证实:伊利诺伊州的临床医生被告知莱姆病,但缺乏对该州其他地方性TBD的了解,包括RMSF,埃里希体病,和α-gal综合征.知识的最强预测指标是前两年的tick/TBD培训,强调经常进行针对特定地区的蜱虫和TBD培训的重要性。
    UNASSIGNED: The rising incidence of tick-borne disease (TBD) underscores the importance of proficiency in TBD diagnosis. Clinicians\' knowledge about vector ticks and TBDs in their area may influence whether patients are questioned about potential tick exposure and the consideration of diagnostic testing for TBDs.
    UNASSIGNED: Our objective was to assess the knowledge, attitudes, and practices of Illinois clinicians towards ticks and TBDs. The study aimed to 1) identify predictors associated with knowledge, 2) identify knowledge gaps, and 3) evaluate attitudes and practices related to TBDs.
    UNASSIGNED: A web-based knowledge, attitudes, and practices survey about Illinois ticks and TBDs was disseminated to physicians, mid-level practitioners, and nurses between August 2020 and February 2022. Poisson regression analysis was conducted to identify predictors of higher scores.
    UNASSIGNED: Of 346 respondents, 80% correctly identified Lyme disease as endemic to Illinois, and 95% were familiar with diagnostic testing for Lyme. Knowledge of other TBDs present in the state was highest among physicians, yet only 26% of physicians believed Rocky Mountain spotted fever (RMSF) to be present in Illinois, and only 17% believed ehrlichiosis to be endemic. Only 32% of physicians knew the cause of Alpha-gal syndrome and fewer than 18% were aware of available diagnostic testing. Tick or TBD-related education within the past two years was the most significant predictor of higher scores, increasing overall knowledge scores by 26% (RR 1.26, 95% CI 1.13-1.41) and increasing scores specific to TBDs by 42% (RR 1.42, 95% CI 1.19-1.69).
    UNASSIGNED: Illinois clinicians were informed about Lyme disease but lacked knowledge of other TBDs endemic to the state, including RMSF, ehrlichiosis, and Alpha-gal syndrome. The strongest predictor of knowledge was tick/TBD training in the previous two years, highlighting the importance of frequent region-specific training on ticks and TBDs.
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