Background: Group B streptococcus is a leading infectious cause of morbidity in newborns and causes substantial disease in elderly individuals. Guidelines recommended antenatal culture-based screening as the optimal method for identifying chemoprophylaxis candidates. Objectives: To assess the primary care physicians' knowledge about group B streptococcus screening in pregnant women and to identify the barriers that prevent primary care physicians from screening as recommended. Methods: A cross-sectional study conducted at the Al-Wazarat healthcare center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. A self-administrated questionnaire was distributed to 89 physicians asking about their knowledge and barriers regarding group B streptococcal infection High Vaginal Swab (HVS) screening. Results: The GBS screening average knowledge is 74.0% distributed on 11.2% scored poor, 31.5% good, and 57.3% excellent level of knowledge. Eight physicians' attitude was positively agreeing with GBS screening statement with lowest agreement was in performing screening with primary care setting (76.4%). The barriers for GBS screening are system and protocol (52.8%), lack of training (46.1%), lack of tools (24.7%), fear of consequences (14.6%), and other barriers (16.9%). Regression analysis showed that in comparison to physicians younger than 30 years, physicians aged 30 -39 years has higher average by 9.4% (p-value = 0.039), 40 -49 years have higher knowledge with average 10.3% (p-value = 0.036), 50 years or older have higher knowledge on average 8.9% (p-value = 0.040) Conclusion: Education programs regarding GBS screening in pregnancy are needed to improve the primary care physicians' knowledge in order to prevent inevitable complications of GBS infection in pregnancy.
Background: Pediatric ocular trauma is common, and can affect their development. Primary care physicians should be knowledgeable about eye trauma, able to recognize eye conditions that can lead to visual loss, thus requiring urgent referral to the ophthalmologist. Therefore, the current study aimed to assess primary care physician's knowledge regarding eye trauma among children in Saudi Arabia. Methods: A cross-sectional survey has been conducted among primary health care physicians in a primary healthcare center in Riyadh, Saudi Arabia. Data was collected using a questionnaire that was developed and validated by the study authors. The questionnaire was then sent to the targeted physicians through WhatsApp and email. Results: A total of 200 family physician participated, 51% of them were females. The mean (±SD) of the overall knowledge score was 15.03(±4.39) out of 22. The highest percentage (44%) of the respondents showed a good knowledge level (scored 50-75% correct answers), followed by 40% have excellent knowledge level (scored >75%), and 14.50% have poor knowledge level (score <50%). The knowledge score differed significantly (P <0.001) by age being higher among physicians aged ≥35 years compared to those aged <35 years at 17.50(±4.74) vs 14.56(±4.17), respectively. Also, the knowledge score was significantly the highest among physicians with experience of 5-10 years, those who dealt with a child with eye trauma with the 12 months prior study conduction, and those who experienced difficulties in dealing with a child patient with eye trauma at 16.68(±4.15), 16.78(±3.80), and 16.03(±4.23), respectively, with a P-value <0.001 in all cases. Conclusion: Primary care physicians working at PSMMC primary care centers, Riyadh, Saudi Arabia, showed a good knowledge about eye trauma among children aged <14. The knowledge level significantly associated with physicians age, experience, history of dealing with a child with eye trauma, and difficult eye trauma cases.
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