Knowledge and practices regarding tuberculosis infection control among nurses in Ibadan, south-west Nigeria: a cross-sectional study

Abstract

Background: Nurses are particularly vulnerable to nosocomial tuberculosis (TB) infection because, being in the frontline of healthcare provision, they are frequently exposed to patients with infectious TB disease. Although costeffective measures are available for TB infection control (TBIC), they are often poorly implemented. Knowledge of TBIC is known to positively influence the practice of the measures. There is, however, paucity of data on the knowledge and practices regarding TBIC among nurses in Nigeria. This study was aimed at determining the levels of TBIC-related knowledge and practices of nurses in Ibadan, and their associated socio-demographic factors.Methods: This cross-sectional study utilized a self-administered questionnaire to collect data from 200 nurses in two secondary health facilities, in May 2014. The mean knowledge and practice scores of the nurses were determined and logistic regression was utilized to explore the association between the scores and sociodemographic characteristics. Results: The respondents had mean knowledge and practice scores of 68.2 and 79.9% respectively. Using cut-off points of 80 and 100% for good knowledge and practice scores respectively, small proportions of the nurses had good scoresknowledge (10.5%) and practice (6%). Knowledge was not significantly associated with the sociodemographic characteristics of the nurses. Work experience was the only factor that was significantly associated with practices, with the more experienced nurses (> 18 years of work experience) having lower odds of obtaining good practice scores (OR 0.25, 95% CI 0.06-0.94). There was also no significant association between knowledge and practice scores (the nurses were yet to be trained on the newly-introduced TBIC package at the time of the study). Conclusions:The study revealed that small proportions of the nurses had good knowledge and practice scores. Its findings will be useful for the designing of interventions to improve TBIC among nurses and other healthcare workers, and to benchmark evaluation of the interventions. It is recommended that nurses should be trained on TBIC to equip them with necessary knowledge and skills. This, together with appropriate policy directives, and adequate monitoring and supervision will contribute to optimal implementation of TB preventive measures.

Knowledge, attitude, and practices regarding childhood tuberculosis detection and management among healthcare providers in Cambodia: a cross-sectional study

“…In our study, knowledge on TB transmission routes was relatively high among healthcare providers from ODs with high childhood TB case detection. This finding is similar to the finding of the study in Iraq [ 18 ] and Nigeria [ 22 ] but higher than other studies [ 19 – 21 , 23 , 24 ]. Over 80% of healthcare providers from ODs with high childhood TB case detection knew four or more childhood TB signs and symptoms.…”

“…Knowledge of cough duration implying TB is high in our study, which is similar to a previous study in Cambodia [ 7 ], lower than a study in Nigeria [ 22 ], and higher than a study in Ethiopia [ 21 ]. For fever, although a high proportion of respondents knew that fever is a symptom of TB, a low proportion of them correctly specified the level of fever (> 38.0 °C), implying TB.…”

Are nurses prepared to respond to next infectious disease outbreak: A narrative synthesis

“…The selected studies focussed on several events, including the Ebola Virus Disease outbreak (Adongo et al., 2017 ; Almutairi et al., 2016 ; Piţigoi et al., 2018 ), the Viral Hemorrhagic Fever (Fryk et al., 2020 ), influenza (Imai et al., 2008 ), tuberculosis (Akande, 2020 ), the Severe Acute Respiratory Syndrome (O'Sullivan et al., 2008 ), the Middle East Respiratory Syndrome (Oh et al., 2017 ) and the H1N1 pandemic (Lam & Hung, 2013 ). Several studies focus on non‐specified epidemics (Baack & Alfred, 2013 ; Chen et al., 2016 ; Considine & Mitchell, 2009 ; Koh et al., 2012 ; Lam et al., 2020 ; O'Boyle et al., 2006 ).…”

Analysis of the current status and associated factors of tuberculosis knowledge, attitudes, and practices among elderly people in Shenzhen: a cross-sectional study

“…Berg-Johnsen et al conducted a study on 270 medical interns and found that the surveyed interns had an adequate level of TB-related knowledge and acceptable attitudes [ 4 ]. Akande reported that small proportions of the respondents had a good score for knowledge (10.5%) and practices (6%) [ 5 ]. Dorji et al surveyed 420 trainees and revealed that 58.6% had low knowledge of TB [ 6 ].…”