Knowledge, attitude and practice regarding enteric fever among doctors of Bangabandhu Sheikh Mujib Medical University

Abstract

Background: Enteric fever remains a significant public health challenge, particularly in developing countries. Understanding the knowledge, attitudes, and practices of general practitioners regarding enteric fever is crucial for effective disease management and control. This study aims to assess these aspects among general practitioners, providing insights into current practices and identifying areas for improvement. Methods: This cross-sectional survey was conducted with 200 general practitioners. The questionnaire covered various aspects, including baseline characteristics, knowledge about enteric fever causative agents and symptoms, diagnostic practices, antibiotic preferences, and general attitudes towards management and prevention. Data were analyzed to determine the prevalence of specific knowledge and practices. Results: Majority of practitioners (74%) were residents, predominantly working indoors (61.5%). All respondents correctly identified Salmonella typhi and para typhi as causative agents and fever as a primary symptom. However, there was variability in recognizing other symptoms and diagnostic methods. Ceftriaxon was the most preferred antibiotic (67%), and blood culture correctly identified as gold standard for diagnosis by 71% of respondents. Attitudes and practices varied, with significant number not adhering to recommended diagnostic and treatment protocols. Conclusions: The study reveals a solid foundation of basic knowledge about enteric fever among general practitioners but also highlights significant gaps in the understanding of clinical symptoms, diagnostic practices, and treatment protocols. These findings underscore the need for enhanced educational initiatives and standardized guidelines to improve the management of enteric fever.