1
|
Kuye-Kuku TO, Olumodeji AM, Olalere FDH, Chionuma JO, Aborisade AO, Ofulue UG. COVID-19 Infection Prevention and PPE Use: A Cross-Sectional Survey of Maternity Health Care Workers' Perspectives and Practices in a Tertiary Hospital, Nigeria. West Afr J Med 2023; 40:850-856. [PMID: 37639502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
BACKGROUND Maternity healthcare workers play an important role in curbing maternal and perinatal morbidity and mortality rates. They must be supported to protect themselves from the adverse impact of Covid 19 infection. This study assessed the knowledge, attitude and practice of maternity health care workers towards personal protective equipment (PPE) in preventing coronavirus infection. METHODOLOGY This was a prospective cross-sectional survey of consecutively consenting 380 maternity healthcare workers in a tertiary health institution in southwestern Nigeria between September 2021 and December 2021. A self-administered questionnaire was used to capture socio-demographic data and assess the survey participant's knowledge, attitude and practice as regards Covid-19 infection and transmission prevention and PPE use. RESULTS Only 22.1% (n = 84) of the respondents considered the pandemic a high health risk; 46.1% (n = 175) considered it a low health risk whilst 31.8% (n =121) of the MHWs considered its risk as moderate. The knowledge of the complete PPE inventory varied significantly with education status (p< 0.0001), 90.1% of the MHWs with knowledge of full inventory had tertiary education, proximity to patients during work (p<0.0001, 80% proximity), and work stations (p < 0.0005, 68.4% clinics). When utilizing PPEs 88.2% (n = 335) reported varying forms of discomfort and only 10.8% (n = 41) reported nil discomfort associated with its use. The commonly reported complaints were increased body heat, skin rashes, excessive sweat, and breathing difficulties. CONCLUSION There is a need to continually educate, train and retrain medical health workers on the need for the provision and proper use of personal protective equipment.
Collapse
Affiliation(s)
- T O Kuye-Kuku
- Department of Obstetrics & Gynaecology, Lagos State University Teaching Hospital, Lagos State, Nigeria
- Department of Obstetrics & Gynaecology, Lagos State University College of Medicine Lagos State, Nigeria
| | - A M Olumodeji
- Department of Obstetrics & Gynaecology, Lagos State University Teaching Hospital, Lagos State, Nigeria
| | - F D H Olalere
- Department of Obstetrics & Gynaecology, Lagos State University Teaching Hospital, Lagos State, Nigeria
- Department of Obstetrics & Gynaecology, Lagos State University College of Medicine Lagos State, Nigeria
| | - J O Chionuma
- Department of Obstetrics & Gynaecology, Lagos State University Teaching Hospital, Lagos State, Nigeria
- Department of Obstetrics & Gynaecology, Lagos State University College of Medicine Lagos State, Nigeria
| | - A O Aborisade
- Department of Oral Diagnostic Sciences, Bayero University, Kano State, Nigeria
| | - U G Ofulue
- Department of Obstetrics & Gynaecology, Lagos State University Teaching Hospital, Lagos State, Nigeria
| |
Collapse
|
2
|
Awoyomi OJ, Njoga EO, Jaja IF, Oyeleye FA, Awoyomi PO, Ibrahim MA, Saulawa MA, Galadima HB, Rowaiye AB, Olasoju TI, Idrisa JA, Olalere FDH, Olasoju MI, Adisa OH, Adetunji VE, Idemudia OO, Ezenduka EV, Oguttu JW. Mpox in Nigeria: Perceptions and knowledge of the disease among critical stakeholders-Global public health consequences. PLoS One 2023; 18:e0283571. [PMID: 36996122 PMCID: PMC10062623 DOI: 10.1371/journal.pone.0283571] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 03/09/2023] [Indexed: 03/31/2023] Open
Abstract
BACKGROUND The mpox (monkeypox) disease is a re-emerging viral zoonosis of international concern that is endemic in parts of Africa. The mpox virus (MPXV), which was hitherto largely limited to some Central and West African countries, was declared a public health emergency of international concern by the WHO on July 23, 2022 following the rapid spread of the virus to non-endemic countries. Globally, as of March 16, 2023, the WHO had reported 86,496 laboratory-confirmed cases of mpox and 111 deaths in 110 countries. Of the 1,420 cases of mpox reported in Africa as of March 16, 2023, Nigeria alone recorded 57.1% (812) of the confirmed cases and eight fatalities recorded in the continent. To help improve on the understanding of the current situation in Nigeria, the present study assessed the perception and knowledge of mpox among Nigerian healthcare workers, academics and tertiary students. The study also sought to highlight the global public health significance of the MPXV, and recommend a One Health approach to limit exporting of the virus beyond the borders of Nigeria. METHODS A web-based cross-sectional survey was conducted between 24 July 2022 and 12 August 2022 to evaluate the perception and knowledge of mpox among 1544 Nigerians, consisted of healthcare workers (n = 832), academics (n = 306) and tertiary students (n = 462). Data on the respondents' socio demographics and their information sources on mpox were also collected. Each correct response was allotted one point while an incorrect response was scored zero. The scores for perception and knowledge were dichotomized into positive (>5.5) and negative (≤5.5) and adequate (>5.8) and inadequate (≤5.8), respectively; using the average scores for perception and knowledge. The average score for perception and knowledge were summarised and presented as the mean and standard deviation (SD). Chi-square tests of association and binary logistic regression were carried out to determine factors associated with the outcome variables. RESULTS Of the 1452 respondents that had heard of mpox, 878 (60.5%) and 419 (28.9%) had adequate knowledge and positive perception concerning MPXV infection respectively. Average perception score was 5.5. Mean perception and knowledge scores were 4.5(SD: 2.0) and 5.8 (SD: 1.9), respectively. Factors that were significantly associated with knowledge level were age (p = 0.020) educational qualification attained (p = 0.004), occupation (p<0.001), and geopolitical zone of residency (p = 0.001). There was a positive correlation between perception and knowledge scores (r = 0.4, p<0.001). Positive perceptions were likely among respondents who had tertiary education, and residing in North-west Nigeria. Likewise, adequate knowledge scores were likely among respondents under 30 years of age, with tertiary education or reside in North-west Nigeria. Sources of information were significantly associated with perception (p = 0.004) and knowledge (p<0.001) of the respondents. CONCLUSION The findings of this study show that there is disparity in the knowledge and perception of mpox in the study population, and as a result, there is a need to intensify awareness about MPXV infection to enhance positive perception among the respondents. This has potential to safeguard public health and contain the disease thus preventing it from spreading to the global community. A One Health approach involving animal and human health workers is imperative for improved knowledge and a good perception towards the disease among respondents, and enhanced active surveillance and early detection of MPXV in reservoir hosts (rodents and non-human primates); to prevent reverse zoonotic transmission of the virus at the human-animal interface.
Collapse
Affiliation(s)
- Olajoju J Awoyomi
- Department of Veterinary Public Health and Preventive Medicine, College of Veterinary Medicine, Federal University of Agriculture, Abeokuta, Nigeria
| | - Emmanuel O Njoga
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Nigeria, Nsukka, Nigeria
| | - Ishmael F Jaja
- Department of Agriculture and Animal Health, Florida Campus, University of South Africa, Johannesburg, South Africa
| | - Felix A Oyeleye
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Nigeria, Nsukka, Nigeria
| | - Priscilla O Awoyomi
- Department of Medicine and Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Musawa A Ibrahim
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, Usmanu Danfodiyo University, Sokoto, Nigeria
| | - M A Saulawa
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, Bayero University Kano, Kano State, Nigeria
| | - Haruna B Galadima
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, Nigeria
| | - Adekunle B Rowaiye
- Depatment of Agricultural Biotechnology, National Biotechnology Development Agency, Abuja, Nigeria
| | - Taiwo I Olasoju
- Federal Ministry of Agriculture and Rural Development, Department of Veterinary and Pest Control Services, Epidemiology Division, Garki, Abuja, Nigeria
| | - Jamila A Idrisa
- Department of Medicine, College of Medical Sciences, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
- Department of Internal Medicine, College of Medical Sciences, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
| | - Folasade D H Olalere
- Lagos State University College of Medicine/Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria
| | - Mary I Olasoju
- Department of Veterinary Public Health and Preventive Medicine, College of Veterinary Medicine, Federal University of Agriculture, Abeokuta, Nigeria
| | - Oluwatosin H Adisa
- Department of Family Medicine, Sacred Heart Hospital, Lantoro, Abeokuta, Nigeria
| | - Veronica E Adetunji
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Ibadan, Ibadan, Nigeria
| | | | - Ekene V Ezenduka
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Nigeria, Nsukka, Nigeria
| | - James W Oguttu
- Department of Agriculture and Animal Health, Florida Campus, University of South Africa, Johannesburg, South Africa
| |
Collapse
|
3
|
Abstract
Objective: This was to determine the serum lipid profile of preeclamptic women and their association with severity of preeclampsia.Methods: This was a case control study conducted at the Lagos University Teaching Hospital, Lagos, Nigeria. Blood samples for serum lipid estimation were collected after an overnight fast. The National Cholesterol Education Program - Adult Treatment Panel (ATP) III criteria were used to define dyslipidemia.Results: Two hundred forty women participated in the study. The mean total cholesterol of preeclamptic and normotensive women was 309.9 ± 10.4 mg/dl and 237 ± 6.8 mg/dl, respectively. Both groups of women had higher than normal mean levels of triglycerides (TG) (203.3 ± 11.0 mg/dl versus 157.5 ± 7.1 mg/dl); low-density lipoprotein (LDL)-c (156.5 ± 11.0 mg/dl versus 109.7 ± 6.9 mg/dl); high-density lipoprotein (HDL)-c (63.2 ± 2.5 mg/dl versus 55.4 ± 1.8 mg/dl) and very low-density lipoprotein (VLDL) (39.5 ± 2.0 mg/dl versus 31.5 ± 1.4 mg/dl). Fewer women with preeclampsia had isolated hypertriglyceridemia (95 versus 99%). Maternal serum total cholesterol (TC), TG, and LDL was significantly (p < .001) higher in severe, compared to mild preeclampsia. Pearson's correlation indicated that all lipids, including total cholesterol (r = 0.406) had positive correlation with preeclampsia.Conclusion: There is elevated serum lipid in pregnancy irrespective of preeclampsia developing. The positive correlation of maternal serum lipids to preeclampsia suggests a casual relationship.
Collapse
Affiliation(s)
- F D H Olalere
- Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital Idi-Araba, Lagos, Nigeria
| | - B O Okusanya
- Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Lagos, Nigeria
| | - B A Oye-Adeniran
- Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Lagos, Nigeria
| |
Collapse
|