KNOWLEDGE OF THE CLINICAL MANAGEMENT GUIDE FOR VIRUS INFECTION CHIKUNGUNYA OF EMERGENCY MEDICAL STAFF IN HEALTH INSTITUTIONS OF THE ATLANTIC DEPARTMENT.
DOI:
https://doi.org/10.31052/1853.1180.v22.n1.17143Keywords:
management, Chikungunya, diseases exanthematic, guide differential diagnosis.Abstract
Objective: Assess the knowledge of the Guide to clinical management for Chikungunya infection in medical staff of emergencies in institutions of the medium level of complexity in the Department of the Atlantico, the period 2016. Methodology: Study descriptive, quantitative and cross, carried out in hospitals in medium-level health care. Samples were 68 medical professionals and students in boarding school. The instrument, questionnaire type test, validated by a group of experts, implementation of pilot test 10 professionals, and the results software tabulated in Excel and subsequent implementation of the Kuder Richardson (Kr20) statistical software, it threw a 65% reliability index. Results: the medical staff had little or no knowledge of the Guide on: the clinical manifestations it possessed, physicians 33%; management of the treatment of typical cases, residents were unaware, boarding school students 9%, general practitioners 19% and residents had a 33%; management intrapartum owned, 20% residents, physicians 33%, students in boarding school 34% and general practitioners 50%; management in the newly born, unknown to medical specialists, 44% General practitioners, students of boarding school residents and 57% 60% knew it. Conclusion: there are medical professionals (General practitioners and residents) and students in boarding school, lack of attention of the CHIKV Guide, which leads to a bad differential diagnosis and inappropriate clinical management, putting at risk the health of affected patients.
Downloads
References
1. Thiberville SD, Moyen N, Dupuis-Maguiraga L, Nougairede A, Gould E a., Roques P, et al. Chikungunya fever: Epidemiology, clinical syndrome, pathogenesis and therapy. Antiviral Res. Elsevier B.V.; 2013;99(3):345–70. Available from: http://dx.doi.org/10.1016/j.antiviral.2013.06.009
2. Benedict MQ, Levine RS, Hawley WA, Lounibos LP. Spread of the tiger: global risk of invasion by the mosquito Aedes albopictus. Vector Borne Zoonotic Dis. 2007;7(1):76–85.
3. Sánchez GP, Alvarez GR. Fiebre de Chikungunya: enfermedad frecuente como emergencia médica en Cuba. Medisan. 2014;18(6):859–67.
4. Ministerio de Salud Pública de República Dominicana. Guia para el manejo clínico para la infección por el virus Chikungunya (CHIKV). Santo Domingo, República Dominicana, Mayo 2014. Disponible en: http://www1.paho.org/dor/images/stories/archivos/chikungunya/guia_chikv2.pdf?ua=1
5. European Centre for Disease Prevention and Control. Consultation on mosquito-borne disease transmission risk in Europe. 2011;(November):1–9.
6. Bueno Marí Rubén, Jiménez Peydró Ricardo. Implicaciones sanitarias del establecimiento y expansión en España del mosquito Aedes Albopictus. Rev. Esp. Salud Pública. 2012 Ago, 86(4): 319-330. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57272012000400002&lng=es.
7. OMS. OMS | Chikungunya. World Health Organization; 2015 [cited 2015 Mar 4]; Available from: http://www.who.int/mediacentre/factsheets/fs327/es/
8. Centers for Disease Control and Prevention (CDC). Through mosquito bites. [Internet]. [cited 2015 Jun 3]. Available from: http://www.cdc.gov/chikungunya/transmission/index.html
9. OPS/OMS/INS. Gestión para la vigilancia entomológica y control de la transmisión de dengue. Guia de vigilancia entomológica y control de dengue 2011: 1–124.
10. Instituto Nacional de Salud-Dirección de Vigilancia y análisis del riesgo. Boletín epidemiológico semanal: semana número 53 de 2014 (28 de diciembre – 3 de enero de 2015). Disponible en: http://www.ins.gov.co/boletin-epidemiologico/Boletn%20Epidemiolgico/2014%20Boletin% 20epidemiologico%20semana%2053.pdf
11. Tovar Z.M., Bolívar S.A., Maestre-Serrano R. Chikungunya: aspectos generales de una enfermedad emergente en Colombia. Biociencias, Volumen 10 Número 1, 75 – 88. Enero-Junio 2015, Barranquilla. Disponible en: https://dialnet.unirioja.es/descarga/articulo/5460371.pdf
12. Instituto Nacional de Salud-Dirección de Vigilancia y análisis del riesgo. Boletín epidemiológico semanal: semana número 09 de 2016 (28 de febrero al 5 de marzo 2016). Disponible en: http://www.ins.gov.co/boletin-epidemiologico/Boletn%20Epidemiolgico/2016%20Bolet%C3% ADn%20epidemiol%C3%B3gico%20semana%209.pdf
13. Caja Costarricense de Seguro Social. Lineamientos para la Organización de la Atención y Manejo de los Pacientes con Chikungunya. Agosto de 2014. Disponible en: http://www.binasss.sa.cr/chikungunya/chikungunya.pdf
14. Placeres Hernández José Fernando, Martínez Abreu Judit, Chávez González Lisandro, Rodríguez Rodríguez Ernesto, de León Rosales Lázaro. Fiebre causada por el virus Chikungunya, enfermedad emergente que demanda prevención y control. Rev. Med. Electrón. 2014 Oct; 36(5): 596-609. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242014000500007&lng=es.
15. Instituto Nacional de Salud. Lineamientos de vigilancia en salud pública, entomológica y de laboratorio en transmisión autóctona del virus Chikungunya en Colombia fase II. 2014;1–12.
16. Ministerio de Salud del Perú. Guía Técnica: Guía de práctica clínica para la atención de fiebre Chikungunya en el Perú. Enero de 2015. Disponible en: http://bvs.minsa.gob.pe/local/minsa/3280.pdf
17. Ministerio de Salud y Proteccion Social. Lineamientos para el manejo clínico de los pacientes con el virus Chikungunya (CHIKV). Bogotá D.C. 2014, 1:14. Disponible en: https://cutt.ly/Ue8cnjv
18. Colman E, Golden J, Roberts M, Egan A, Weaver J, Pharm D, et al. New engla nd journal. 2014;2012–4.
19. Centers for Disease Control and Prevention / Organización Panamericana de la Salud. Preparación y respuesta ante la eventual introducción del virus chikungunya en las Américas. Organización Panamericana de la Salud. Washington, D.C.; 2011. p. 159. Available from: http://www1.paho.org/hq/dmdocuments/CHIKV_Spanish.pdf
20. Sebastian MR, Lodha R, Kabra SK. Chikungunya infection in children. Indian J Pediatr. 2009;76(2):185–9.
21. Das T, Jaffar-Bandjee MC, Hoarau JJ, Krejbich Trotot P, Denizot M, Lee-Pat-Yuen G, et al. Chikungunya fever: CNS infection and pathologies of a re-emerging arbovirus. Prog Neurobiol. Elsevier Ltd; 2010;91(2):121–9.
22. Sebastian MR, Lodha R, Kabra SK. Chikungunya infection in children. Indian J Pediatr. 2009;76(2):185–9.
23. OMS/OPS/Ministerio de Salud de Paraguay. Guia para el manejo clínico de la enfermedad producida por el virus Chikungunya. Asunsión, 2015; 1- 40. Disponible en: http://iris.paho.org/xmlui/bitstream/handle/123456789/10106/GUIA%20chikungunya%2019-03-15.pdf?sequence=1&isAllowed=y
24. Ministerio de Salud y Proteccion Social: Instituto Nacional de Salud. Plan Nacional de respuesta frente a la introducción del virus Chikungunya en Colombia. Bogotá D.C, agosto de 2014, 1:1–20. Disponible en: https://cutt.ly/le8cRvv
25. Carbajo AE, Vezzani D. Waiting for chikungunya fever in Argentina: spatio-temporal risk maps. Mem Inst Oswaldo Cruz. 2015;110(2):259–62.
26. Juan Francisco Menárguez Puche, Juan Antonio Sánchez Sánchez, Enrique Ortín Ortín, isabel hidalgo Garcia. Lectura crítica de una Guía de Práctica Clínica. Grup MBE la Sociedad Murciana de Medicina Familiar y Comunitaria. 329-577. Disponible en: https://www.murciasalud.es/recursos/ficheros/136631-capitulo_12.pdf
Downloads
Additional Files
Published
Issue
Section
License
Copyright (c) 2018 Escuela de Salud Pública y Ambiente. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License which allows the work to be copied, distributed, exhibited and interpreted as long as it is not done for commercial purposes.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after the publication process. (See The Effect of Open Access). (See The Effect of Open Access).
How to Cite
