Global Advanced Research Journal of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159
December 2013 Special Issue Vol. 2(12), pp. 256-263
Copyright © 2013 Global Advanced Research Journals

 

Full Length Research Paper

Knowledge, attitude and practice related to management of cutaneous leishmaniasis among physicians in tertiary healthcare facilities in Sokoto, Nigeria

Awosan, K.J.1,2*, Isah, B.A.1,2, Alayande, M.O.3, Enokela, E.4, Makusidi, M.A.5, Agwu, N.P.6, Abubakar, A.U.2, Abdullahi, Z. 2, Aderahman, A.T.7

1Department of Community Medicine, Usmanu Danfodiyo University, Sokoto, Nigeria.
2Department of Community Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
3Department of Veterinary Parasitology and Entomology, Usmanu Danfodiyo University, Sokoto, Nigeria.
4Department of Family Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
5Department of Internal Medicine, Usmanu Danfodiyu University, Sokoto, Nigeria.
6Department of Surgery, Usmanu Danfodiyo University, Sokoto, Nigeria.
7Department of Internal Medicine, Specialist Hospital, Sokoto, Nigeria.

*Corresponding author E-mail: awosankj1@yahoo.com

Accepted 06 December, 2013

Abstract

Reports from studies across Nigeria show that cutaneous leishmaniasis (CL) has become an important social and public health problem, particularly in the Central and North – Western geo – political zones of the country. In the absence of an effective vaccine for the prevention of leishmaniasis, coupled with the poor environmental sanitation and vector control measures prevalent in many communities in Nigeria, control of the disease in the country to a large extent depends on early diagnosis and treatment of cases. This study aimed to assess the knowledge, attitude and practice related to management of CL among physicians in tertiary healthcare facilities in Sokoto, Nigeria. This was a cross sectional descriptive study among 164 doctors practicing in the two tertiary healthcare facilities in Sokoto from October to November 2013. Data collection was done using a set of pretested, semi-structured questionnaires; descriptive statistics was used for analysis. Recognition of CL lesions was high (75.0%), 87.0% had accurate knowledge of its transmission, while 89.9% and 90.0% had accurate knowledge of its prevention by vector control and treatment of infected persons respectively. Majority, 63.1% of respondents that had ever seen a case before and correctly recognized the disease referred the patients to clinicians and surgeons for appropriate treatment. Less than half of the respondents knew pentavalent antimony compounds (42.0%), amphotericin B (42.5%), miltefosine (27.6%) and paromomycin cream (38.1%) as drugs for treating CL. Only a few knew cryotherapy (32.3%) and thermotherapy (24.5%) as treatment options for CL. This study demonstrated high recognition of CL lesions and accurate knowledge of its transmission and prevention, but poor knowledge and practice of its treatment among physicians in Sokoto. These findings suggest the need for training institutions involved in medical education to pay sufficient attention to the neglected tropical diseases in their curriculum at all levels.

Keywords: Cutaneous leishmaniasis, knowledge, attitude, practice, management.

 

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