Bronchiectasis: Knowledge, Attitude and Treatment Practice among Residents Working at Tikur Anbessa Specialized Hospital, St. Paul Millennium Medical College and Yekatit 12 Hospital: Addis Ababa, Ethiopia : A Cross-Sectional Study
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Date
2021-12
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Addis Abeba University
Abstract
Background: Diseases of the respiratory system are a leading cause of morbidity, mortality and
disability worldwide. Bronchiectasis is a progressive respiratory disease characterized by a
permanent dilation of bronchi. The prevalence and incidence of bronchiectasis is increasing
worldwide mainly due to the increased recognition of the disease and availability of better
diagnostic modalities. Post-infectious bronchiectasis was the most common cause of
bronchiectasis among those with identified risk factors, of which post-Tb bronchiectasis is the
commonest one. The most common factors that influence prognosis and mortality are severity of
disease, age, bacterial colonization, frequency of disease exacerbation and underlying and comorbid
condition.
Current
guidelines
generally
recommend
treatment
in
several
categories:
chest
clearance
and
pulmonary
rehabilitation
techniques that aim to improve muco-ciliary clearance,
muco-active drugs, anti-inflammatory therapy, bronchodilators and antibiotic treatment.
Objectives: The survey was to investigate the knowledge, attitude, and practices of resident
physicians working in three hospitals towards bronchiectasis.
Materials and Methods: The survey was done using a self-administered questionnaire which
was adopted from a similar study to resident physicians working in Tikur Anbessa specialized
hospital, St, Paul millennium medical college and Yekatit 12 Hospitals. Data were anonymized
and analyzed at an individual level, field of practice, year of residency and health facility. Data
analysis was done using SPSS version 26. Results were presented as frequencies and chi-square
and bivariate correlation was done to determine statistical significance and correlation.
Results: A total of 103 participants were recruited from Tikur Anbessa specialized hospital
(64/103, 62.1%), St. Paul millennium medical college (30/103, 29.1%) and Yekatit 12 hospital
(9/103, 8.7%). Among the 103 participants (83/103, 80.6%) are internal medicine residents and
(20/103, 19.4%) were family medicine residents. Median age was 28.9 years, with 69.9% male
participants. Most participants have good knowledge as to the definition, diagnosis and
investigation. Most participants did not have access to guidelines and recognized the need.
Conclusion: The study highlights the need for local guidelines for bronchiectasis care and
management that considers local contexts. Though most participants have good knowledge, there
was variation in treatment and investigation of such patients. Most participants agree on the need
for guideline.
Description
Keywords
Bronchiectasis