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
| dc.contributor.advisor | Merkebu, Ermias(Assistant Professor of internal medicine) | |
| dc.contributor.author | Bassa, Samson | |
| dc.date.accessioned | 2022-02-15T06:51:16Z | |
| dc.date.accessioned | 2023-11-05T09:37:04Z | |
| dc.date.available | 2022-02-15T06:51:16Z | |
| dc.date.available | 2023-11-05T09:37:04Z | |
| dc.date.issued | 2021-12 | |
| dc.description.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. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/30084 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Bronchiectasis | en_US |
| dc.title | 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 | en_US |
| dc.type | Thesis | en_US |