Assessment of Clinical Practice of Secondary Prophylaxis for Varceal Bleeding and Prevalence of Recurrence, among Adult Patients in TikurAnbesa Specialized Hospital, in Addis Ababa, Ethiopia, 2020.
| dc.contributor.advisor | Mersdessa Guda | |
| dc.contributor.author | Jemal Kamil | |
| dc.date.accessioned | 2021-02-07T07:52:16Z | |
| dc.date.accessioned | 2023-11-05T09:37:02Z | |
| dc.date.available | 2021-02-07T07:52:16Z | |
| dc.date.available | 2023-11-05T09:37:02Z | |
| dc.date.issued | 2020-12 | |
| dc.description.abstract | Background; in this era of COVID-19 epidemic health care workers are at increased risk of contracting the disease. The WHO estimates that around 20% of HCW have already acquired the infection in the world worst affected areas. It is a paramount important to prevent spread of infection among the HCWs as they can be a source of community transmission. There are some evidences showing there is a gap in knowledge, attitude and practice of personal protective equipment use among the health care workers. Objective: To assess knowledge, attitude and practice of PPE among HCWs that are currently working in Tikur Anbessa Specialized hospital and Eka Kotebe general hospital, Addis Ababa, Ethiopia. Methodology: This cross-sectional, descriptive study was conducted on HCWs of TASH and EKGH in the month of October 2020. Participants were selected using convenient sampling method and 45 itemed, web-based, self-administered questionnaires were used for data collection via internet access. Data analysis was done using SPSS version 26. Socio-demographic and important information assessing KAP were collected. Result: A total of 277 HCWs responded to the questionnaire from both centers. The mean age was 30.77±5.78 years. Among them majority was male (n=158, 57%) and majority were from TASH 261 (94.2%). Medical doctors constituted 73.2% (n=203) followed by nurses (n=70, 25.3%). On average, 38.6% had 8hours of work per day. Among the responders, 18.8% (n=51) uses informal ways to gather information and 19.1% (n=53) of HCWs tested positive for COVID-19. Knowledge, attitude and practices regarding PPE use among these HCWs were 73.9%, 40.3% and 57.7% respectively. Conclusion and Recommendation: This survey shows that there is poor attitude and practice of PPE especially N95 use among HCWs. Institution based training and inclusive updates needs to be implemented. patients who were on follow up 11.5% had experienced recurrence of variceal bleeding. xi Conclusion and recommendation:-There was a significant gap in clinical practice of guideline recommended secondary prophylaxis for the prevention of variceal rebleeding in patients on follow up in TASH during the study period. There was lack of continuous supply of EVL bands in the country and appropriate escalation of the dose of propranolol was not implemented as per guideline recommendations in significant proportion of patient. Physicians should follow the appropriate evidence based guidelines in the management of variceal bleeding and prevention of rebleeding. Furthermore the hospital should avail necessary supplies like EVL which are vital for endoscopic intervention to control acute bleeding and for prevention of rebleedin | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/25014 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Prophylaxis, varceal bleeding , adult patients | en_US |
| dc.title | Assessment of Clinical Practice of Secondary Prophylaxis for Varceal Bleeding and Prevalence of Recurrence, among Adult Patients in TikurAnbesa Specialized Hospital, in Addis Ababa, Ethiopia, 2020. | en_US |
| dc.type | Thesis | en_US |