Knowledge of Tunisian medical personnel on the prevention of imported malaria

Authors

  • Fatma Gassara Department of Infectious Diseases, La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia
  • Olfa Smaoui Department of Infectious Diseases, La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia
  • majdi maazoun Department of Infectious Diseases , La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia
  • Boutheina Mahdi Department of Infectious Diseases , La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia
  • Abir Mbarek Department of Infectious Diseases , La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia
  • Imen Beji Department of Infectious Diseases , La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia
  • Aida Berriche Department of Infectious Diseases , La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia
  • Lamia Ammari Department of Infectious Diseases , La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia
  • Rim Abdelmalek Department of Infectious Diseases , La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia
  • Badreddine Kilani Department of Infectious Diseases , La Rabta Hospital, Tunis, Faculty of Medicine of Tunis, University of Tunis-Manar, Tunis, Tunisia

DOI:

https://doi.org/10.62438/tunismed.v103i6.4953

Keywords:

Malaria , Travel , Prevention , Assessment , Chemoprophylaxis, Physicians , Tunisia

Abstract

Introduction : Malaria remains one of the most widespread parasitic diseases in the world. It is crucial for medical personnel to be well-informed about the preventive methods of imported malaria in order to effectively fulfill their role.

Aim: To assess the knowledge of medical personnel regarding anti-vectorial prophylaxis and anti-malarial chemoprophylaxis.

Methods: From December 1st to December 20th, 2023, a cross-sectional survey was carried out among Tunisian medical staff using an anonymous questionnaire through Google Forms to evaluate their understanding of three key areas: malaria prevention during travel, chemoprophylaxis, and available prevention measures in Tunisia.

Results: Two hundred and five responses were included in the study. The average age of the participants was 31.5±6.6 years with a gender ratio of 0.47. The participants consisted of young doctors (64.4%) and senior doctors (35.6%). The majority of the respondents were specialist doctors (87.3%) practicing in Tunisia (93.2%). On a total score of 40 points, the average evaluation score was 19.1±5.6 points. More than half (57.6%) had a score below the average. The knowledge about the prevention of imported malaria was categorized as excellent (4.4%), good (38%), fair (55.1%), and limited (2.5%). The data analysis revealed that doctors working in the public sector (p=0.009), specialists in infectious diseases and parasitology, and doctors with expertise in travel medicine (p<0.001) had better knowledge. On the other hand, family doctors had a lower level of knowledge (p=0.003).

Conclusions: Gaps in the knowledge of Tunisian doctors regarding imported malaria prevention were identified. ....(abstract truncated at 250 words).

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References

Organisation mondiale de la santé. Lignes directrices de l’OMS sur le paludisme février 2021 [En ligne]. Fév 2021 [Consulté le 21 déc 2023] ; [225 pages]. Consultable à l’URL : https://www.who.int/fr/teams/global-malaria-programme/guidelines-for-malaria

Ministère de la santé publique-Tunisie. Guide national de prise en charge du paludisme en Tunisie. [En ligne]. Jan 2016 [Consulté le 20 déc 2023] ; [98 pages]. Consultable à l’URL : http://www.santetunisie.rns.tn/images/anisdoc/gp842016.pdf

Tabbabi A, Boussés P, Rhim A, Brengues C, Daaboub J, Ben-Alaya-Bouafif N, et al. Larval habitats characterization and species composition of anopheles mosquitoes in Tunisia, with particular attention to anopheles maculipennis complex. Am J Trop Med Hyg. 2015;92(3):653‑9.

Haut Conseil de la Santé Publique. Recommandations sanitaires aux voyageurs. [En ligne]. Mai 2023 [Consulté le 22 déc 2023] ; [170 pages]. Consultable à l’URL : https://www.hcsp.fr/Explore.cgi/recommasanitaipourlesvoyageu.pdf

Ministère de la santé publique-Tunisie. Démographie médicale des médecins dentistes, pharmaciens et du personnel soignant 2018. [En ligne]. Jan 2020 [Consulté le 21 déc 2023] ; [97 pages]. Consultable à l’URL : http://www.santetunisie.rns.tn/images/depamel/Dmographie-2019-version-final3.pdf

Institut national de la recherche scientifique- Centre Urbanisation, Culture et Société. Avantages et Désavantages du Sondage en Ligne comme Méthode de Collecte de Données : une Revue de la littérature. [En ligne]. Fév 2015 [Consulté le 23 déc 2023] ; [15 pages]. Consultable à l’URL : https://espace.inrs.ca/id/eprint/2678/

Ministère de la santé publique-Tunisie. Démographie des professionnels de santé 2019. [En ligne]. Mar 2021 [Consulté le 23 déc 2023] ; [89 pages]. Consultable à l’URL : http://www.santetunisie.rns.tn/images/statdep/DMOGRAPHIES-2019.pdf

Al-Dahshan A, Selim N, Al-Kubaisi N, Mahfoud Z, Kehyayan V. Primary care physicians’ knowledge of travel vaccine and malaria chemoprophylaxis and associated predictors in Qatar. PLoS One. Mar 2022;17(3):1‑14.

Kogelman L, Barnett ED, Chen LH, Quinn E, Yanni E, Wilson ME, et al. Knowledge, attitudes, and practices of us practitioners who provide pre-travel advice. J Travel Med. Mar 2014;21(2):104‑14.

Piccoli S. Attitudes et connaissances des medecins generalistes sur le paludisme en France. Med Mal Infect. 1999;29(SUPPL. 3):282‑5.

Bennour M. Connaissances des résidents en médecine préventive en santé des voyageurs [mémoire : médecine]. Tunis : Université de Tunis El Manar; 2018.

Turki J. Conseils aux voyageurs : compétences du médecin du travail [mémoire : médecine]. Tunis : Université de Tunis El Manar; 2021..

Alison M. Helfrich D.O. Destination Based Errors in Chloroquine Malaria Chemoprophylaxis Vary Based on Provider Specialty and Credentials. Travel Med Infect Dis. 2022;47(102310).

Nsir S. Médecine de voyage : évaluation des connaissances des médecins de famille et des urgentistes [mémoire : médecine]. Tunis : Université de Tunis El Manar ; 2021.

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2025-06-01

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