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Snakebite knowledge assessment and training of healthcare professionals in Asia, Africa, and the Middle East: A review
Snakebite envenoming (SBE) is a common neglected tropical disease in rural communities of Asia, Africa and Latin America. Among the several challenges besetting the control of SBE is inadequate access to high-quality care by snakebite victims, partly contributed by inadequate knowledge of SBE among...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9692023/ https://www.ncbi.nlm.nih.gov/pubmed/36438018 http://dx.doi.org/10.1016/j.toxcx.2022.100142 |
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author | Michael, Godpower Chinedu Bala, Auwal Adam Mohammed, Mustapha |
author_facet | Michael, Godpower Chinedu Bala, Auwal Adam Mohammed, Mustapha |
author_sort | Michael, Godpower Chinedu |
collection | PubMed |
description | Snakebite envenoming (SBE) is a common neglected tropical disease in rural communities of Asia, Africa and Latin America. Among the several challenges besetting the control of SBE is inadequate access to high-quality care by snakebite victims, partly contributed by inadequate knowledge of SBE among healthcare professionals (HCPs). This narrative review examined the existing literature on the knowledge of snakebites among HCPs, the factors associated with their knowledge of snakebites and their training needs. Data on the knowledge of healthcare professionals regarding snakebites appeared scanty and were predominantly from studies done in Asia, Africa, and the Middle East. We found that the proportion of health workers with adequate knowledge of local medically important snakes could be as low as 20.2% in some settings in India, while as much as three-quarters of health workers still recommend tourniquets and Blackstone as first aid in some settings in India and Rwanda, respectively. In addition, the mean knowledge score of local snake-induced clinical syndromes could be as low as 46.2% in some settings in Ghana, while 52.7% of tertiary hospital doctors in northern Nigeria recommend antivenom in all snakebite cases. Similarly, 23% of Bhutan health workers have adequate overall knowledge of snakebite management. Furthermore, several sociodemographic characteristics of the HCPs (such as increasing age, years of experience, work setting, medical specialty, health profession and previous involvement in snakebite management) are associated with adequate snakebite knowledge. Moreover, most studies have consistently reported a lack of training on snakebites as a challenge. Therefore, the knowledge gaps identified could be incorporated into training programs and regional policies on SBE treatment protocols. |
format | Online Article Text |
id | pubmed-9692023 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-96920232022-11-26 Snakebite knowledge assessment and training of healthcare professionals in Asia, Africa, and the Middle East: A review Michael, Godpower Chinedu Bala, Auwal Adam Mohammed, Mustapha Toxicon X Article from Special Issue on Resource mapping for the management of snakebite envenomation, Edited by: Jose Maria Gutiérrez, Wuelton Monteiro, Hui Wen Fan, Abdulrazaq Habib, Kalana Maduwage, and Joao Ricardo Nickenig Vissoci Snakebite envenoming (SBE) is a common neglected tropical disease in rural communities of Asia, Africa and Latin America. Among the several challenges besetting the control of SBE is inadequate access to high-quality care by snakebite victims, partly contributed by inadequate knowledge of SBE among healthcare professionals (HCPs). This narrative review examined the existing literature on the knowledge of snakebites among HCPs, the factors associated with their knowledge of snakebites and their training needs. Data on the knowledge of healthcare professionals regarding snakebites appeared scanty and were predominantly from studies done in Asia, Africa, and the Middle East. We found that the proportion of health workers with adequate knowledge of local medically important snakes could be as low as 20.2% in some settings in India, while as much as three-quarters of health workers still recommend tourniquets and Blackstone as first aid in some settings in India and Rwanda, respectively. In addition, the mean knowledge score of local snake-induced clinical syndromes could be as low as 46.2% in some settings in Ghana, while 52.7% of tertiary hospital doctors in northern Nigeria recommend antivenom in all snakebite cases. Similarly, 23% of Bhutan health workers have adequate overall knowledge of snakebite management. Furthermore, several sociodemographic characteristics of the HCPs (such as increasing age, years of experience, work setting, medical specialty, health profession and previous involvement in snakebite management) are associated with adequate snakebite knowledge. Moreover, most studies have consistently reported a lack of training on snakebites as a challenge. Therefore, the knowledge gaps identified could be incorporated into training programs and regional policies on SBE treatment protocols. Elsevier 2022-11-18 /pmc/articles/PMC9692023/ /pubmed/36438018 http://dx.doi.org/10.1016/j.toxcx.2022.100142 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article from Special Issue on Resource mapping for the management of snakebite envenomation, Edited by: Jose Maria Gutiérrez, Wuelton Monteiro, Hui Wen Fan, Abdulrazaq Habib, Kalana Maduwage, and Joao Ricardo Nickenig Vissoci Michael, Godpower Chinedu Bala, Auwal Adam Mohammed, Mustapha Snakebite knowledge assessment and training of healthcare professionals in Asia, Africa, and the Middle East: A review |
title | Snakebite knowledge assessment and training of healthcare professionals in Asia, Africa, and the Middle East: A review |
title_full | Snakebite knowledge assessment and training of healthcare professionals in Asia, Africa, and the Middle East: A review |
title_fullStr | Snakebite knowledge assessment and training of healthcare professionals in Asia, Africa, and the Middle East: A review |
title_full_unstemmed | Snakebite knowledge assessment and training of healthcare professionals in Asia, Africa, and the Middle East: A review |
title_short | Snakebite knowledge assessment and training of healthcare professionals in Asia, Africa, and the Middle East: A review |
title_sort | snakebite knowledge assessment and training of healthcare professionals in asia, africa, and the middle east: a review |
topic | Article from Special Issue on Resource mapping for the management of snakebite envenomation, Edited by: Jose Maria Gutiérrez, Wuelton Monteiro, Hui Wen Fan, Abdulrazaq Habib, Kalana Maduwage, and Joao Ricardo Nickenig Vissoci |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9692023/ https://www.ncbi.nlm.nih.gov/pubmed/36438018 http://dx.doi.org/10.1016/j.toxcx.2022.100142 |
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