Knowledge, attitude and practice regarding tuberculosis management among final year students of two medical colleges of Karachi

Haider Ali, Syed Imtiaz Ahmed Jafry, Muhammad Zafar Iqbal Hydrie, Syed Muhammad Zulfiqar Hyder Naqvi, Munir Ahmad Shaikh

Abstract


Background: Tuberculosis (TB) is one of the most common infectious
diseases caused by mycobacterium tuberculosis and continues to be a major
public health problem worldwide especially in low and middle-income
countries. To assess the knowledge, attitude and practice among final year
medical students of Karachi regarding management of Tuberculosis.
Methodology: A cross-sectional study was conducted in two medical
colleges located in different districts of Karachi from January 2017 to June
2017. The inclusion criterion of the study was being a final year MBBS student
of the college whereas refusal to give written informed consent was the
exclusion criterion of the study. Research instrument was a semi structured
questionnaire administered by the principal investigator to all the participants.
Data collected were analyzed using SPSS statistical package version 20.
Results: Only 24.1% students were able to correctly identify that 2 samples
are needed for confirmation of TB diagnosis, only 21.7% knew which
medicines were used in category 2 continuation phase of treatment, only
41.4% knew the second line drugs of tuberculosis, and only 43.5% knew that
peripheral neuritis is the side effect of isoniazid. Less than half stated correctly
that optic neuropathy effect is caused by ethambutol while hepatotoxic effects
are caused by INH (47.8% and 42.9% respectively). Less than half (49.1%)
students said that if tuberculosis patient takes medicines regularly the
symptoms will disappear while only 54.0% stated that a patient with latent
tuberculosis should not be isolated.
Conclusion: Basic knowledge gaps regarding tuberculosis management
have been highlighted in this study. This identification may help to develop
tools to fill the gaps in the future with updated tuberculosis management
included in the medical curriculum.


Keywords


Knowledge; Attitude; Tuberculosis; Medical Students; Chest XRay; Radiographic findings; Pleural effusion; Consolidation

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