Evaluation of awareness & utilisation of clinical practise guideline for management of adult Dengue infection among Malaysia doctors.

Mohd Izhar Ariff,Mohd Aminuddin Mohd Yusof,Nafisah Ahmad Lutfi,Fatanah Ismail,Rafdzah Zaki,Balvinder Singh Gill,Rugayah Bakri,Zailiza Suli,Izzuna Mudla Mohamed Ghazali,Roza Sarimin,Sin Lian Thye,Maimunah Mahmud,Abqariyah Yahya,Nguyen Tien Huy

doi:10.1371/journal.pone.0178137

Mohd Izhar Ariff, Mohd Aminuddin Mohd Yusof + Show 12 more

Open Access

https://doi.org/10.1371/journal.pone.0178137

Copy DOI

Journal: PloS one	Publication Date: May 31, 2017
Citations: 5	License type: CC BY 4.0

Affiliation: Ministry of Health, University of Malaya

Abstract

Clinical Practice Guideline (CPG) provides evidence-based guidance for the management of Dengue Infection in adult patients. A cross sectional study was conducted to evaluate awareness and utilization of CPG among doctors in public or private hospitals and clinics in Malaysia. Doctors practicing only at hospital Medical and Emergency Departments were included, while private specialist clinics were excluded in this study. A multistage proportionate random sampling according to region (Central, Northern, Southern, Eastern, Sabah and Sarawak) was performed to select study participants. The overall response rate was 74% (84% for public hospitals, 82% for private hospitals, 70% for public clinics, and 64% for private clinics). The CPG Awareness and Utilization Feedback Form were used to determine the percentage in the study. The total numbers of respondent were 634 with response rate of 74%. The mean lengths of service of the respondent were 13.98 (11.55).A higher percentages of doctors from public facilities (99%) were aware of the CPG compared to those in private facilities (84%). The percentage of doctors utilising the CPG were also higher (98%) in public facilities compared to private facilities (86%). The percentage of Medical Officer in private facilities that utilizing the CPG were 84% compares to Medical Officer in public facilities 98%. The high percentage of doctors using the CPG in both public (97%) and private (94%) hospitals were also observed. However, only 69% of doctors in private clinics utilised the CPG compared to doctors in public clinics (98%). Doctors in both public and private facilities were aware of the dengue CPG. However, most doctors in private clinic were less likely to utilise the CPG. Therefore, there is a need to increase the level of CPG utilisation especially in private clinics.

Highlights

Dengue is currently an important public health problem globally with significant socioeconomic and disease burden [1]
Some of the information were not filled by the doctors all percentages were calculated amongst participants with available information only
Response rate were 84% for public hospitals, 82% for private hospitals, 70% for public clinics, and 64% for private clinics (Table 1).Most of respondent from public facilities (95 or 27%) were from Central Region, 71 (21%) from Northern Region, 42 (12%) from Southern Region, 77 (22%) from Eastern Region, 37 (11%) from Sabah and 25 (7%) from Sarawak

Summary

Introduction

Dengue is currently an important public health problem globally with significant socioeconomic and disease burden [1]. The World Health Organisation (WHO) estimated that 50–100 million dengue infections occur worldwide every year [2]. Dengue has been classified as the most important mosquito-borne viral disease in the world due to significant geographic spread of the virus and the subsequent costly burden of disease it brings [3]. Dengue infection poses major challenge to public health with its worldwide spread and dramatic increase in incidence in the tropical regions of Latin America, the Caribbean and Asia [4, 5]. Asia remains disproportionately affected with 75% of the global disease burden borne by the populations within the Southeast Asia and Western Pacific regions [6, 7]

Objectives

Methods

Results

Conclusion