Knowledge Levels Regarding Ticks and Crimean-Congo Haemorrhagic Fever Among Veterinarians, Nurses and Nursing Students

Abstract

The aim of this study is to determine the knowledge levels regarding ticks and Crimean-Congo Hemorrhagic Fever among veterinarians, nurses and nursing students in Turkey. Survey was performed between July 2009 and April 2010 with a questionnaire consisting of 20 questions. Data were collected from 53 veterinarians, 62 nurses and 133 nursing students by face-to-face interviews. The people in the groups knew general characteristics of Crimean-Congo Hemorrhagic Fever, transmission of the disease and medical response with high percentage. Nursing students failed at the questions about general characteristics of ticks. Fourth-grade students were found more successful at 13 questions than other students, also nurses from Amasya were more successful at 16 questions than nurses from Bitlis. Veterinarians gave correct answers to 12 questions out of 20, nurses 6 out of 20 and students 1 out of 20 with the highest percentage and nurses and veterinarians answered one question with equal success. We have found that the participants of this survey have insufficient knowledge about some subjects for ticks and Crimean-Congo Hemorrhagic Fever. It is recommended that the health care workers should be informed about ticks and tick-borne diseases after graduation, also nursing students should receive education about vectors and vector-borne diseases.

Keywords

• CCHF,Tick,Veterinary,Nurse,Student

Veteriner, Hemşire ve Hemşirelik Öğrencilerinin Keneler ve Kırım-Kongo Kanamalı Ateşi Yönünden Bilgi Seviyeleri

Abstract

Bu çalışmanın amacı Türkiye’deki veteriner, hemşire ve hemşirelik öğrencilerinin keneler ve Kırım-Kongo Kanamalı Ateşi yönünden bilgi seviyelerini belirlemektir. Araştırma Temmuz 2009 ve Nisan 2010 tarihleri ​​arasında 20 sorudan oluşan bir anket ile yürütüldü. Veriler; 53 veteriner hekim, 62 hemşire ve 133 hemşirelik öğrencisinden yüz yüze görüşme yolu ile toplandı. Gruplardaki kişilerin Kırım-Kongo Kanamalı Ateşi’nin genel özellikleri, hastalığın bulaşması ve tıbbi müdahale konusunda yeterli oldukları görüldü. Hemşirelik öğrencilerinin kenelerin genel özellikleri hakkındaki sorularda başarısız oldukları, dördüncü sınıf öğrencilerinin 13 soruda diğer öğrencilerden, Amasya’daki hemşirelerin 16 soruda Bitlis’teki hemşirelerden daha başarılı oldukları saptandı. Veteriner Hekimlerin 20 sorudan 12’sine, hemşirelerin 6’sına ve öğrencilerin ise bir soruya en yüksek düzeyde doğru cevap verdikleri gözlemlenirken, 1 soruyu ise hemşire ile veteriner hekimlerin eşit sayıda doğru olarak cevapladıkları tespit edildi. Bu çalışmanın katılımcılarının keneler ve Kırım-Kongo Kanamalı Ateşi ile ilgili bazı konularda yetersiz bilgiye sahip oldukları görüldü. Sağlık çalışanlarının mezuniyet sonrasında keneler ve kenelerle bulaşan hastalıklar konusunda bilgilendirilmesi, ayrıca hemşirelik öğrencilerinin vektörler ve vektörlerle bulaşan hastalıklar konusunda eğitim alması gerektiği kanaatine varıldı.

Keywords

• KKKA,Kene,Veteriner,Hemşire,Öğrenci

References

1. Anonymous (2012). Crimean-Congo hemorrhagic fever information web page. http://zhys.kirimkongo.gov.tr/. Accessed 10 May 2012. Arıkan I, Kaşifoğlu N, Metintaş S, Kalyoncu C (2010). Knowledge, beliefs, and practices regarding tick bites in the Turkish population in a rural area of the Middle Anatolian Region. Trop Anim Health Prod, 42, 669-675. Askarian M, Memish ZA, Khan AA (2007). Knowledge, practice, and attitude among Iranian nurses, midwives, and students regarding standard isolation precautions. Infect Control Hosp Epidemiol, 28, 241-244. Aydın L, Bakırcı S (2007). Geographical distribution of ticks in Turkey. Parasitol Res, 101(suppl 2), 163-166. Aydın MF (2015). A preliminary study for determining tick species attached humans in Bitlis Province of Turkey. FÜ Sağ Bil Vet Derg, 29(1), 19-21. Aydın MF, Aktaş M, Dumanlı N (2012). Tick infestations on sheep and goats in the Black Sea Region of Türkiye. Kafkas Univ Vet Fak Derg, 18(A), A17-A22. Aydın MF, Aktaş M, Dumanlı N (2015). Molecular identification of Theileria and Babesia in ticks collected from sheep and goats in the Black Sea region of Turkey. Parasitol Res, 114(1), 65-69. Aydın MF, Sevinç F, Sevinç M (2015). Molecular detection and characterization of Hepatozoon spp. in dogs from the central part of Turkey. Ticks Tick Borne Dis, 6(3), 388-392. Bakır M, Uğurlu M, Dokuzoğuz B, Bodur H, Taşyaran MA, Vahaboğlu H, Turkish CCHF Study Group (2005). Crimean-Congo haemorrhagic fever outbreak in Middle Anatolia: a multicentre study of clinical features and outcome measures. J Med Microbiol, 54(Pt 4), 385-389. Çilingiroğlu N, Temel F, Altıntaş H (2010). Public’s knowledge, opinions and behaviors about Crimean-Congo Hemorrhagic Fever: An example from Turkey. Kafkas Univ Vet Fak Derg, 16, 17-22. Değer S, Biçek K, Özdal N, Yılmaz AB, Denizhan V, Hallaç B, Sona A (2010). Van’ın Erciş ilçesinde kene tutunması şikayeti ile sağlık kuruluşlarına başvuran kişilerden toplanan kenelerin türlere göre dağılımı. Y Y Ü Vet Fak Derg, 21 (2), 95-98. Deyde VM, Khristova ML, Rollin PE, Ksiazek TG, Nichol ST (2006). Crimean-Congo hemorrhagic fever virus genomics and global diversity. J Virol, 80, 8834-8842. Ergönül O, Çelikbaş A, Dokuzoğuz B, Eren S, Baykam N, Esener H (2004). Characteristics of patients with Crimean–Congo hemorrhagic fever in a recent outbreak in Turkey and impact of oral ribavirin therapy. Clin Infect Dis, 5, 284-287. Ergönül O, Zeller H, Çelikbaş A, Dokuzoğuz B (2007). The lack of Crimean-Congo hemorrhagic fever virus antibodies in healthcare workers in an endemic region. Int J Infect Dis, 11(1), 48-51. Gargılı A, Midilli K, Ergönül O, Ergin S, Alp HG, Vatansever Z, Iyisan S, Cerit C, Yılmaz G, Atlas K, Estrada- Peña A (2011). Crimean-Congo hemorrhagic fever in European part of Turkey: genetic analysis of the virus strains from ticks and a seroepidemiological study in humans. Vector Borne Zoonotic Dis, 11, 747-752. Gözalan A, Esen B, Fitzner J, Tapar FS, Özkan AP, Georges-Courbot MC (2007). Crimean-Congo haemorrhagic fever cases in Turkey. Scand J Infect Dis, 39(4), 332-336. Güneş T, Poyraz O, Vatansever Z (2011). Crimean-Congo hemorrhagic fever virus in ticks collected from humans, livestock, and picnic sites in the hyperendemic region of Turkey. Vector Borne Zoonotic Dis, 11, 1411-1416. Jongejan F, Uilenberg G (2004). The global importance of ticks. Parasitology, 129(Suppl), 3-14. Maltezou HC, Andonova L, Andraghetti R, Bouloy M, Ergonul O, Jongejan F, Kalvatchev N, Nichol S, Niedrig M, Platonov A, Thomson G, Leitmeyer K, Zeller H (2010). Crimean-Congo hemorrhagic fever in Europe: current situation calls for preparedness. Euro Surveill, 15(10), 19504.
2. Mardani M, Rahnavardi M, Rajaeinejad M, Naini KH, Chinikar S, Pourmalek F, Rostami M, Shahri MH (2007). Crimean Congo hemorrhagic fever among health care workers in Iran: a seroprevalence study in two endemic regions. Am J Trop Med Hyg, 76, 443-445. Özer A, Miraloğlu M, Ekerbiçer HC, Çevik F, Aloglu N (2010). Knowledge levels about Crımean-Congo Hemorrhagic Fever among midwifery and nursing students in Kahramanmaras, Turkey. Southeast Asian J Trop Med Public Health, 41(1), 77-84. Parola P, Raoult D (2001). Ticks and tickborne bacterial diseases in humans: an emerging infectious threat. Clin Infect Dis, 32(6), 897-928. Rahnavardi M, Rajaeinejad M, Pourmalek F, Mardani M, Holakouie-Naieni K, Dowlatshahi S (2008). Knowledge and attitude toward Crimean-Congo haemorrhagic fever in occupationally at-risk Iranian healthcare workers. J Hosp Infect, 69, 77-85. Sheikh NS, Sheikh AS, Sheikh AA (2004). Knowledge, attitude and practices regarding Crimean-Congo hemorrhagic fever among healthcare workers in Balochistan. J Ayub Med Coll Abbottabad, 16, 39-42. Tonbak S, Aktaş M, Altay K, Azkur AK, Kalkan A, Bolat Y, Dumanlı N, Özdarendeli A (2006). Crimean-Congo hemorrhagic fever virus: genetic analysis and tick survey in Turkey. J Clin Microbiol, 44(11), 4120-4124. Yagcı-Çaglayık D, Korukluoğlu G, Uyar Y (2014). Seroprevalence and risk factors of Crimean-Congo hemorrhagic fever in selected seven provinces in Turkey. J Med Virol, 86(2), 306-314. Yılmaz GR, Buzgan T, Irmak H, Safran A, Uzun R, Çevik MA, Torunoğlu MA (2009a). The epidemiology of Crimean–Congo hemorrhagic fever in Turkey, 2002–2007. Int J Infect Dis, 13, 380-386. Yılmaz R, Özcetin M, Erkorkmaz U, Özer S, Ekici F (2009b). Public knowledge and attitude toward Crimean Congo Hemorrhagic Fever in Tokat Turkey. Iranian J Arthropod-Borne Dis, 3(2), 12-17.