Knowledge, attitude and practice of preventing spread of COVID-19 amongst orthopaedic surgeons and residents in a tertiary care hospital in Navi-Mumbai
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20204589Keywords:
KAP, COVID-19, Orthopaedics, PreventionAbstract
Background: With on-going coronavirus pandemic, there is high incidence of COVID-19 occupational risk exposure among health care professionals. The aim of this study was to assess the knowledge, attitude and practice (KAP) amongst orthopaedic surgeons and residents regarding prevention of spread of COVID-19 at a tertiary care hospital.
Methods: A cross-sectional, observational, web-based questionnaire study was conducted at orthopaedic department of a tertiary care hospital in Navi Mumbai. The study included orthopaedic surgeons and residents of either sex. A predesigned KAP questionnaire was used to assess the knowledge, attitude and practice regarding prevention of spread of COVID-19. The web-based questionnaire was circulated to eligible participants and the responses obtained were analysed.
Results: Overall, the knowledge regarding hand hygiene, mask etiquette and COVID-19 diagnoses was high. Majority participants knew the proper technique of personal protective equipment (PPE), but few 25% and 35% lacked correct technique for donning and doffing of PPE respectively. Majority participants knew the indications and pre/post-operative protocols for orthopaedic surgeries in COVID-19. Around 40% only knew the type of pressure system used in the COVID-19 operation theatre (OT). Majority felt that mask, hand hygiene and PPE were essential kit for prevention. In practice, majority participants were taking drug prophylaxis and were adequately practicing mask/hand hygiene.
Conclusions: Overall, KAP regarding prevention of spread of COVID-19 among orthopaedicians were adequate. Further formal preventive education on COVID-19 and structured hands-on experience workshops are necessary to advance the proper techniques of PPE handling.
References
World Health Organization (WHO). Coronavirus Disease 2019 (COVID-19) Situation Report – 98. Available at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200427-sitr ep-98-covid-19.pdf?sfvrsn=90323472_4. Accessed on 20 June 2020.
Ministry of Health and Family Welfare. COVID 19-India. Available at: https://www.mohfw.gov.in/. Accessed on 20 June 2020.
Koul PA, Dhar R. COVID-19 pandemic in India: A clarion call for better preparedness. Lung India. 2020;37:187-9.
World Health Organization (WHO). Coronavirus Disease 2019 (COVID-19) -India Situation Report. Available at: https://www.who.int/india/emergen cies/coronavirus-disease-(covid-19)/india-situation-report. Accessed on 20 June 2020.
Singh H, Sharma S. Concerns of Frontline Doctors in India during COVID-19: A Cross-Sectional Survey. Indian J Public Health. 2020;64:237-9.
Hoe Gan W, Wah Lim J, Koh D. Preventing intra-hospital infection and transmission of COVID-19 in healthcare workers. Version 2. Saf Health Work. 2020;11(2):241-3.
Saqlain M, Munir MM, Rehman SU, Gulzar A, Naz S, Ahmed Z, et al. Knowledge, attitude, practice and perceived barriers among healthcare professionals regarding COVID-19: A Cross-sectional survey from Pakistan. J Hosp Infect. 2020;105(3):419-23.
Chen Y, Tong X, Wang J, Huang W, Yin S, Huang R, et al. High SARS-CoV-2 antibody prevalence among healthcare workers exposed to COVID-19 patients. J Infect. 2020;81(3):420-6.
Jha S, Soni A, Siddiqui S, Batra N, Goel N, Dey S, Budhiraja S, Naithani R. Prevalence of Flu-like Symptoms and COVID-19 in Healthcare Workers from India. J Assoc Physicians India. 2020;68(7):27-9.
Ing EB, Xu QA, Salimi A, Torun N. Physician deaths from corona virus (COVID-19) disease. Occup Med (Lond). 2020:70(5):370-4.
Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, You G. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. J Hosp Infect. 2020;105(2):183-7.
Nepal R, Sapkota K, Adhikari K, Paudel P, Adhikari B, Paudyal N. Knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, Nepal. Research square journal. 2020.
Taneja D, Khurana A. An online cross-sectional survey on knowledge, attitudes, practices and perspectives of homoeopathic practitioners towards COVID-19. Indian J Res Homoeopathy. 2020;14:90-9.
Modi PD, Nair G, Uppe A, Modi J, Tuppekar B, Gharpure AS, et al. COVID-19 Awareness Among Healthcare Students and Professionals in Mumbai Metropolitan Region: A Questionnaire-Based Survey. Cureus. 2020;12(4):7514.
Olum R, Chekwech G, Wekha G, Nassozi DR, Bongomin F. Coronavirus Disease-2019: Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda. Front Public Health. 2020;8:181.
Ministry of Health and Family Welfare, Government of India. Novel Coronavirus Disease 2019 (COVID-19): Guidelines on rational use of Personal Protective Equipment. Available at: https://www.mohfw.gov.in /pdf/GuidelinesonrationaluseofPersonalProtectiveEquipment.pdf. Accessed on 20 July 2020.
Ministry of Health and Family Welfare, Government of India. National guidelines for infection prevention and control in healthcare facilities. Available at: https://www.mohfw.gov.in/pdf/National%20Guidelines%20for%20IPC%20in%20HCF%20-%20final%281%29.pdf. Accessed on 20 July 2020.
All India Institute Of Medical Sciences (AIIMS, New Delhi) Covid Portal. Donning and Doffing the Personal Protective Equipment. Available at: https://covid.aiims.edu/personal-protective-equipme nt-covid-19-preparedness/. Accessed on 20 July 2020.
Centers for Disease Control and Prevention (CDC). Coronavirus Disease 2019 (COVID-19). Using Personal Protective Equipment (PPE). Available at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/usi ng-ppe.html. Accessed on 20 July 2020.
World Health Organization (WHO). How to put on and take off Personal Protective Equipment (PPE). Available at: https://www.who.int/csr/resources/ publications/putontakeoffPPE/en/. Accessed on 20 July 2020.
World Health Organisation. WHO Guidelines on HandHygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva: World Health Organization Press; 2009. Available at: https://www.who.int/gpsc/5may/tools/9789241597906/en/. Accessed on 20 July 2020.
Chatterjee SS, Bhattacharyya R, Bhattacharyya S, Gupta S, Das S, Banerjee BB. Attitude, practice, behavior, and mental health impact of COVID-19 on doctors. Indian J Psychiatry. 2020;62:257-65.
Balasubramanian A, Paleri V, Bennett R, Paleri V. Impact of COVID-19 on the mental health of surgeons and coping strategies. Head Neck. 2020;42(7):1638-44.
