ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
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Madigan S, Ly A, Rash CL, Van Ouytsel J, Temple JR, 2018. Prevalence of multiple forms of sexting behavior among youth. JAMA Pediatr 172: 327–335.
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Colosio RC, Falavigna-Guilherme AL, Gomes ML, Marques DSO, Lala ERP, Araújo SM, 2008. Conhecimentos e atitudes sobre a doença de Chagas entre profissionais de saúde – Paraná, Brasil. Cien Cuidado Saúde 6: 355–363.
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22.
Ramos-Rincon JM, Mira-Solves JJ, Ramos-Sesma V, Torrús-Tendero D, Llenas-García J, Navarro M, 2020. Healthcare professionals and students’ awareness of Chagas disease: design and validation of Chagas level of knowledge scale (ChaLKS). Am J Trop Med Hyg 103: 437–444.
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Amstutz-Szalay S, 2017. Physician knowledge of chagas disease in hispanic immigrants living in appalachian Ohio. J Racial Ethn Health Disparities 4: 523–528.
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Colosio RC, Falavigna-Guilherme AL, Falavigna DLM, Gomes ML, de Oliveira Marques DS, Braga CF, Lala ERP, de Araujo SM, 2010. Professional conduct and knowledge gaps concerning Chagas disease in interrupted vector-borne transmission area. Arq Cien Saude UNIPAR 14: 3–9.
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Healthcare Workers’ Knowledge about Chagas Disease: A Systematic Review
Alice Monteiro Soares Cajaiba-Soares
Alice Monteiro Soares Cajaiba-Soares
Faculdade de Medicina da Bahia, Universidade Federal da Bahia (FAMEB-UFBA), Salvador, Brazil;
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Martha Silvia Martinez-Silveira
Martha Silvia Martinez-Silveira
Instituto Gonçalo Muniz, Fundação Oswaldo Cruz (IGM-FIOCRUZ), Salvador, Brazil;
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Diego Lopes Paim Miranda
Diego Lopes Paim Miranda
Faculdade de Medicina da Bahia, Universidade Federal da Bahia (FAMEB-UFBA), Salvador, Brazil;
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Rita de Cássia Pereira Fernandes
Rita de Cássia Pereira Fernandes
Faculdade de Medicina da Bahia, Universidade Federal da Bahia (FAMEB-UFBA), Salvador, Brazil;
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Mitermayer Galvão Reis
Mitermayer Galvão Reis
Faculdade de Medicina da Bahia, Universidade Federal da Bahia (FAMEB-UFBA), Salvador, Brazil;
Instituto Gonçalo Muniz, Fundação Oswaldo Cruz (IGM-FIOCRUZ), Salvador, Brazil;
Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut
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Instituto Gonçalo Muniz, Fundação Oswaldo Cruz (IGM-FIOCRUZ), Salvador, Brazil;
Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut
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ABSTRACT
Transmission of Chagas disease (CD) has decreased in recent decades, but the disease remains an important problem in endemic areas. There was an increase in the proportion of nonvector transmission, mainly in non-endemic countries. The aim of this study was to gather evidence concerning healthcare professional’s knowledge about CD. Searches were performed through Medline/PubMed, Lilacs, Web of Science databases, and Scielo archives, from which 13/97 articles were selected for a qualitative analysis after full-text reading. Most of the studies were from the United States, the oldest published in 2007 and the most recent in 2020, and most of them used surveys as the evaluation method. Each article used different methods, according to the epidemiological status of vector transmission. Two studies targeted specialty-related questions, and two used focus groups as methods for data gathering. Despite differences between the studies, all of them presented knowledge deficits among healthcare workers, regarding at least one of the evaluated aspects. In comparison with population surveys, healthcare professionals demonstrated higher results related to clinical aspects and awareness of the disease’s importance. Most of the articles showed a low perception of CD’s knowledge by the participants and a low probability of considering CD in the diagnosis of their patients. A previous contact with the subject was pointed by some studies as capable of improving knowledge of the participants. This study emphasizes the importance of continuing education to address deficits of healthcare professionals’ knowledge.
Author Notes
Title: Multidisciplinary Interinstitutional Project for the Study of Chagas Disease in the State of Bahia FAPESB Grant Term PET0023_2013.
Title: Environmental Changes and Risk of Re-emergence of Chagas Disease in Salvador, Ba. - Neglected Diseases.
Financial support: This study was funded by CNPq process 400904/2013-6-PROEP.
Authors’ addresses: Alice Monteiro Soares Cajaiba-Soares and Rita de Cássia Pereira Fernandes, Universidade Federal da Bahia, Faculdade de Medicina da Bahia, Salvador, Brazil, E-mails: alicecajaiba@gmail.com and ritafernandes@ufba.br. Martha Silvia Martinez-Silveira, Instituto Gonçalo Muniz, Fundação Oswaldo Cruz, Salvador, Brazil, E-mail: martha.silveira@fiocruz.br. Diego Lopes Paim Miranda, Laboratório de Patologia e Biologia Molecular, Fiocruz Bahia, Salvador, Brazil, E-mail: diegolpmiranda@hotmail.com. Mitermayer Galvão Reis, Instituto Gonçalo Muniz, Fundação Oswaldo Cruz, Salvador, Brazil, Universidade Federal da Bahia, Faculdade de Medicina da Bahia, Salvador, Brazil, and Department of Epidemiology of Microbial Diseases, Yale University School of Public Health, New Haven, CT, E-mail: mitermayer.reis@fiocruz.br.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Kropf SP, Sá MR, 2009. The discovery of Trypanosoma cruzi and Chagas disease (1908–1909): tropical medicine in Brazil. Hist Cienc Saude Manguinhos 16 (Suppl 1): 13–34.
-
2.
Chagas C, 1909. Nova tripanozomiaze humana: estudos sobre a morfolojia e o ciclo evolutivo do Schizotrypanum cruzi n. gen., n. sp., ajente etiolojico de nova entidade morbida do homem. Mem Inst Oswaldo Cruz 1: 159–218.
-
3.
Bello Corassa R, Aceijas C, Alves PAB, Garelick H, 2017. Evolution of Chagas’ disease in Brazil. Epidemiological perspective and challenges for the future: a critical review. Perspect Public Health 137: 289–295.
-
4.
Ministério da Saúde (Brasil), Agencia Nacional de Vigilância Sanitária, 2004. Manual técnico para investigação da transmissão de doenças pelo sangue. Brasilia, Brazil: Ministerio da Saude. Available at: http://bvsms.saude.gov.br/bvs/publicacoes/manual_tecnico_transmissao_doencas_sangue.pdf Accessed July 31, 2020.
-
5.
Coura JR, Dias JCP, 2009. Epidemiology, control and surveillance of Chagas disease: 100 years after its discovery. Mem Inst Oswaldo Cruz 104: 31–40.
-
6.
Dias JCP, 2007. Globalização, iniqüidade e doença de Chagas. Cad Saude Publica 23: S13–S22.
-
7.
Dias JP et al. 2008. Acute Chagas disease outbreak associated with oral transmission. Rev Soc Bras Med Trop 41: 296–300.
-
8.
Ianni BM, Mady C, 2005. Como era gostoso o meu caldo de cana. Arq Bras Cardiol 85: 379–381.
-
9.
de Noya BA et al. 2015. Update on oral Chagas disease outbreaks in Venezuela: epidemiological, clinical and diagnostic approaches. Mem Inst Oswaldo Cruz 110: 377–386.
-
10.
World Health Organization, 2018. Chagas Disease (American Trypanosomiasis): Epidemiology. Geneva, Switzerland: WHO. Available at: https://www.who.int/chagas/epidemiology/en/. Accessed July 30, 2020.
-
11.
GBD 2015 DALYs, Hale Collaborators, 2016. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 388: 1603–1658.
-
12.
Pan American Health Organization, World Health Organization, 2017. Neglected Infectious Diseases. Chagas Diseases: Key Facts. Available at: https://www.paho.org/hq/dmdocuments/2017/2017-cha-chagas-factsheet-work.pdf. Accessed July 31, 2020.
-
13.
Martins-Melo FR, Ramos AN, Alencar CH, Heukelbach J, 2014. Prevalence of Chagas disease in Brazil: a systematic review and meta-analysis. Acta Trop 130: 167–174.
-
14.
de Oliveira CM, Cruz MM, 2015. Sistema de Vigilância em Saúde no Brasil: avanços e desafios. Saúde Debate 39: 255–267.
-
15.
Gascon J, Bern C, Pinazo MJ, 2010. Chagas disease in Spain, the United States and other non-endemic countries. Acta Trop 115: 22–27.
-
16.
Rosenthal EL, Brownstein JN, Rush CH, Hirsch GR, Willaert AM, Scott JR, Holderby LR, Fox DJ, 2010. Community health workers: part of the solution. Health Aff (Millwood) 29: 1338–1342.
-
17.
Falavigna-Guilherme AL, Costa AL, Batista O, Pavanelli GC, de Araújo SM, 2002. Atividades educativas para o controle de triatomíneos em área de vigilância epidemiológica do Estado do Paraná, Brasil. Cad Saude Publica 18: 1543–1550.
-
18.
Moher D, Liberati A, Tetzlaff J, Altman DG, 2009. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62: 1006–1062.
-
19.
Oxford Centre for Triple Value Healthcare, 2018. Critical Appraisal Skills Programme Qualitative Checklist. Available at: https://casp-uk.net/wp-content/uploads/2018/01/CASP-Qualitative-Checklist-2018.pdf. Accessed June 21, 2020.
-
20.
Madigan S, Ly A, Rash CL, Van Ouytsel J, Temple JR, 2018. Prevalence of multiple forms of sexting behavior among youth. JAMA Pediatr 172: 327–335.
-
21.
Colosio RC, Falavigna-Guilherme AL, Gomes ML, Marques DSO, Lala ERP, Araújo SM, 2008. Conhecimentos e atitudes sobre a doença de Chagas entre profissionais de saúde – Paraná, Brasil. Cien Cuidado Saúde 6: 355–363.
-
22.
Ramos-Rincon JM, Mira-Solves JJ, Ramos-Sesma V, Torrús-Tendero D, Llenas-García J, Navarro M, 2020. Healthcare professionals and students’ awareness of Chagas disease: design and validation of Chagas level of knowledge scale (ChaLKS). Am J Trop Med Hyg 103: 437–444.
-
23.
Romo ML, 2014. Need for pharmacist awareness of Chagas disease. Am J Health Syst Pharm 71: 1069–1070.
-
24.
Dell’Arciprete A, Braunstein J, Touris C, Dinardi G, Llovet I, Sosa-Estani S, 2014. Cultural barriers to effective communication between indigenous communities and health care providers in northern Argentina: an anthropological contribution to Chagas disease prevention and control. Int J Equity Health 13: 6.
-
25.
Santos CS, 2019. As doenças negligenciadas e suas representações sociais: um estudo com profissionais de saúde. Faculdade de Enfermagem. Rio de Janeiro, Brazil: UFRJ, 245.
-
26.
Amstutz-Szalay S, 2017. Physician knowledge of chagas disease in hispanic immigrants living in appalachian Ohio. J Racial Ethn Health Disparities 4: 523–528.
-
27.
Berger BA, Bartlett AH, Jiménez-Hernández R, Vázquez ET, Galindo-Sevilla N, 2018. Physician knowledge, attitudes, and practices related to chagas disease in Tabasco, Mexico. Am J Trop Med Hyg 98: 1743–1747.
-
28.
Colosio RC, Falavigna-Guilherme AL, Falavigna DLM, Gomes ML, de Oliveira Marques DS, Braga CF, Lala ERP, de Araujo SM, 2010. Professional conduct and knowledge gaps concerning Chagas disease in interrupted vector-borne transmission area. Arq Cien Saude UNIPAR 14: 3–9.
-
29.
Edwards MS, Abanyie FA, Montgomery SP, 2017. Survey of pediatric infectious diseases society members about congenital Chagas disease. Pediatr Infect Dis J 37: e24–e27.
-
30.
Iglesias-Rus L, Romay-Barja M, Boquete T, Benito A, Blasco-Hernández T, 2019. The role of the first level of health care in the approach to Chagas disease in a non-endemic country. PLoS Negl Trop Dis 13: e0007937.
-
31.
Lambert RC, Kolivras KN, Resler LM, Brewster CC, Paulson SL, 2008. The potential for emergence of chagas disease in the United States. Geospat Health 2: 227–239.
-
32.
Lugo-Caballero CI, Dzul-Rosado K, Dzul-Tut I, Balam-May Á, Zavala-Castro J, 2017. Knowledge of vector-borne diseases (dengue, rickettsiosis and Chagas disease) in physicians. Gac Med Mex 153: 321–328.
-
33.
Muñoz-Vilches MJ, Salas-Coronas J, Gutiérrez-Izquierdo MI, Metz D, Salvador-Sánchez J, Giménez-Sánchez F, 2013. Conocimiento de la enfermedad de chagas por parte de los profesionales sanitarios de tres hospitales en la provincia de Almería. Rev Esp Salud Publica 87: 267–275.
-
34.
Ramos-Rincón JM, Mira-Solves JJ, Ramos-Sesma V, Torrús-Tendero D, Llenas-García J, Navarro M, 2020. Healthcare professionals and students’ awareness of chagas disease: design and validation of chagas level of knowledge scale (ChaLKS). Am J Trop Med Hyg 103: 437–444.
-
35.
Rodrigues FCS, de Souza ICA, Araújo AP, Souza JMB, Diotaiuti LG, Ferreira RA, 2020. Agentes comunitários de saúde: percepção sobre os serviços de saúde relacionados à doença de Chagas. Cad Saúde Colet 28: 130–139.
-
36.
Stimpert KK, Montgomery SP, 2010. Physician awareness of Chagas disease, USA. Emerg Infect Dis 16: 871–872.
-
37.
Trivedi M, Sanghavi D, 2010. Knowledge deficits regarding Chagas disease may place Mexico’s blood supply at risk. Transfus Apher Sci 43: 193–196.
-
38.
Verani JR, Montgomery SP, Schulkin J, Anderson B, Jones JL, 2010. Survey of obstetrician-gynecologists in the United States about Chagas disease. Am J Trop Med Hyg 83: 891–895.
-
39.
Yadon ZE, Schmunis GA, 2009. Congenital chagas disease: estimating the potential risk in the United States. Am J Trop Med Hyg 81: 927–933.
-
40.
Schmunis GA, 2007. Epidemiology of Chagas disease in non endemic countries: the role of international migration. Mem Inst Oswaldo Cruz 102: 75–86.
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