Knowledge, attitudes, and practices on leprosy among dermatology residents in the Philippines
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Keywords

Leprosy
Knowledge
Attitude
Practice
Dermatology

How to Cite

1.
Balgomera MNB, Venida-Tablizo AA, Chavez CP, Abad-Venida ML, Protacio FVM, Santos MP. Knowledge, attitudes, and practices on leprosy among dermatology residents in the Philippines: a cross-sectional study. Hansen. Int. [Internet]. 2024 Aug. 7 [cited 2024 Nov. 21];49:1-20. Available from: https://periodicos.saude.sp.gov.br/hansenologia/article/view/40301

Abstract

Introduction: leprosy is a chronic bacterial infection caused by Mycobacterium leprae and Mycobacterium lepromatosis, primarily affecting the skin and peripheral nerves. Dermatologists play an important role in diagnosing and treating patients affected with leprosy and are equipped with adequate knowledge about the clinical presentation and management of patients with leprosy. Methods: a cross-sectional study was conducted on the knowledge, attitudes, and practices of leprosy among dermatology residents in the Philippines using a selfadministered online questionnaire. The study was conducted in two phases: Phase I was the development of the questionnaire, and Phase II was the survey proper, where the questionnaire was administered to dermatology residents in the Philippines via convenience sampling. Descriptive statistics appropriate for the study variables were used. Results: in Phase I of the study, a questionnaire was validated by three leprosy and infectious disease experts and pilot-tested on ten dermatology graduates in the year 2022, showing that items had high scores for validity and reliability. Phase II involved administering the survey to dermatology residents. Data showed that overall, 46 of 118 participants (38.98%) obtained a satisfactory score of 80% and higher on knowledge, 101 of 118 (85.59%) exhibited a positive attitude, and 116 of 118 (98.31%) had adequate practices. Moreover, first-year residents exhibit lower attitude scores than those in higher years, and no significant differences in knowledge and practices were found based on the practice setting. Conclusion: results of the study show that less than half of the included resident dermatologists had satisfactory knowledge of leprosy. However, we identified gaps in these physician’s knowledge, mainly in peripheral assessment nerve function, doses, and duration of treatment for leprosy peoples. On the other hand, participants were noted to have an overall positive attitude towards leprosy and adequate practices.

https://doi.org/10.47878/hi.2024.v49.40301
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References

1. Suzuki K, Akama T, Kawashima A, Yoshihara A, Yotsu RR, Ishii N. Current status of leprosy: epidemiology, basic science and clinical perspectives. J Dermatol. 2012;39(2):121-9. doi: https://doi.org/10.1111/j.1346-8138.2011.01370.x.

2. World Health Organization. Global leprosy (Hansen disease) update, 2021: moving towards interruption of transmission. Weekly Epidemiol Rec [Internet]. 2022 [cited 2024 Feb 12];(36):429-50. Available from: https://iris.who.int/bitstream/handle/10665/362412/WER9736-429-450-eng-fre.pdf?sequence=1.

3. Department of Health (Philipines). Disease Prevention and Control Bureau Department of Health. National Leprosy Control Program [Internet]. 2021. [cited 2024 Feb 12]. Available from: https://law.upd.edu.ph/wp-content/uploads/2021/05/DOH-Administrative-Order-No-2021-0004.pdf.

4. Soomro FR, Pathan GM, Bhatti NS, Hussain J, Hussain J. Awareness of leprosy-knowledge and practices among general practitioners in leprosy endemic areas of Larkana region. Journal of Pakistan Association of Dermatologists. 2013;23(3):300-3.

5. Haroon MA, Dhali TK, Siddiqui S, Khan FA. Knowledge and awareness regarding leprosy and its treatment among leprosy patients in a tertiary care hospital. Int Arch BioMed Clin Res. 2017;3(3):36-41. doi: https://doi.org/10.21276/iabcr.2017.3.3.10.

6. Souza CDS, Bacha JT. Delayed diagnosis of leprosy and the potential role of educational activities in Brazil. Lep Rev. 2003;74(3):249-58. doi:https://doi.org/10.47276/lr.74.3.249.

7. Bajaj DR, Matlani BL, Soomro FR. Knowledge, attitude and practices regarding leprosy among general practitioners at Hyderabad. J Coll Physicians Surg Pak [Internet]. 2009 [cited 2024 Feb 27];19(4):215-8. Available from: https://jcpsp.pk/archive/2009/Apr2009/04.pdf.

8. Van’t Noordende AT, Korfage IJ, Lisam S, Arif MA, Kumar A, van Brakel WH. The role of perceptions and knowledge of leprosy in the elimination of leprosy: a baseline study in Fatehpur district, northern India. PLoS Negl Trop Dis. 2019;13(4):e0007302. doi: https://doi.org/10.1371/journal.pntd.0007302.

9. Urgesa K, Bobosha K, Seyoum B, Geda B, Weldegebreal F, Mihret A, et al. Knowledge of and attitude toward leprosy in a leprosy endemic district, eastern Ethiopia: a community-based study. Risk Management and Healthcare Policy [Internet]. 2020 [cited 2024 Feb 9];13:1069-77. Available from: https://www.dovepress.com/getfile.php?fileID=60485.

10. Bunyaratavej S. Assessment of non-dermatologists’ knowledge regarding clinical diagnosis of leprosy and practice in slit-skin smear as a basic investigation. Siriraj Med J [Internet]. 2015 Apr 10 [cited 2024 Jan 18];67(2):66-71. Available from: https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/55248/45869.

11. Chavez CP, Lopez MHP, Guia CE, Tapales MJB, Venida-Tablizo AA. Knowledge and attitudes on leprosy of healthcare workers in a tertiary government hospital in the Philippines. Lep Rev. 2022 Mar 1;93(1):26-37. doi: https://doi.org/10.47276/lr.93.1.26.

12. Oliveira MLW, Penna GO, Telhari S. Role of dermatologists in leprosy elimination and post-elimination era: the Brazilian contribution. Lepr Rev. 2007;78(1):17-21. doi: https://doi.org/10.47276/lr.78.1.17.

13. Chen SM, Zhang L, Liu DC, Liu HX. Assessment of knowledge and skills in early diagnosis of leprosy and attitudes towards leprosy amongst doctors working in dermatological services, Shandong Province, People’s Republic of China. Lep Rev. 2004;75(4):348-56. doi: https://doi.org/10.47276/lr.75.4.348.

14. Chowdhry S, Soni R, D’souza P, Dhali T, Lokhande, A. KAP study regarding leprosy amongst doctors of a tertiary care hospital, New Delhi. Clin Dermatol Dermatitis [Internet]. 2018 [cited 2024 Jan 18];1(1):101. Available from: https://www.boffinaccess.com/clinical-dermatology-anddermatitis/kap-study-regarding-1-101.

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Copyright (c) 2024 Marie Nikki B. Balgomera, Abelaine A. Venida-Tablizo, Czarina Pineda Chavez, Ma. Luisa Abad-Venida, Frederica Veronica M. Protacio, Malaya P. Santos

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