Knowledge, attitudes, and practice about bronchiectasis among general practitioners in four African cities

Ouedraogo, Abdoul Risgou, Sanyu, Ingvar, Nqwata, Lamla, Amare, Ermias, Gordon, Stephen ORCID: https://orcid.org/0000-0001-6576-1116, Ardrey, Jane ORCID: https://orcid.org/0000-0003-4558-5113, Mortimer, Kevin ORCID: https://orcid.org/0000-0002-8118-8871 and Meghji, Jamilah ORCID: https://orcid.org/0000-0002-4693-8884 (2021) 'Knowledge, attitudes, and practice about bronchiectasis among general practitioners in four African cities'. Journal of the Pan African Thoracic Society, Vol 2, Issue 2, pp. 94-100.

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Abstract

Objectives: The survey was to determine Knowledge, attitude, and practices around bronchiectasis, as a starting point for the development of guidelines for care in African Countries.

Materials and Methods: This survey was administered to non-specialist physicians in urban health centers in Burkina Faso, Uganda, South Africa, and Ethiopia. Data were anonymized and analyzed at an individual level by country and health-care setting.

Results: A total of 388 participants were recruited from Ouagadougou (75/388, 19.3%), Kampala (85/388,
21.9%), Johannesburg (74/388, 19.3%), and Addis Ababa (154/388, 39.6%). Median age was 30 years, and 66% were male, with a median of 3-year medical experience. Knowledge about the definition, clinical presentation, and diagnosis of disease was good. However, guidelines for local practice were largely absent. Wide variation was reported in diagnostic and management practices. Physicians recognized the need for guidelines and further training.

Conclusion: This study highlighted the lack of local guidelines for bronchiectasis care in these settings and marked variation in approaches to investigation, diagnosis, and management within and between sites. Contextappropriate guidelines for bronchiectasis care in Sub-Saharan Africa are needed. These must be informed by local
epidemiology, should reflect locally available resources and comorbidities including tuberculosis-disease, and should be codeveloped with local practitioners.

Item Type:	Article
Subjects:	W General Medicine. Health Professions > W 21 Medicine as a profession. QS Anatomy > QS 4 General works. Classify here works on regional anatomy WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WF Respiratory System > Lungs > WF 600 Lungs
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > International Public Health Department Clinical Sciences & International Health > Malawi-Liverpool-Wellcome Programme (MLW)
Digital Object Identifer (DOI):	https://doi.org/10.25259/JPATS_5_2021
Depositing User:	Julie Franco
Date Deposited:	08 Jun 2021 08:14
Last Modified:	08 Jun 2021 08:14
URI:	https://archive.lstmed.ac.uk/id/eprint/18059

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