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Dengue fever among febrile patients in Taiz City, Yemen during the 2016 war: Clinical manifestations, risk factors, and patients knowledge, attitudes, and practices toward the disease

机译:2016年战争期间,也门在泰兹市发热患者中的患者:临床表现,危险因素和患者的知识,态度和对疾病的做法

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The current war in Yemen has displaced millions of people from their homes into living in cramped shelters where the healthcare is limited. The breakdown of Yemen's healthcare and sanitation systems has facilitated the spread of infectious diseases including mosquito-borne diseases. The present study aimed to describe the prevalence of dengue virus (DENV) infection among the febrile patients of the Taiz governorate, Yemen as well as their knowledge, attitude and preventive practices (KAPs) regarding dengue fever (DF), and to investigate the factors associated with dengue preventive practices during the war. A total of 384 clinically dengue-suspected patients who sought health care in Taiz, Yemen during the period from July 2016 until October 2016 were recruited for the study. Serum samples were obtained and screened for the presence of DENV RNA and anti-DENV antibodies by reverse transcription-recombinase polymerase amplification (RT-RPA) and dengue IgM/IgG-capture ELISA, respectively. KAP questionnaires were obtained from all participants too. In the study, dengue was laboratory confirmed in approximately 49.3% (189/384) of the clinically suspected dengue patients. In general, 67.1% of the patients had low knowledge scores regarding DF. Low scores for knowledge about DF was significantly associated with those in the age groups of ≤20?years and 21–30?years, illiterates and patients with non-skilled jobs or jobless. The most common preventive practices reported by participants were covering stored water (78.6%) and putting a screen on the house's windows (65.3%). A low proportion of participants (6.7%) had 51–100% of good DF preventive practices. Low scores of positive attitudes toward DF was identified as a risk factor. The study participants showed poor knowledge about DF and their ways of dealing with the various aspects of DF prevention was quite limited, hence, preventive measures against the disease were less likely to be undertaken. Findings from the study highlight the peril of dengue in Taiz, Yemen, which is now comparable to that of endemic regions. The ongoing civil war with disruption in regular health services compounded by the low knowledge about DF as well as the limited DF preventive practices could result in entrenchment of dengue in Yemen.
机译:目前在也门的战争使数百万人从家里居住在生活在狭窄的庇护所,其中医疗保健有限。也门医疗保健和卫生系统的细分促进了传染病在内的传染病,包括蚊子疾病。本研究旨在描述Taiz省,也门的发热病毒(DenV)感染的患病率,也门以及他们的知识,态度和预防措施(KAP)关于登革热(DF),并调查因素战争期间的登革热预防措施有关。在2016年7月至2016年7月期间,在2016年7月至2016年10月期间,共有384名临床登革热疑似患者在2016年7月至2016年10月期间招募了这项研究。获得血清样品并通过逆转录重组酶聚合酶扩增(RT-RPA)和登革热IgM / IgG-Capture ELISA,得到血清样品并筛选丹佛RNA和抗丹佛抗体。 KAP问卷也从所有参与者获得。在该研究中,登革热是实验室在约49.3%(189/384)的临床疑似登革艇患者中得到证实。通常,67.1%的患者对DF具有低知识评分。关于DF的知识的低分与年龄群的年龄段和21-30岁的人有显着相关,文盲和非技术工作或失业患者。参与者报告的最常见的预防措施覆盖储存水(78.6%)并将屏幕放在房屋的窗户上(65.3%)。低比例的参与者(6.7%)有51-100%的良好DF预防措施。将朝向DF的阳性态度的低分鉴定为危险因素。该研究参与者对DF的知识表现出差,他们处理DF预防的各个方面的方式非常有限,因此,对疾病的预防措施不太可能进行。研究结果突出了泰格,也门的泰因的危险,现在与地方性区域相当。在DF的低知识和有限的DF预防措施中,持续的卫生服务中断的持续内战可能会导致也门登革热的侵犯。

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