Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease.
OBJECTIVE:To evaluate obstetric healthcare provider knowledge regarding the prevention of group B streptococcal disease in South African infants. METHODS:Questionnaires exploring knowledge, attitudes and beliefs around group B streptococcal prevention were administered to consenting doctors and mate...
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doaj-a07a538bc1404101919fb445ab04855d2020-11-25T02:33:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-011310e020515710.1371/journal.pone.0205157Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease.Caris A PriceLionel Green-ThompsonVijay G MammenShabir A MadhiSanjay G LalaZiyaad DangorOBJECTIVE:To evaluate obstetric healthcare provider knowledge regarding the prevention of group B streptococcal disease in South African infants. METHODS:Questionnaires exploring knowledge, attitudes and beliefs around group B streptococcal prevention were administered to consenting doctors and maternity nurses in a tertiary academic hospital. Qualitative assessments (focus groups) were undertaken with junior doctors and nurses. RESULTS:238 participants completed the questionnaire: 150 (63.0%) doctors and 88 (37.0%) nurses. Overall, 22.7% of participants correctly identified the risk-based prevention protocol recommended at this hospital. Most doctors (68.0%) and nurses (94.3%) could not correctly list a single risk factor. A third of doctors did not know the correct antibiotic protocols, and most (80.0%) did not know the recommended timing of antibiotics in relation to delivery. Focus group discussions highlighted the lack of knowledge, awareness and effective implementation of protocols regarding disease prevention. CONCLUSIONS:Our study highlighted knowledge gaps on the risk-based prevention strategy in a setting which has consistently reported among the highest incidence of invasive group B streptococcal disease globally. In these settings, education and prioritization of the risk-based intrapartum antibiotic strategy is warranted, but an alternative vaccine-based strategy may prove more effective in preventing invasive group B streptococcal disease in the long-term.http://europepmc.org/articles/PMC6173416?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Caris A Price Lionel Green-Thompson Vijay G Mammen Shabir A Madhi Sanjay G Lala Ziyaad Dangor |
spellingShingle |
Caris A Price Lionel Green-Thompson Vijay G Mammen Shabir A Madhi Sanjay G Lala Ziyaad Dangor Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease. PLoS ONE |
author_facet |
Caris A Price Lionel Green-Thompson Vijay G Mammen Shabir A Madhi Sanjay G Lala Ziyaad Dangor |
author_sort |
Caris A Price |
title |
Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease. |
title_short |
Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease. |
title_full |
Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease. |
title_fullStr |
Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease. |
title_full_unstemmed |
Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease. |
title_sort |
knowledge gaps among south african healthcare providers regarding the prevention of neonatal group b streptococcal disease. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2018-01-01 |
description |
OBJECTIVE:To evaluate obstetric healthcare provider knowledge regarding the prevention of group B streptococcal disease in South African infants. METHODS:Questionnaires exploring knowledge, attitudes and beliefs around group B streptococcal prevention were administered to consenting doctors and maternity nurses in a tertiary academic hospital. Qualitative assessments (focus groups) were undertaken with junior doctors and nurses. RESULTS:238 participants completed the questionnaire: 150 (63.0%) doctors and 88 (37.0%) nurses. Overall, 22.7% of participants correctly identified the risk-based prevention protocol recommended at this hospital. Most doctors (68.0%) and nurses (94.3%) could not correctly list a single risk factor. A third of doctors did not know the correct antibiotic protocols, and most (80.0%) did not know the recommended timing of antibiotics in relation to delivery. Focus group discussions highlighted the lack of knowledge, awareness and effective implementation of protocols regarding disease prevention. CONCLUSIONS:Our study highlighted knowledge gaps on the risk-based prevention strategy in a setting which has consistently reported among the highest incidence of invasive group B streptococcal disease globally. In these settings, education and prioritization of the risk-based intrapartum antibiotic strategy is warranted, but an alternative vaccine-based strategy may prove more effective in preventing invasive group B streptococcal disease in the long-term. |
url |
http://europepmc.org/articles/PMC6173416?pdf=render |
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