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Toxoplasmosis - Awareness and knowledge among medical doctors in Nigeria.

Abstract Toxoplasma gondii is a zoonotic parasite causing high disease burden worldwide. A One Health approach is needed to understand, prevent, and control toxoplasmosis, while knowledge gaps in the One Health aspects have been identified among medical professionals in earlier studies. As a One Health collaboration between veterinary and medical fields, we surveyed the knowledge on toxoplasmosis among medical doctors in Nigeria. The knowledge questions, which the participants answered without consulting literature and colleagues, covered epidemiological One Health aspects as well as clinical interspecialty aspects of T. gondii infections. Altogether 522 medical doctors from four tertiary hospitals completed the questionnaire. The mean number of correct answers in the knowledge questions was 7.5, and 8.4% of the participants selected at least 12 of the 17 correct answers. The proportion of medical doctors scoring such a high score was significantly higher among those who reported having seen a case of clinical toxoplasmosis than in those who did not. While 62% of the medical doctors participating in our study knew that cats can shed T. gondii in their feces, 36% incorrectly suggested that humans could do that too. That T. gondii infection can be meatborne was known by 69%, but that it can be also waterborne only by 28% of the medical doctors participating in our study. Most of the medical doctors, 78%, knew that clinical toxoplasmosis may involve the central nervous system, while only 37% answered that it can involve the eyes. Our results suggested knowledge gaps, which need to be addressed in Continuous Medical Education. The identified gaps included both intersectoral One Health aspects and interspecialty aspects: For prevention and management of toxoplasmosis, knowing the main transmission routes and that the parasite can affect several organs is relevant.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title plos one
Publication Year Start




PMID- 29261738
OWN - NLM
STAT- In-Process
LR  - 20171224
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 12
DP  - 2017
TI  - Toxoplasmosis - Awareness and knowledge among medical doctors in Nigeria.
PG  - e0189709
LID - 10.1371/journal.pone.0189709 [doi]
AB  - Toxoplasma gondii is a zoonotic parasite causing high disease burden worldwide. A
      One Health approach is needed to understand, prevent, and control toxoplasmosis, 
      while knowledge gaps in the One Health aspects have been identified among medical
      professionals in earlier studies. As a One Health collaboration between
      veterinary and medical fields, we surveyed the knowledge on toxoplasmosis among
      medical doctors in Nigeria. The knowledge questions, which the participants
      answered without consulting literature and colleagues, covered epidemiological
      One Health aspects as well as clinical interspecialty aspects of T. gondii
      infections. Altogether 522 medical doctors from four tertiary hospitals completed
      the questionnaire. The mean number of correct answers in the knowledge questions 
      was 7.5, and 8.4% of the participants selected at least 12 of the 17 correct
      answers. The proportion of medical doctors scoring such a high score was
      significantly higher among those who reported having seen a case of clinical
      toxoplasmosis than in those who did not. While 62% of the medical doctors
      participating in our study knew that cats can shed T. gondii in their feces, 36% 
      incorrectly suggested that humans could do that too. That T. gondii infection can
      be meatborne was known by 69%, but that it can be also waterborne only by 28% of 
      the medical doctors participating in our study. Most of the medical doctors, 78%,
      knew that clinical toxoplasmosis may involve the central nervous system, while
      only 37% answered that it can involve the eyes. Our results suggested knowledge
      gaps, which need to be addressed in Continuous Medical Education. The identified 
      gaps included both intersectoral One Health aspects and interspecialty aspects:
      For prevention and management of toxoplasmosis, knowing the main transmission
      routes and that the parasite can affect several organs is relevant.
FAU - Efunshile, Akinwale Michael
AU  - Efunshile AM
AD  - Department of Medical Microbiology, Ebonyi State University and Federal Teaching 
      Hospital, Abakaliki, Nigeria.
FAU - Elikwu, Charles John
AU  - Elikwu CJ
AD  - Department of Medical Microbiology & Parasitology, Ben Carson School of Medicine,
      Babcock University/Babcock University Teaching Hospital, Ilisan-Remo, Ogun State,
      Nigeria.
FAU - Jokelainen, Pikka
AU  - Jokelainen P
AUID- ORCID: http://orcid.org/0000-0002-3035-5094
AD  - University of Helsinki, Helsinki, Finland.
AD  - Estonian University of Life Sciences, Tartu, Estonia.
AD  - Statens Serum Institut, Copenhagen, Denmark.
LA  - eng
PT  - Journal Article
DEP - 20171219
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
PMC - PMC5736225
EDAT- 2017/12/21 06:00
MHDA- 2017/12/21 06:00
CRDT- 2017/12/21 06:00
PHST- 2017/08/23 00:00 [received]
PHST- 2017/11/30 00:00 [accepted]
PHST- 2017/12/21 06:00 [entrez]
PHST- 2017/12/21 06:00 [pubmed]
PHST- 2017/12/21 06:00 [medline]
AID - 10.1371/journal.pone.0189709 [doi]
AID - PONE-D-17-31056 [pii]
PST - epublish
SO  - PLoS One. 2017 Dec 19;12(12):e0189709. doi: 10.1371/journal.pone.0189709.
      eCollection 2017.