The Correlation Between KAP And Clinical Diagnosis Ability Of Foodborne Diseases In Hefei Medical Staff

Objective: Through the investigation and study of the clinical diagnosis ability of foodborne diseases and KAP among medical staff in Hefei,we can know their cognition and surveillance of foodborne diseases,and explore the influencing factors.At the same time,combined with the study of foreign monitoring system,it provides a theoretical basis for the disease prevention and control institutions and the training work within the hospital.Methods: The medical staff of food borne disease monitoring in Hefei are investigated by stratified cluster random sampling and questionnaires.The main contents include the basic situation of the investigators,the monitoring knowledge of food borne diseases,the attitude of monitoring,the behavior of diagnosis and treatment and the case of clinical scenario simulation.The database is established by Epi Data3.1,and the data analysis is carried out by SPSS16.0 software.A single factor analysis is performed using chi-square test,and multivariate analysis is performed by non-conditional Logistic regression,P-values<0.05 are considered statistically significant.The independent effects of multiple factors were analyzed by unconditional Logistic regression.Results: 92.50% of the medical staff know foodborne disease definition,the specific types of foodborne disease pathogenesis characteristics(58.72%),typical food-borne food poisoning events(37.13%),scattered characteristics of foodborne disease outbreaks(25.08%),infective diarrhea caused by salmonella(44.63%),fish cause of poisoning(43.05%),and have lower awareness rate of the high-risk foods caused by botulinum toxin(55.3%).90.92% of the medical staff agree that foodborne illness is the number one food safety issues,and 96.94 percent believe that it is necessary to carry out food-borne disease surveillance,and 70.18 percent of health care workers inquire about the history for suspected food-borne illness patients.When the patients show symptoms of suspected poisoning,nervous system symptoms and motor system symptoms,the percents of medical staff considering dietary factors are 55.56%,45.82% and 51.35% respectively.72.22% of the staff members collect and test biological samples for suspected food-borne illness patients.53.19% of the medical staff are correctly diagnosed with vibrio cholerae infection,901(59.32%)knowledge of the correct clinical diagnosis,1,391(91.57%)choosing the correct diagnosis methods,and 1348(88.74%)members choosing to report the disease;The total accuracy rate among the respondents of the simulated diagnosis of Staphylococcus aureus or Bacillus cereus poisoning is 54.25%,926 of them(60.96%)diagnosing with right clinical diagnosis,1439 people(94.73%)to select the correct diagnosis methods,1 359 people(89.47%)choosing to report the disease.Multifactors analysis show that hospital grade,departments and whether to participate in training are the main influencing factors of medical personnel's KAP to foodborne diseases.The KAP of the medical staff in the secondary and tertiary hospitals are better than that of the primary street health service center and the difference is statistically significant(P<0.05).The KAP of the emergency department is better than the nursing office and the difference is statistically significant(P<0.05).The personnel who participated in the training have higher scores of KAP than the untrained personnel and the difference is statistically significant(P<0.05);The diagnosis level of personnel in the three level hospital is 1.93 times that of the first level hospital.(OR=1.929,95% CI:1.366~2.725);The level of selection of test methods for paediatrics,predictive health care and nursing offices are 0.56 times(OR=0.555,95% CI:0.332~0.929),0.60 times(OR=0.604,95% CI:0.376~0.970)and 0.44 times(OR=0.441,95% CI:0.264~0.737)higher than that of the emergency department.The disease reporting level of trained staff is 1.47 times higher than that of untrained staff.(OR=1.468,95% CI:1.149~ 1.875).Conclusion: In recent years,the training work related to food borne diseases in Hefei city has made some achievements,surveys show that training can significantly improve the medical staff of foodborne disease cognition,positive attitude and treatment behavior,also can prompt the specific supervision system within the hospital future development,refine its workflow.The effective intervention strategies are adopted for the monitoring behaviors of foodborne diseases of medical staff in hefei,thus reducing the rate of false alarm.