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Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease
Price, C.A Green-Thompson, L Mammen, V.G Madhi, S.A Lala, S.G Dangor, Z
Price, C.A
Green-Thompson, L
Mammen, V.G
Madhi, S.A
Lala, S.G
Dangor, Z
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Abstract
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.
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2018-10-05
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PLoS One
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Price CA, Green-Thompson L, Mammen VG, Madhi SA, Lala SG, Dangor Z. Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease. PLoS One. 2018 Oct 5;13(10):e0205157. doi: 10.1371/journal.pone.0205157.