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Level of Knowledge Regarding Mpox among Peruvian Physicians during the 2022 Outbreak: A Cross-Sectional Study
Jose A Gonzales-Zamora1,2, David R Soriano-Moreno3, Anderson N Soriano-Moreno3
1Division of Infectious Diseases, Department of Medicine, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
Abstract:
Introduction: Due to the high incidence of mpox in Peru and the poor knowledge about this disease among healthcare workers in non-endemic countries, it is crucial to determine the knowledge status of Peruvian physicians. Methodology: We conducted an analytical cross-sectional study based on an online survey from August to September 2022. Physicians who had a medical license and lived and practiced medicine in Peru were included. To evaluate the factors associated with a higher level of knowledge, we used crude (cPR) and adjusted (aPR) prevalence ratios with 95% confidence intervals (95% CI) using Poisson regression. Results: We included 463 physicians. The mean age was 36.6 (SD: 10.3) years, and most were male (58.1%). Regarding knowledge, the median knowledge score was 14 [IQR: 13 to 15] out of 17 points. In terms of knowledge gaps, only 60.7% of the participants knew that there was an FDA-approved vaccine for mpox, 49.0% of participants knew about mpox proctitis and 33.3% acknowledged that it could be transmitted by the bite of an infected rodent. We found that taking care of patients with mpox (aPR: 1.39; 95% CI: 1.13 to 1.72) was associated with higher knowledge (>p50), while living in the eastern macro-region (aPR: 0.62; 95% CI: 0.42 to 0.93) was associated with lower knowledge (≤p50). Conclusions: Our study showed a high level of knowledge about mpox among Peruvian physicians. However, educational campaigns may be necessary, especially for physicians from the eastern region and those who do not have clinical experience with mpox.
Insights
Peruvian physicians demonstrate high mpox knowledge, though specific gaps exist. Educational initiatives are recommended for those in the eastern region and without clinical mpox experience.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Mpox (formerly monkeypox) incidence is high in Peru.
- Limited knowledge of mpox among healthcare workers in non-endemic regions necessitates understanding physician knowledge in Peru.
- Assessing Peruvian physicians' mpox knowledge is crucial.
Purpose of the Study:
- To determine the knowledge status of Peruvian physicians regarding mpox.
- To identify factors associated with varying levels of mpox knowledge.
Main Methods:
- An analytical cross-sectional study was conducted.
- An online survey was administered to licensed physicians in Peru from August to September 2022.
- Poisson regression was used to analyze factors associated with knowledge levels.
Main Results:
- 463 physicians participated; the median knowledge score was 14/17.
- Knowledge gaps identified: 60.7% knew of an FDA-approved vaccine, 49.0% knew about mpox proctitis, 33.3% knew about rodent transmission.
- Clinical experience with mpox correlated with higher knowledge (aPR: 1.39), while residing in the eastern macro-region correlated with lower knowledge (aPR: 0.62).
Conclusions:
- Peruvian physicians exhibit a high overall knowledge of mpox.
- Targeted educational campaigns are suggested for physicians in the eastern region and those lacking clinical mpox exposure.
- Addressing specific knowledge gaps is essential for comprehensive mpox management.
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