Level of Knowledge regarding Monkeypox among Peruvian Physicians during the 2022 Outbreak: A Cross-Sectional Study

Author:

Gonzales-Zamora Jose1ORCID,Soriano-Moreno David R.2ORCID,Soriano-Moreno Anderson N.2ORCID,Ponce-Rosas Linda3ORCID,Sangster-Carrasco Lucero4ORCID,De-Los-Rios-Pinto Abraham5ORCID,Benito-Vargas Raysa M.5ORCID,Murrieta-Ruiz Valentina6ORCID,Morocho-Alburqueque Noelia7ORCID,Caira-Chuquineyra Brenda8ORCID,Fernandez-Guzman Daniel8ORCID,Ccami-Bernal Fabricio9ORCID,Quispe-Vicuña Carlos10ORCID,Alarcon-Parra Mariano11ORCID,Pinedo-Soria Antony12ORCID,Alave Jorge13ORCID

Affiliation:

1. Division of Infectious Diseases, Department of Medicine. University of Miami, Miller School of Medicine. Miami, FL, USA.

2. Unidad de Investigación Clínica y Epidemiológica, Escuela de Medicina, Universidad Peruana Unión, Lima, Peru.

3. Peruvian American Medical Society. Albuquerque, NM, USA.

4. Universidad Peruana de Ciencias Aplicadas, Facultad de Medicina, Lima, Peru.

5. Escuela Profesional de Medicina Humana, Universidad Nacional de San Antonio Abad del Cusco, Cusco, Peru.

6. Facultad de Medicina Humana Rafael Donayre Rojas, Universidad Nacional de la Amazonía Peruana, Iquitos, Loreto, Peru.

7. Sociedad Científica de Estudiantes de Medicina de la Universidad Nacional de Piura (SOCIEMUNP), Piura, Peru.

8. Grupo Peruano de Investigación Epidemiológica, Unidad para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Peru.

9. Facultad de Medicina, Universidad Nacional de San Agustín de Arequipa, Arequipa, Peru.

10. Sociedad Científica de San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Peru.

11. Hospital II ESSALUD Pucallpa. Ucayali, Peru.

12. Facultad de Medicina Humana, Universidad Nacional de San Martin, Tarapoto, Peru

13. Universidad Peruana Unión. Lima, Peru.

Abstract

Abstract Introduction: Monkeypox has become a public health emergency given the rapid spread of the disease worldwide. Due to the high incidence of this disease in Peru and the poor knowledge about monkeypox 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 monkeypox, 49.0% of participants knew about monkeypox 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 monkeypox (aPR: 1.39; 95% CI: 1.13 to 1.72) was associated with a higher knowledge (> p50) while living in the jungle (aPR: 0.61; 95% CI: 0.41 to 0.91) was associated with lower knowledge (< p50). Conclusions Our study showed a high level of knowledge about monkeypox among Peruvian physicians. However, educational campaigns may be necessary, especially for physicians from the jungle and those who do not have clinical experience in monkeypox.

Publisher

Research Square Platform LLC

Reference48 articles.

1. World Health Organization. Monkeypox. WHO; 2022. [Online]. [cited 10 Oct 2022]. Available: https://www.who.int/news-room/fact-sheets/detail/monkeypox

2. The changing epidemiology of human monkeypox—A potential threat? A systematic review;Bunge EM;PLOS Neglected Tropical Diseases,2022

3. Centers for Disease Control and Prevention. Monkeypox in the U.S. CDC; 2022. [Online]. [cited 10 Oct 2022]. Available: https://www.cdc.gov/poxvirus/monkeypox/response/2022/world-map.html

4. World Health Organization. Multi-country monkeypox outbreak: situation update. WHO; 2022. [Online]. [cited 10 Oct 2022]. Available: https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON396

5. Latin America: Situation and preparedness facing the multi-country human monkeypox outbreak;Rodriguez-Morales AJ;The Lancet Regional Health – Americas,2022

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