Volume 20, Issue 2 (May 2022)                   Nursing and Midwifery Journal 2022, 20(2): 163-169 | Back to browse issues page

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nazari M, Babaee E, Mansourian M. EVALUATION OF THE RATE OF ADHERENCE TO THE NATIONAL PROTOCOL FOR THE TREATMENT OF BRUCELLOSIS BY PHYSICIANS OF HAMADAN PROVINCE. Nursing and Midwifery Journal 2022; 20 (2) :163-169
URL: http://unmf.umsu.ac.ir/article-1-4536-en.html
EVALUATION OF THE RATE OF ADHERENCE TO THE NATIONAL PROTOCOL FOR THE TREATMENT OF BRUCELLOSIS BY PHYSICIANS OF HAMADAN PROVINCE
Mojtaba Nazari * 1, Ebrahim Babaee2 , Morteza Mansourian3
1- Master of Education in Community-Based Epidemiology, Hamedan University of Medical Sciences, Hamedan, Iran (Corresponding Author) , mojtabanazari1360@yahoo.com
2- PhD Preventive Medical and Public Health Research Center, Psychosocial health Research Institute, Department of community and Family Medicine, Iran University of Medical Sciences, Tehran, Iran, Iran University of Medical Sciences
3- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (1366 Views)
Background & Aim: Brucellosis is one of the most important diseases between humans and animals that has been specially considered in terms of economics, public health, and treatment. Currently, a major problem in brucellosis is its relatively high recurrence and high rate of chronic cases, which may be caused by variety of treatment methods for these patients. This study was performed to determine the degree of compliance of the physicians with the National Protocol to treat brucellosis in different population groups in Hamadan province in 2015-2019. Materials & Methods: This cross-sectional study investigated 5524 patients who had brucellosis between 2015 and 2019 and were followed up by the health centers of the cities of Hamadan province and their epidemiological examination form was completed. Data were analyzed by SPSS 24 software using t-test, Chi-square test, and Fisher's exact test. Result: Out of 5524 patients, 3450 (66.8%) received treatment diet 1, 1123 (23.7%) received treatment diet 2, and 41 (0.8%) received the pediatric regimen Moreover, 115 children (31.8%) received treatment adult diet 1, 50 (13.8%) received treatment adult diet 2, and 21 paients (5.8%) received the pediatric treatment diet. In addition, 82% of adults and 37% of children received a protocol-based medication but 18% of adults and 63% of children received medication contrary to the national guidelines. Conclusion: The findings of the present study demonstrated that compliance and implementation of the national protocol have not reached a desired level in the Hamadan province. Therefore, educational and intervention programs should be considered by the respective authorities to improve the current situation.
Keywords: Brucellosis, Zoonosis, Clinical Protocols, Therapeutics
Full-Text [PDF 426 kb]   (791 Downloads)    
Type of Study: Research | Subject: بهداشت
References
1. de Figueiredo P, Ficht TA, Rice-Ficht A, Rossetti CA, LG. A. Pathogenesis and immunobiology of brucellosis: review of Brucella-Host Interactions. Am J Path 2015;185(6):1505-17. [DOI:10.1016/j.ajpath.2015.03.003] [PMID] [PMCID]
2. Haran M, Agarwal A, Kupfer Y, Seneviratne C, Chawla K, Tessler S. Brucellosis presenting as septic shock. Case Report 2011:bcr1220103586. [DOI:10.1136/bcr.12.2010.3586] [PMID] [PMCID]
3. Bank W, forum T. World livestock disease atlas: a quantitative analysis of Global Animal Health Data (2006-2009): World Bank; 2011. [Google Scholar]
4. Hatami H. Brucellosis epidemiology. 2nd National Iranian Congress ON Brucellosis. ShahidBeheshti University of Medical Sciences; 2007: 13-36. (Persian). [URL]
5. Zeng H, Wang Y, Sun X, Liu P, Xu Q, Huang D, et al. Status and influencing factors of farmers' private investment in the prevention and control of sheep brucellosis in China: A cross-sectional study. PLoS Negl Trop Dis 2019;13(3):e0007285. [DOI:10.1371/journal.pntd.0007285] [PMID] [PMCID]
6. Zoghi A. Theoretical Overview on human brucellosis. 2nd National Iranian Congress ON Brucellosis. Shahid Beheshti University of Medical Sciences; 2007: 47-74. (Persian).
7. Farazi A, Didgar F, Ghandi A, Soofian M. Brucellaspondylodiscitis and Paravertebral Abscess with Negative Serology: A Case Report. Qom Univ Med Sci J 2012;6(1):99-103. [Google Scholar]
8. Adetunji SA, Ramirez G, Foster MJ, Arenas-Gamboa AM. A systematic review and meta-analysis of the prevalence of osteoarticular brucellosis. PLoS Negl Trop Dis 2019;13(1):e0007112. [DOI:10.1371/journal.pntd.0007112] [PMID] [PMCID]
9. Musallam I, Abo-Shehada M, Hegazy Y, Holt H, Guitian F. Systematic review of brucellosis in the Middle East: disease frequency in ruminants and humans and risk factors for human infection. Epidemiol Infec 2016;144(4):671-85. [DOI:10.1017/S0950268815002575] [PMID]
10. Panahi M. Epidemiology of Common Diseases in Iran (Malta Fever Season), published by Shahid Beheshti University of Medical Sciences Endocrine Research Center: pp. 148-263.
11. Department of health Assistance contagious diseases, Hamadan University of Medical Sciences.2020.
12. Ariza J, Bosilkovski M, Cascio A, Colmenero JD, Corbel MJ, Falagas ME, et al. Perspectives for the treatment of brucellosis in the 21st century: The Ioannina recommendations. PLOS Med 2007;4(12):e317. [DOI:10.1371/journal.pmed.0040317] [PMID] [PMCID]
13. Alavi SM, Alavi L. Treatment of brucellosis: a systematic review of studies in recent twenty years. Caspian J Intern Med 2013;4(2):636. [PMID] [PMCID]
14. Zeinali M, Shirzadi MR. National Guide to Combating Brucellosis (Maltese Fever). Tehran: Ministry of Health and Medical Education. Iran Biomed J 2017;21(6):349-59 (Persian). [URL]
15. Azar FE, Jalilvand H, Abdi M, Nikuee D, Ghazaei SP, Pourrahimi M. Epidemiologic study of brucellosis disease in Divandarreh City of Kurdistan Province, Iran. Depict Health 2019;10(1):47-53. [URL]
16. Seyed Alizadeh, Nadia, Al Sheikh, Ahmadkhani. Spatial-temporal and ecological analysis of brucellosis in northern Iran J Geomatics Sci Technol 2019;8(4):221-31. [URL]
17. Moradi A, Norouzi NA, Talebi B, Erfani H, Karimi A, Bathaie J, et al. Evaluation of animal vaccination against Brucellosis on human incidence rate in Hamadan province 2002-2008. Avicenna J Clin Med 2009;16(3):44-8. [Google Scholar]
18. Tumwine G, Matovu E, Kabasa JD, Owiny DO, Majalija S. Human brucellosis: sero-prevalence and associated risk factors in agro-pastoral communities of Kiboga District, Central Uganda. BMC Pub Health 2015;15(1):1-8. [DOI:10.1186/s12889-015-2242-z] [PMID] [PMCID]
19. Saghafipour A, Noroozi M, Karami-Jooshin M, Poudat A. Epidemiological Features of Malaria in Qom province from 2001 to 2011. Zahedan J Res Med Sci 2012 Oct 31;14(8). [Google Scholar]
20. Gonzalez JP-R, Barrios JA, Martin AR. The epidemiological characteristics of brucellosis in the primary health care district of Sierra de Cadiz. Atencion Primaria 1997;19(6):290-5. [] [PMID]
21. Pakzad R, Barati M, Moludi J, Barati H, Pakzad I. Epidemiology of brucellosis in the North and North-West Iran. Paramed Sci Milit Health 2016;11(1):17-23. [Google Scholar]
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