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Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Knowledge about tuberculosis among undergraduate health care students in 15 Italian universities: a cross-sectional study

Authors: Maria Teresa Montagna, Christian Napoli, Silvio Tafuri, Antonella Agodi, Francesco Auxilia, Beatrice Casini, Maria Franca Coscia, Marcello Mario D’Errico, Margherita Ferrante, Angelo Fortunato, Cinzia Germinario, Domenico Martinelli, Giuseppe Michele Masanotti, Maria Fatima Massenti, Gabriele Messina, Paolo Montuori, Ida Mura, Giovanni Battista Orsi, Alessia Quaranta, Giovanni Sotgiu, Armando Stefanati, Stefano Tardivo, Maria Valeria Torregrossa, Anna Maria Tortorano, Licia Veronesi, Raffaele Zarrilli, Cesira Pasquarella

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

The Italian Study Group on Hospital Hygiene of the Italian Society of Hygiene, Preventive Medicine and Public Health conducted a multicentre survey aiming to evaluate undergraduate health care students’ knowledge of tuberculosis and tuberculosis control measures in Italy.

Methods

In October 2012–June 2013, a sample of medical and nursing students from 15 Italian universities were enrolled on a voluntary basis and asked to complete an anonymous questionnaire investigating both general knowledge of tuberculosis (aetiology, clinical presentation, outcome, screening methods) and personal experiences and practices related to tuberculosis prevention. Data were analysed through multivariable regression using Stata software.

Results

The sample consisted of 2,220 students in nursing (72.6%) and medicine (27.4%) courses. Our findings clearly showed that medical students had a better knowledge of tuberculosis than did nursing students.
Although the vast majority of the sample (up to 95%) answered questions about tuberculosis aetiology correctly, only 60% of the students gave the correct responses regarding clinical aspects and vaccine details. Overall, 66.9% of the students had been screened for tuberculosis, but less than 20% of those with a negative result on the tuberculin skin test were vaccinated. Multivariable regression analysis showed that age and type of study programme (nursing vs. medical course) were determinants of answering the questions correctly.

Conclusions

Although our data showed sufficient knowledge on tuberculosis, this survey underlines the considerable need for improvement in knowledge about the disease, especially among nursing students. In light of the scientific recommendations concerning tuberculosis knowledge among students, progress of current health care curricula aimed to develop students’ skills in this field is needed.
Literature
1.
go back to reference Davies PD: The world-wide increase in tuberculosis: how demographic changes, HIV infection and increasing numbers in poverty are increasing tuberculosis. Ann Med. 2003, 35: 235-243. 10.1080/07853890310005713.CrossRefPubMed Davies PD: The world-wide increase in tuberculosis: how demographic changes, HIV infection and increasing numbers in poverty are increasing tuberculosis. Ann Med. 2003, 35: 235-243. 10.1080/07853890310005713.CrossRefPubMed
2.
go back to reference de Vries G, Aldridge RW, Caylà JA, Haas WH, Sandgren A, van Hest NA, Abubakar I, Tuberculosis in European Union Big Cities Working Group: Epidemiology of tuberculosis in big cities of the European Union and European Economic Area countries. Euro Surveill. 2014, 19: de Vries G, Aldridge RW, Caylà JA, Haas WH, Sandgren A, van Hest NA, Abubakar I, Tuberculosis in European Union Big Cities Working Group: Epidemiology of tuberculosis in big cities of the European Union and European Economic Area countries. Euro Surveill. 2014, 19:
3.
go back to reference Tiemersma EW, van der Werf MJ, Borgdorff MW, Williams BG, Nagelkerke NJD: Natural history of tuberculosis: duration and fatality of untreated pulmonary tuberculosis in HIV-negative patients: a systematic review. PLoS ONE. 2011, 6: e17601-10.1371/journal.pone.0017601.CrossRefPubMedPubMedCentral Tiemersma EW, van der Werf MJ, Borgdorff MW, Williams BG, Nagelkerke NJD: Natural history of tuberculosis: duration and fatality of untreated pulmonary tuberculosis in HIV-negative patients: a systematic review. PLoS ONE. 2011, 6: e17601-10.1371/journal.pone.0017601.CrossRefPubMedPubMedCentral
4.
go back to reference World Health Organization: Global Tuberculosis Report. 2013, Geneva, Switzerland: WHO, Available at: WHO/HTM/TB/2013.11. Last access February 2014 World Health Organization: Global Tuberculosis Report. 2013, Geneva, Switzerland: WHO, Available at: WHO/HTM/TB/2013.11. Last access February 2014
5.
go back to reference Morandi M, Resi D, Morsillo F, Moro ML, D’Amato S, Iannazzo S, Rizzuto E, Pompa MG, Fattorini L, Suligoi B: Rapporto. Ufficio V Malattie Infettive, Direzione Generale della prevenzione sanitaria (Ministero della Salute), Istituto Superiore di Sanità, and Agenzia Sanitaria e Sociale della Regione Emilia-Romagna, Italy. La Tubercolosi in Italia. 2011, Available at: http://www.salute.gov.it/imgs/c_17_pubblicazioni_1472_allegato.pdf. Last access June 2014 Morandi M, Resi D, Morsillo F, Moro ML, D’Amato S, Iannazzo S, Rizzuto E, Pompa MG, Fattorini L, Suligoi B: Rapporto. Ufficio V Malattie Infettive, Direzione Generale della prevenzione sanitaria (Ministero della Salute), Istituto Superiore di Sanità, and Agenzia Sanitaria e Sociale della Regione Emilia-Romagna, Italy. La Tubercolosi in Italia. 2011, Available at: http://​www.​salute.​gov.​it/​imgs/​c_​17_​pubblicazioni_​1472_​allegato.​pdf. Last access June 2014
6.
go back to reference World Health Organization: Framework for Effective Tuberculosis Control. 1994, Available at: WHO/TB/94.179. Last access February 2014 World Health Organization: Framework for Effective Tuberculosis Control. 1994, Available at: WHO/TB/94.179. Last access February 2014
7.
go back to reference World Health Organization: Stop TB Partnership and the World Health Organization. The Global Plan to Stop Tuberculosis, 2006–2015. 2006, Geneva, Switzerland: WHO, Available at: WHO/HTM/STB/2006.35. Last access February 2014 World Health Organization: Stop TB Partnership and the World Health Organization. The Global Plan to Stop Tuberculosis, 2006–2015. 2006, Geneva, Switzerland: WHO, Available at: WHO/HTM/STB/2006.35. Last access February 2014
8.
go back to reference Raviglione MC, Uplekar MW: WHO’s new stop TB strategy. Lancet. 2006, 367: 952-955. 10.1016/S0140-6736(06)68392-X.CrossRefPubMed Raviglione MC, Uplekar MW: WHO’s new stop TB strategy. Lancet. 2006, 367: 952-955. 10.1016/S0140-6736(06)68392-X.CrossRefPubMed
9.
go back to reference Li Y, Ehiri J, Tang S, Li D, Bian Y, Lin H, Caitlin Marshall C, Cao J: Factors associated with patient, and diagnostic delays in Chinese TB patients: a systematic review and meta-analysis. BMC Med. 2013, 11: 156-10.1186/1741-7015-11-156.CrossRefPubMedPubMedCentral Li Y, Ehiri J, Tang S, Li D, Bian Y, Lin H, Caitlin Marshall C, Cao J: Factors associated with patient, and diagnostic delays in Chinese TB patients: a systematic review and meta-analysis. BMC Med. 2013, 11: 156-10.1186/1741-7015-11-156.CrossRefPubMedPubMedCentral
10.
go back to reference Smolovic M, Pesut D, Bulajic M, Simic M: Knowledge and attitudes towards tuberculosis in non medical students University of Belgrade. Pneumologia. 2012, 61: 88-91.PubMed Smolovic M, Pesut D, Bulajic M, Simic M: Knowledge and attitudes towards tuberculosis in non medical students University of Belgrade. Pneumologia. 2012, 61: 88-91.PubMed
11.
go back to reference Mehta D, Bassi R, Singh M, Mehta C: To study the knowledge about tuberculosis management and national tuberculosis program among medical students and aspiring doctors in a high tubercular endemic country. Ann Trop Med Public Health. 2012, 5: 206-208. 10.4103/1755-6783.98620.CrossRef Mehta D, Bassi R, Singh M, Mehta C: To study the knowledge about tuberculosis management and national tuberculosis program among medical students and aspiring doctors in a high tubercular endemic country. Ann Trop Med Public Health. 2012, 5: 206-208. 10.4103/1755-6783.98620.CrossRef
12.
go back to reference Durando P, Sotgiu G, Spigno F, Piccinini M, Mazzarello G, Viscoli C, Copello F, Poli A, Ansaldi F, Icardi G: Latent tuberculosis infection and associated risk factors among undergraduate healthcare students in Italy: a cross-sectional study. BMC Infect Dis. 2013, 13: 443-10.1186/1471-2334-13-443.CrossRefPubMedPubMedCentral Durando P, Sotgiu G, Spigno F, Piccinini M, Mazzarello G, Viscoli C, Copello F, Poli A, Ansaldi F, Icardi G: Latent tuberculosis infection and associated risk factors among undergraduate healthcare students in Italy: a cross-sectional study. BMC Infect Dis. 2013, 13: 443-10.1186/1471-2334-13-443.CrossRefPubMedPubMedCentral
14.
go back to reference Kilicaslan Z, Kiyan E, Erkan F, Gurgan M, Aydemir N, Arseven O: Evaluation of undergraduate training on tuberculosis at Istanbul Medical School. Int J Tuberc Lung Dis. 2003, 7: 159-164.PubMed Kilicaslan Z, Kiyan E, Erkan F, Gurgan M, Aydemir N, Arseven O: Evaluation of undergraduate training on tuberculosis at Istanbul Medical School. Int J Tuberc Lung Dis. 2003, 7: 159-164.PubMed
15.
go back to reference Chang LC, Hung LL, Chou YW, Ling LM: Applying the health belief model to analyze intention to participate in preventive pulmonary tuberculosis chest X-ray examinations among indigenous nursing students. J Nurs Res. 2007, 15: 78-87.CrossRefPubMed Chang LC, Hung LL, Chou YW, Ling LM: Applying the health belief model to analyze intention to participate in preventive pulmonary tuberculosis chest X-ray examinations among indigenous nursing students. J Nurs Res. 2007, 15: 78-87.CrossRefPubMed
16.
go back to reference Jackson M, Harrity S, Hoffman H, Catanzaro A: A survey of health profession students for knowledge, attitudes, and confidence about tuberculosis, 2005. BMC Public Health. 2007, 7: 219-10.1186/1471-2458-7-219.CrossRefPubMedPubMedCentral Jackson M, Harrity S, Hoffman H, Catanzaro A: A survey of health profession students for knowledge, attitudes, and confidence about tuberculosis, 2005. BMC Public Health. 2007, 7: 219-10.1186/1471-2458-7-219.CrossRefPubMedPubMedCentral
17.
go back to reference Teixeira EG, Menzies D, Cunha AJ, Luiz RR, Ruffino-Netto A, Scartozzoni MS, Portela P, Trajman A: Knowledge and practices of medical students to prevent tuberculosis transmission in Rio de Janeiro, Brazil. Rev Panam Salud Publica. 2008, 24: 265-270. 10.1590/S1020-49892008001000006.CrossRefPubMed Teixeira EG, Menzies D, Cunha AJ, Luiz RR, Ruffino-Netto A, Scartozzoni MS, Portela P, Trajman A: Knowledge and practices of medical students to prevent tuberculosis transmission in Rio de Janeiro, Brazil. Rev Panam Salud Publica. 2008, 24: 265-270. 10.1590/S1020-49892008001000006.CrossRefPubMed
18.
go back to reference Woith W1, Volchenkov G, Larson J: Barriers and motivators affecting tuberculosis infection control practices of Russian health care workers. Int J Tuberc Lung Dis. 2012, 16: 1092-1096. 10.5588/ijtld.10.0779.CrossRefPubMedPubMedCentral Woith W1, Volchenkov G, Larson J: Barriers and motivators affecting tuberculosis infection control practices of Russian health care workers. Int J Tuberc Lung Dis. 2012, 16: 1092-1096. 10.5588/ijtld.10.0779.CrossRefPubMedPubMedCentral
19.
go back to reference Kizub D, Ghali I, Sabouni R, Bourkadi JE, Bennani K, El Aouad R, Dooley KE: Qualitative study of perceived causes of tuberculosis treatment default among health care workers in Morocco. Int J Tuberc Lung Dis. 2012, 16: 1214-1220. 10.5588/ijtld.11.0626.CrossRefPubMed Kizub D, Ghali I, Sabouni R, Bourkadi JE, Bennani K, El Aouad R, Dooley KE: Qualitative study of perceived causes of tuberculosis treatment default among health care workers in Morocco. Int J Tuberc Lung Dis. 2012, 16: 1214-1220. 10.5588/ijtld.11.0626.CrossRefPubMed
20.
go back to reference Ailinger RL, Moore JB, Nguyen N, Lasus H: Adherence to latent tuberculosis infection therapy among latino immigrants. Public Health Nurs. 2006, 23: 307-313. 10.1111/j.1525-1446.2006.00566.x.CrossRefPubMed Ailinger RL, Moore JB, Nguyen N, Lasus H: Adherence to latent tuberculosis infection therapy among latino immigrants. Public Health Nurs. 2006, 23: 307-313. 10.1111/j.1525-1446.2006.00566.x.CrossRefPubMed
22.
go back to reference Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, Fineberg H, Garcia P, Ke Y, Kelley P, Kistnasamy B, Meleis A, Naylor D, Pablos-Mendez A, Reddy S, Scrimshaw S, Sepulveda J, Serwadda D, Zurayk H: Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010, 376: 1923-1958. 10.1016/S0140-6736(10)61854-5.CrossRefPubMed Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, Fineberg H, Garcia P, Ke Y, Kelley P, Kistnasamy B, Meleis A, Naylor D, Pablos-Mendez A, Reddy S, Scrimshaw S, Sepulveda J, Serwadda D, Zurayk H: Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010, 376: 1923-1958. 10.1016/S0140-6736(10)61854-5.CrossRefPubMed
23.
go back to reference Laurenti P, Federico B, Raponi M, Furia G, Ricciardi W, Damiani G: Knowledge, experiences, and attitudes of medical students in Rome about tuberculosis. Med SciMonit. 2013, 19: 865-874. Laurenti P, Federico B, Raponi M, Furia G, Ricciardi W, Damiani G: Knowledge, experiences, and attitudes of medical students in Rome about tuberculosis. Med SciMonit. 2013, 19: 865-874.
24.
go back to reference D’Alessandro D, Agodi A, Auxilia F, Brusaferro S, Calligaris L, Ferrante M, Montagna MT, Mura I, Napoli C, Pasquarella C, Righi E, Rossini A, Semeraro V, Tardivo S, GISIO: Prevention of healthcare associated infections: medical and nursing students’ knowledge in Italy. Nurse Educ Today. 2014, 34: 191-195. 10.1016/j.nedt.2013.05.005.CrossRefPubMed D’Alessandro D, Agodi A, Auxilia F, Brusaferro S, Calligaris L, Ferrante M, Montagna MT, Mura I, Napoli C, Pasquarella C, Righi E, Rossini A, Semeraro V, Tardivo S, GISIO: Prevention of healthcare associated infections: medical and nursing students’ knowledge in Italy. Nurse Educ Today. 2014, 34: 191-195. 10.1016/j.nedt.2013.05.005.CrossRefPubMed
Metadata
Title
Knowledge about tuberculosis among undergraduate health care students in 15 Italian universities: a cross-sectional study
Authors
Maria Teresa Montagna
Christian Napoli
Silvio Tafuri
Antonella Agodi
Francesco Auxilia
Beatrice Casini
Maria Franca Coscia
Marcello Mario D’Errico
Margherita Ferrante
Angelo Fortunato
Cinzia Germinario
Domenico Martinelli
Giuseppe Michele Masanotti
Maria Fatima Massenti
Gabriele Messina
Paolo Montuori
Ida Mura
Giovanni Battista Orsi
Alessia Quaranta
Giovanni Sotgiu
Armando Stefanati
Stefano Tardivo
Maria Valeria Torregrossa
Anna Maria Tortorano
Licia Veronesi
Raffaele Zarrilli
Cesira Pasquarella
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-970

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