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Study And Comparison The Knowledge Of Medical And Public Health Students About Control And Treatment Of Tb With Dots Strategy

1094 words - 5 pages

Introduction
Tuberculosis (TB) is one of the oldest diseases known to mankind, that despite the great achievements of human society still remains a major health problem. Because due to the socioeconomic problems and negligence in the treatment of tuberculosis, as well as HIV epidemy, in many countries there are a large number of smear positive patients often remain undiagnosed. On the other hand, patients' failure to visit a physician after initiation of complaints, Lack of timely diagnosis and treatment by a physician, inadequate treatment, improper administration of anti-TB drugs, patients' financial problems in preparing medications, and patients' inadequate information about their disease status and discontinuation the medication can lead to the creation of drug-resistant cases of TB. Since 1993, World Health Organization has accepted the Directly Observed Treatment, Short course (DOTS) as a global strategy for TB control. It is estimated that each year about 10-8 million people become infected with TB and 3-2 million people die annually due to this disease. The World Health Organization has declared tuberculosis a global emergency and has recommended efforts to control the disease. Tuberculosis is considered as an endemic and common disease in east mediterranean countries. Because of Iran proximity to Pakistan and Afghanistan (which are among most contaminated regions in the world), our country is at serious risk of this disease. TB epidemiological indicators are: annual infection rate, the incidence of disease, rate of complete cure, rate of relapse or treatment failure and drug resistance rate. These rates vary in different regions and cities. Several factors are involved in this issue. One of them can be the knowledge and attitude of health care professionals (physician - health expert) about this disease. Experts believe that one of the most important and useful measures in the fight against diseases at different levels is health education and promotion of public medical and health science. Any plans for educational content in health depends on understanding and knowing educational needs of the audience. Considering the difficulties in treating resistant TB, identification of the medical students' knowledge as future doctors and public health students' knowledge as tuberculosis experts who will deal with the public directly, seems important. 1-9
In the Statute of of medical colleges, matching the content of the educational programs with the health care needs of the country, is announced as one of the goals of establishment of those universities. 10 In a study conducted by Fadaii Zadeh about tuberculosis, 73.5% of the 808 questionnaires completed by the public learned aboutTB, and 81% were aware of its symptoms correctly. 61% of 15 Prevention and care technicians had correct information, 68% had correct attitude and 100% had correct operation. In the physicians group, only 26% of studied individuals had correct information about national...

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