2019-novel coronavirus survey: knowledge and attitudes of hospital staff of a large Italian teaching hospital

Main Article Content

Matteo Moro
Giacomo Pietro Vigezzi
Michele Capraro
Anna Biancardi
Paola Nizzero
Carlo Signorelli
Anna Odone

Keywords

2019-novel coronavirus, COVID-19, healthcare workers, knowledge and attitudes, infection control and prevention measures, emergency preparedness

Abstract

One week after the World Health Organization (WHO) declared the 2019 novel coronavirus (2019-nCoV) outbreak a global health emergency we conducted a survey to explore knowledge and attitudes on 2019-nCoV, recently renamed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), in a large cohort of hospital staff. A representative sample of 2,046 hospital staff of a large university hospital in northern Italy (54% healthcare workers and 46% administrative staff, overall response rate: 25%) was administered an online questionnaire: overall there is good knowledge on 2019-nCoV control measures. The mean of correct answers for questions on general aspects of 2019-nCoV epidemic was 71.6% for HCWs and 61.2% for non-HCWs. The mean of correct answers for questions on 2019-nCoV patient management was 57.8% among HCWs. Nevertheless, on recommended precautions, also among healthcare workers there is still much to do in order to promote effective control measures and correct preventive behaviours at the individual level

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References

1. Gorbalenya AE. Severe acute respiratory syndrome-related coronavirus – The species and its viruses, a statement of the Coronavirus Study Group. bioRxiv. 2020 Feb 11;2020.02.07.937862.
2. [Internet]. Ensuring an Infectious Disease Workforce: Education and Training Needs for the 21st Century: Workshop Summary 2006. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21850783
3. Nishiura, Jung, Linton, Kinoshita, Yang, Hayashi, et al. The Extent of Transmission of Novel Coronavirus in Wuhan, China, 2020. J Clin Med [Internet]. 2020 Jan 24 [cited 2020 Feb 7];9(2):330. Available from: https://www.mdpi.com/2077-0383/9/2/330
4. Situation reports [Internet]. [cited 2020 Feb 7]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/
5. Current risk assessment on the novel coronavirus situation, 13 February 2020 [Internet]. [cited 2020 Feb 14]. Available from: https://www.ecdc.europa.eu/en/current-risk-assessment-novel-coronavirus-situation
6. Travel advice [Internet]. [cited 2020 Feb 7]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/travel-advice
7. Technical guidance [Internet]. [cited 2020 Feb 7]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance
8. Q&A on coronaviruses [Internet]. [cited 2020 Feb 7]. Available from: https://www.who.int/news-room/q-a-detail/q-a-coronaviruses
9. FAQ - Infezione da coronavirus 2019-nCoV [Internet]. [cited 2020 Feb 7]. Available from: http://www.salute.gov.it/portale/nuovocoronavirus/dettaglioFaqNuovoCoronavirus.jsp?lingua=italiano&id=228
10. Circolari e ordinanze [Internet]. [cited 2020 Feb 7]. Available from: http://www.salute.gov.it/portale/nuovocoronavirus/archivioNormativaNuovoCoronavirus.jsp
11. Trova Norme & Concorsi - Normativa Sanitaria [Internet]. [cited 2020 Feb 7]. Available from: http://www.trovanorme.salute.gov.it/norme/dettaglioAtto?id=72991&completo=true
12. [Internet]. [cited 2020 Feb 14]. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200202-sitrep-13-ncov-v3.pdf?sfvrsn=195f4010_6
13. Ippolito G, Puro V, Heptonstall J. Hospital preparedness to bioterrorism and other infectious disease emergencies [Internet]. Vol. 63, Cellular and Molecular Life Sciences. 2006 [cited 2020 Feb 7]. p. 2213–22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16964581
14. Ensuring an Infectious Disease Workforce. Ensuring an Infectious Disease Workforce. National Academies Press; 2006.
15. Agaba GO, Kyrychko YN, Blyuss KB. Mathematical model for the impact of awareness on the dynamics of infectious diseases. Math Biosci [Internet]. 2017 Apr 1 [cited 2020 Feb 7];286:22–30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28161305
16. Rai RK, Misra AK, Takeuchi Y. Modeling the impact of sanitation and awareness on the spread of infectious diseases. Math Biosci Eng [Internet]. 2019 [cited 2020 Feb 7];16(2):667–700. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30861661
17. Parmeggiani C, Abbate R, Marinelli P, Angelillo IF. Healthcare workers and health care-associated infections: Knowledge, attitudes, and behavior in emergency departments in Italy. BMC Infect Dis [Internet]. 2010 Feb 23 [cited 2020 Feb 7];10:35. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20178573
18. Olalekan Adebimpe W, Adebimpe WO, Olalekan Adebimpe W. Knowledge, Attitude, and Practice of Use of Safety Precautions Among Health Care Workers in a Nigerian Tertiary Hospital, 1 Year After the Ebola Virus Disease Epidemic. Ann Glob Heal [Internet]. 2017 Mar 8 [cited 2020 Feb 7];82(5):897. Available from: https://annalsofglobalhealth.org/articles/10.1016/j.aogh.2016.07.004
19. Gianfredi V, Bragazzi NL, Nucci D, Zanella F, Martinelli D, Camilloni B, et al. Design and validation of a self-administered questionnaire to assess knowledge, attitudes and behaviours about Zika virus infection among general population in Italy. A pilot study conducted among Italian residents in public health. Epidemiol Biostat Public Heal. 2017;14(4):e12662-1-e12662-8.
20. Transmission of Novel Coronavirus (2019-nCoV) | CDC [Internet]. [cited 2020 Feb 14]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/about/transmission.html
21. Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. N Engl J Med [Internet]. 2020 Jan 29 [cited 2020 Feb 7]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/31995857
22. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan , China. Lancet [Internet]. 2020 [cited 2020 Feb 7];6736(20):1–10. Available from: https://doi.org/10.1016/ S0140-6736(20)30183-5
23. Fuk-Woo Chan J, Yuan S, Kok K-H, Kai-Wang To K, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet [Internet]. 2020 [cited 2020 Feb 7]; Available from: https://doi.org/10.1016/S0140-6736
24. Symptoms of Novel Coronavirus (2019-nCoV) | CDC [Internet]. [cited 2020 Feb 14]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/about/symptoms.html
25. Rothe C, Schunk M, Sothmann P, Bretzel G, Froeschl G, Wallrauch C, et al. Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany. N Engl J Med [Internet]. 2020 Jan 30 [cited 2020 Feb 7];NEJMc2001468. Available from: http://www.nejm.org/doi/10.1056/NEJMc2001468
26. Covid-19 - Situazione in Italia e nel mondo [Internet]. [cited 2020 Feb 14]. Available from: http://www.salute.gov.it/portale/nuovocoronavirus/dettaglioContenutiNuovoCoronavirus.jsp?lingua=italiano&id=5338&area=nuovoCoronavirus&menu=vuoto
27. Advice for public [Internet]. [cited 2020 Feb 14]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
28. Risk communication and community engagement (RCCE) readiness and response to the 2019 novel coronavirus (‎‎2019-nCoV)‎‎ [Internet]. [cited 2020 Feb 7]. Available from: https://www.who.int/publications-detail/risk-communication-and-community-engagement-readiness-and-initial-response-for-novel-coronaviruses-(-ncov)
29. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected [Internet]. [cited 2020 Feb 7]. Available from: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125
30. Patient management [Internet]. [cited 2020 Feb 14]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/patient-management
31. Gianfredi V, Grisci C, Nucci D, Parisi V, Moretti M. Communication in health. Vol. 109, Recenti Progressi in Medicina. Il Pensiero Scientifico Editore s.r.l.; 2018. p. 374–83.
32. Gianfredi V, Nucci D, Salvatori T, Orlacchio F, Villarini M, Moretti M, et al. “PErCEIVE in Umbria”: evaluation of anti-influenza vaccination’s perception among Umbrian pharmacists. J Prev Med Hyg [Internet]. 2018 Mar [cited 2020 Mar 10];59(1):E14–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29938235