Niveau de préparation du personnel non spécialisé en dermatologie à la prise en charge des dermatoses courantes

Laurent Eric ENGOLA TSANGA
internal medicine, Yaounde 1, faculty of medicine and biomedical sciences
September, 2015
 

Abstract

Introduction: Dermatological pathology is frequent in general medicine. In Cameroon, specialists in dermatology are generally rare; people who are not specialized in dermatology are therefore regularly called to take care of dermatological pathologies. It is in this line that this work sets out to assess twelve health centers of the city of Yaoundé and its surroundings, the level of preparation of the non-specialized medical personnel in taking care of common dermatoses.
Methodology: This transverse study used a descriptive approach in twelve health centers which do not offer specialized dermatological consultation in Yaounde and its surroundings. Participants were selected during a period from February 2015 to May 2015.
We included all non-specialized health personnel in dermatology faced with common dermatoses, recommending or providing counselling in each of the retained health centers, whatever the professional experience, the work area and having given their informed consent. Data collection was done with the help of self-administered and anonymous questionnaires.
Results: Among the 101 non specialized personnel recruited, 38 were male and 63 female for a sex-ratio of m/f of 0.6. The most represented age range was 25-30 years and 31-35years with an average of 34.59 ± 6.56. Nurses had the highest number (57/101) and professional experience had an average between 5-15 years. Within this sample, 53.47% (54/101) of the people investigated seem not to have received any initial training in dermatology. Also, only 14.85% of the people investigated (15/101) had access to a continuous training in caring for common dermatoses. In general, the level of knowledge between the sample on common dermatoses explored was poor (74%) and inadequate (25%).
From a practical point of view, the knowledge of non-specialized personnel about dermatology was weak (54%) and inadequate (39%). There is a significant correlation between knowledge and access to initial training or continuous training. Within the medical centers, 93.10% (94/101) of non-specialized personnel in dermatology admitted not having any algorithm in care taking, 52.47% (53/101) said they had some apprehensions about cases of common dermatoses and only 6.93% (7/101) reported the effectiveness of retro-information in case of reference to a dermatologist.
Conclusion:the level of preparation of non-specialized dermatology personnel in taking care of common dermatoses is generally poor. It is therefore necessary to rebuild capacities in common dermatoses management.


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