602. Knowledge Attitude and Practice (KAP) on Ebola Virus Disease (EVD) among Health Care Workers (HCWs) from the Lyon Teaching Hospitals, France.
Session: Poster Abstract Session: Oh One World: Infections from Near and Far
Thursday, October 27, 2016
Room: Poster Hall

Background: Lyon teaching hospital is one of the 10 French reference centers habilitated to manage highly transmissible and emergent infectious diseases.

Methods: KAP of HCWs on EVD was assessed 6 monthes after the end of the Ebola alert using standardized questionnaires mailed to the 242 HCWs who attended at least one of the different theoretical and practical trainings organized in 2014. Five-items questions (each scored 5 points) assessed different aspects of KAP on EVD, including virus knowledge, disease transmission, case definition, initial management of a possible case, preventive measures, personal protective equipment (PPE) downing and doffing, waste management and environmental cleaning. Scores were compared according to the type of training the responders had attended to.

Results: Overall response rate was 34.7% (84/242), mainly from the emergency (38%), infectious disease (18%) and gynecology-obstetric (13%) departments. Responders were mainly registered nurses (49%), medicalized transportation HCWs (14%), midwives (14%), carers (12%), and medical doctors (8%). 204 HCWs (84%) participated in specific PPE downing and doffing training(s), 79 (94%) in theoretical training(s), 68 (81%) in a practical exercise and 15 (18%) in a simulation exercise. 36% had to manage an EVD suspected case. Median score ranged from 3 [IQR, 3-4] for virus knowledge to 5 [IQR, 4-5] for PPE downing and environmental cleaning. HCWs who had participated to a real suspected case management (Fig 1) or simulation (Fig 2) obtained significantly higher scores regarding practical aspects of EVD management, including initial management, patient isolation, PPE downing and doffing, and waste management (Mann Whitney U-test; P<0.05). On the opposite, multiplication of theoretical trainings did not improve HCW KAP on EVD (Fig 3).

Conclusion: Our survey demonstrates apparent lack of knowledge regarding various aspects of EVD in HCWs, despite multiple theoretical training sessions. On the opposite, patient case management simulation appears to have an important positive impact of HCWs KAP on EVD.  

Fig 1. HCWs score according to the participation to a real EVD suspected case

Fig 2. HCWs score according to the attendance to a patient case management simulation

Fig 3. HCWs score according to the number of attendance to theoretical trainings (1 or ≥2)

Thomas Perpoint, MD1, Florent Valour, MD, PhD2, Solweig Gerbier-Colomban, MD1, Vincent Ronin, MD3, Veronique Potinet, MD4, Monique Bourjault, RN4, Pascale Bellin, RN3, Christine Arcuset, RN3, Jean-Baptiste Le Loch, MD3, Sylvie Dardel, Mrs3, Audrey Martin, Mrs3, Jean-Claude Teoli, Mr3, Thomas Benet, MD5, Florence Ader, MD, PhD2, Tristan Ferry, MD, PhD6 and Christian Chidiac, MD, PhD7, (1)Hospices Civils de Lyon, Lyon, France, (2)ID Department, Regional Reference Center for Bji, Hospices Civils de Lyon, Lyon, France, (3)HCL, LYON, France, (4)HCL, Lyon, France, (5)International Center for Infectiology Research (CIRI), Laboratory of Emerging Pathogens, UCBL1, Lyon, France, (6)Inserm 1111, UCBL1, Hospices Civils de Lyon, Lyon, France, (7)Inserm U1111, UCBL1, Hospices Civils de Lyon, Lyon, France

Disclosures:

T. Perpoint, None

F. Valour, None

S. Gerbier-Colomban, None

V. Ronin, None

V. Potinet, None

M. Bourjault, None

P. Bellin, None

C. Arcuset, None

J. B. Le Loch, None

S. Dardel, None

A. Martin, None

J. C. Teoli, None

T. Benet, None

F. Ader, None

T. Ferry, None

C. Chidiac, None

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