Knowledge, Attitude and Practice of General Practitioners in Bujumbura Regarding Stroke

Document Type : Original research articles

Authors

1 Department of Neurology, Medicine Faculty of Bujumbura, University of Burundi, Bujumbura, Burundi.

2 Department of Pneumology, Medicine Faculty of Bujumbura, University of Burundi, Bujumbura, Burundi.

3 Department of Internal Medicine, Medicine Faculty of Bujumbura, University of Burundi, Bujumbura, Burundi.

4 Department of neurology, Medicine Faculty of Bujumbura, University of Burundi, Bujumbura, Burundi.

Abstract

The objective of this study was to evaluate the knowledge, attitudes, and practices of general practitioners in Bujumbura City regarding stroke. This was a cross-sectional and descriptive study that was conducted over a period of 4 months. Data were collected using a questionnaire, then entered and analyzed on the computer using Epi-info software version 7.2.2.6. The median age of the general practitioners surveyed was 34.73 years, with a male predominance of 77.62%. Their average knowledge of stroke was 38.40%. None of the general practitioners had ever had continuing education on stroke, and 97.90% proposed only the brain scan as a diagnostic examination. Only 7.69% complied with blood pressure targets when prescribing antihypertensive drugs for ischemic stroke. Deglutination disorders were considered by only 15.38% of general practitioners to authorize oral feeding. The National Institutes of Health Stroke Scale (NIHSS) score was used by 52.45% of the general practitioners although 97.20% felt that stroke was an absolute emergency. Thus, 94.41% showed difficulties in managing stroke patients, so that 66.00% considered that stroke management in Burundi is poor. In conclusion, the knowledge and practices of general practitioners in Bujumbura regarding stroke were not satisfactory, although their attitude was positive.

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