Work

Knowledge about Chagas disease among Primary Health Care professionals in a municipality located in northeastern Brazil

Year: 2026

Type: article

Abstract: Knowledge about Chagas disease (CD) among health professionals is essential to control this public health problem. The objective was to evaluate the knowledge about CD among these professionals. A descriptive cross-sectional study was conducted between April and September 2023, in the city of Irecê, Bahia State, Brazil. Data were collected using a standardized questionnaire and analyzed descriptively. Of the 257 participants, 226 (87.9%) claimed to know the etiological agent, although only 173 (76.5%) recognized it as a protozoan. Regarding the modes of transmission, all workers recognized the vector-borne route, but only 102 (39.7%) identified the vertical route. The majority of workers identified the heart as the affected organ (n = 255; 99.2%). The most identified signs/symptoms in the acute phase were fever (n = 196; 76.6%) and edema (n = 218; 85.2%); in chronic cases, it was recognized that they can be asymptomatic, but the majority recognized that electrocardiographic changes and congestive heart failure may be present. Regarding etiological treatment, 175 (72.0%) acknowledged its existence, but 122 (65.9%) could not state the recommended medication; and for 189 (73.5%), CD is incurable. Regarding the vector insect, 210 (82.0%) reported knowing it. Concerning the service to which located triatomine bugs should be sent, 165 (65.7%) identified the Zoonoses Control Center, and that the precaution to be taken when handling triatomine bugs was to protect their hands; for 234 (91.8%) of the participants, the procedure in case of a triatomine bite in humans was to perform serological tests, and 243 (94.6%) had never had access to information about CD. The health workers' knowledge about CD was incipient and differed among occupational categories. For accurate surveillance of CD, training should be offered to health professionals, covering everything from signs/symptoms to the investigation of household and entomological contacts.

Source: PLoS neglected tropical diseases

DOI: 10.1371/journal.pntd.0014000