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Table 5 Knowledge-Based Questions (n = 76)

From: Knowledge, attitudes, and practices regarding dengue infection among public sector healthcare providers in Machala, Ecuador

Question Correct response n (%) with correct response
1. How is dengue spread? Aedes mosquito 75 (99 %)
2. At what time of day are people most likely to be infected by dengue? Any answer other than “Night” 57 (75 %)
3. Which of the dengue serotypes have been found in Ecuador? DENV 1–4 are all present  
- Note: 0.25 point given per correct answer, with a total of 1 point available DENV 1 54 (71 %)
DENV 2 54 (71 %)
DENV 3 48 (63 %)
DENV 4 34 (45 %)
4. What advice do you give your patients to prevent dengue infection?
- Note: Question is worth a total of 2 points
- 0.25 point given per correct answer, with a maximum of 1 point. Column to the right indicates the n (%) of respondents receiving
- 1 point given for not selecting “Take Paracetamol”
1. Frequently change the water in flower vases 66 (87 %)
2. Remove containers that accumulate clean water 69 (91 %)
3. Eliminate tanks or puddles with stagnant water 55 (72 %)
4. Keep drinking water containers (cisterns, tanks) tightly closed 67 (88 %)
Did not select “Take Paracetamol” 54 (71 %)
5. Which group of patients should be hospitalized?
- Note: Each response is worth 1 point. Question is worth a total of 4 points
- If the answer is correctly selected, the respondent gains 1 point
- If the answer is correctly left blank, the respondent gains 1 point
- Responses that are correct are marked here as (T) and if incorrect are marked as (F)
1. Dengue without warning signs (F) 76 (100 %)
2. Dengue without warning signs but with comorbidities (T) 17 (22 %)
3. Dengue with warning signs (T) 59 (78 %)
4. Severe dengue (T) 58 (76 %)
Percent answering all 4 correctly 15 (20 %)
6. According to the WHO’s 2010 Clinical Management of Dengue guidebook, what signs and symptoms can be used to identify an infection of dengue without alarm signs? Correct Responses n (%) selecting response
- Note: Question is worth 1 point
- Each response is worth 1/19 point, which is given for either correctly selecting a true response or correctly leaving a false response blank
Headache 59 (78 %)
Muscle pain 60 (79 %)
Retro-orbital pain 62 (82 %)
Positive tourniquet test 45 (59 %)
Fever/subjective warmth 64 (84 %)
Petechial rash 33 (43 %)
Vomit 25 (33 %)
Incorrect  
Ascites 1 (1 %)
Constipation 5 (7 %)
Diarrhea 10 (13 %)
Dyspnea 3 (4 %)
Dysuria 2 (3 %)
Chest pain 1 (1 %)
Edema 2 (3 %)
Icterus 1 (1 %)
Lymphadenitis 3 (4 %)
Nasal secretions 11 (14 %)
Persistent cough 3 (4 %)
Thrombocytopenia 15 (22 %)
7. Select any the treatments you could use in a patient suspected to have dengue Oral Hydration 70 (92 %)
- Note: Question is worth 1 point
- 0.5 points given for hydration (either oral and/or IV) and 0.5 points given for paracetamol. Recipient is given 0 points if anti-bacterial or anti-viral medication is selected
IV Hydration 12 (16 %)
Paracetamol 71 (93 %)
Anti-bacterial 1 (1 %)
Anti-viral 1 (1 %)
Any of the following (listed individually in survey): Aspirin, NSAIDs/Steroids/Immunosuppressants (methotrexate, cyclosporine, etc.)/Opioids/Platelets/Plasma/Whole blood transfusion 0 (0 %)
  1. Note: One point given per question, unless otherwise specified