Dengue fever awareness: effect of an educational intervention on nursing students, Tanta, Egypt

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Dengue fever awareness: effect of an educational intervention on nursing students, Tanta, Egypt Abdelaziz F. Aldeib, MD 1 & Shimaa M. Saied, MD 1 Received: 15 February 2019 / Accepted: 21 January 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Dengue fever (DF) is one of the world’s most important vector-borne illnesses. In 2017, Egypt experienced a dengue outbreak. This study aimed to assess the knowledge and attitudes of nursing students regarding DF and the effectiveness of an education intervention to improve students’ knowledge and attitude. An intervention study was conducted among 4th year nursing students of Tanta Faculty of Nursing using a self-administered predesigned validated questionnaire before and after introducing an educational session. The main DF information sources were formal teaching, social networks, television, and physicians. Less than half of the students (45.5%) had “good” knowledge grade after the intervention compared with only 7.2% in the pre-test. The students’ knowledge and attitude improved after the application of the intervention session. The positive impact of the educational intervention on knowledge and attitude regarding DF and its prevention among the target group revealed the importance of the inclusion of teaching materials about DF into the students’ curricula. Keywords Dengue fever . Awareness . Nursing students . Educational intervention . Tanta . Egypt

Introduction Dengue is an acute febrile illness, which is caused by a virus of the group Flavi virus. It is a mosquito-transmitted disease usually found in tropical and sub-tropical countries worldwide, mostly in urban and semi-urban areas. Dengue fever is progressively recognized as one of the world’s re-emerging infectious diseases (Srinivasa et al. 2018). Four antigenically different serotypes are currently recognized; DEN 1, DEN 2, DEN 3, and DEN 4 (Dash et al. 2006). The clinical manifestations range from a mild acute febrile illness, nonspecific and benign, to a severe and fatal hemorrhagic disease with shock (Mondini and Chiaravalloti Neto 2007; Simmons et al. 2012; WHO 2017). Most of the cases present as classic dengue fever disease without hemorrhagic manifestations (WHO 2017). Several risk Responsible editor: Philippe Garrigues * Shimaa M. Saied, MD [email protected]; [email protected] Abdelaziz F. Aldeib, MD [email protected] 1

Public Health and Community Medicine Department, Faculty of Medicine, Tanta University, Tanta 31527, Egypt

factors are behind the resurgence of the disease and its vector including rapid population growth, migration, air travel, inadequate urbanization, increased international trade, poor functioning of health systems, and declining vector control programs (Ebi and Nealon 2016). Risk factors for severe cases of the disease are the serotype strain of the infecting virus, genetics of the patient, the immune status, and previous infection by another serotype of the disease and the concurrenc