{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T13:25:59Z","timestamp":1781702759357,"version":"3.54.5"},"reference-count":48,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","license":[{"start":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T00:00:00Z","timestamp":1730851200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,6]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>The objective of this study was to evaluate the knowledge level and perception of dengue fever management among Peruvian physicians and to determine the factors associated with higher knowledge. We conducted an analytical cross-sectional study based on an online survey. To evaluate the factors associated with a high level of knowledge (\u226570% of correct answers), we used crude (cPR) and adjusted (aPR) prevalence ratios by the Poisson regression model. Of 359 respondents (median age: 33\u2009years; male: 56.5%), 78.8% achieved a high level of knowledge. Multivariable analysis showed an independent association with having read the Peruvian clinical practice guidelines for dengue management (aPR: 1.29; 95% CI: 1.12\u20131.49), having experience in treating patients (aPR: 1.32; 95% CI: 1.03\u20131.68), and having treated cases frequently (aPR: 1.22; 95% CI: 1.02\u20131.46). Residing in the eastern macroregion (aPR: 0.83; 95% CI: 0.71\u20130.97) was associated with a low level of knowledge. In conclusion, Peruvian physicians had a high level of knowledge about dengue fever. This was associated with having clinical experience in dengue management. However, given the low level of knowledge in the eastern macroregion, educational campaigns are necessary in this area.<\/jats:p>","DOI":"10.4269\/ajtmh.23-0794","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T14:29:18Z","timestamp":1724768958000},"page":"1082-1092","source":"Crossref","is-referenced-by-count":4,"title":["Knowledge and Perceptions about Diagnosis, Clinical Management, and Prevention of Dengue Fever among Physicians during the 2023 Outbreak: A Cross-Sectional Study in Peru"],"prefix":"10.4269","volume":"111","author":[{"given":"Julieta M.","family":"Araoz-Salinas","sequence":"first","affiliation":[{"name":"Peruvian American Medical Society. Albuquerque, New Mexico;"},{"name":"Universidad Nacional Mayor de San Marcos, Lima, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brando","family":"Ortiz-Saavedra","sequence":"additional","affiliation":[{"name":"Peruvian American Medical Society. Albuquerque, New Mexico;"},{"name":"Red de Salud Arequipa\u2014Caylloma, Arequipa, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anderson N.","family":"Soriano-Moreno","sequence":"additional","affiliation":[{"name":"Clinical and Epidemiological Research Unit, School of Medicine, Universidad Peruana Uni\u00f3n, Lima, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mart\u00edn E.","family":"Reategui-Garcia","sequence":"additional","affiliation":[{"name":"Sociedad Cient\u00edfica de Estudiantes de Medicina de la Amazon\u00eda Peruana (SOCIEMAP), Universidad Nacional de la Amazon\u00eda Peruana, Iquitos, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Quispe-Vicu\u00f1a","sequence":"additional","affiliation":[{"name":"Sociedad Cient\u00edfica de San Fernando, Lima, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Murrieta-Ruiz","sequence":"additional","affiliation":[{"name":"Sociedad Cient\u00edfica de Estudiantes de Medicina de la Amazon\u00eda Peruana (SOCIEMAP), Universidad Nacional de la Amazon\u00eda Peruana, Iquitos, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham","family":"De-Los-Rios-Pinto","sequence":"additional","affiliation":[{"name":"Escuela Profesional de Medicina Humana, Universidad Nacional de San Antonio Abad del Cusco, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raysa M.","family":"Benito-Vargas","sequence":"additional","affiliation":[{"name":"Escuela Profesional de Medicina Humana, Universidad Nacional de San Antonio Abad del Cusco, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucero","family":"Sangster-Carrasco","sequence":"additional","affiliation":[{"name":"Universidad Peruana de Ciencias Aplicadas, Lima, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelia","family":"Morocho-Alburqueque","sequence":"additional","affiliation":[{"name":"Universidad Nacional de Piura, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Ponce-Rosas","sequence":"additional","affiliation":[{"name":"Peruvian American Medical Society. Albuquerque, New Mexico;"},{"name":"Department of Medicine, Hamilton Medical Center, Dalton, Georgia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Alave","sequence":"additional","affiliation":[{"name":"Departamento de Medicina, Facultad de Medicina, Universidad Peruana Uni\u00f3n, Lima, Peru;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose A.","family":"Gonzales-Zamora","sequence":"additional","affiliation":[{"name":"Peruvian American Medical Society. Albuquerque, New Mexico;"},{"name":"Division of Infectious Diseases, Department of Medicine, Miller School of Medicine, University of Miami, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","year":"2023"},{"key":"b2","year":"2023"},{"key":"b3","year":"2023"},{"key":"b4","series-title":"Lancet Infect Dis","first-page":"e339","article-title":"Dengue outbreak in Peru affects adults and children","volume":"23","author":"Bagcchi","year":"2023"},{"key":"b5","year":"2023"},{"key":"b6","year":"2023"},{"key":"b7","year":"2023"},{"key":"b8","series-title":"Am J Trop Med Hyg","first-page":"328","article-title":"Factors associated with dengue mortality in Latin America and the Caribbean, 1995\u20132009: An ecological study","volume":"86","author":"Waldman","year":"2012"},{"key":"b9","series-title":"Trop Med Health","first-page":"21","article-title":"Risk perceptions, attitudes, and knowledge of chikungunya among the public and health professionals: A systematic review","volume":"45","author":"Corrin","year":"2017"},{"key":"b10","series-title":"Southeast Asian J Trop Med Public Health","first-page":"858","article-title":"The impact of a program for strengthening dengue hemorrhagic fever case management on the clinical outcome of dengue hemorrhagic fever patients","volume":"41","author":"Mayurasakorn","year":"2010"},{"key":"b11","series-title":"PLoS Negl Trop Dis","first-page":"e0004916","article-title":"Dengue contingency planning: From research to policy and practice","volume":"10","author":"Runge-Ranzinger","year":"2016"},{"key":"b12","series-title":"Rev Cuerpo Med HNAAA","first-page":"214","article-title":"Factores asociados al nivel de conocimiento en diagn\u00f3stico y tratamiento del dengue en m\u00e9dicos del Primer Nivel de Atenci\u00f3n de la Regi\u00f3n Lambayeque","volume":"9","author":"Paico-Romero","year":"2019"},{"key":"b13","series-title":"Rev Med Panacea","first-page":"6","article-title":"Level of knowledge about dengue in health personnel of the first-level healthcare in Ica, 2016","volume":"6","author":"Miranda Sober\u00f3n","year":"2017"},{"key":"b14","series-title":"BMJ","first-page":"1431","article-title":"Peru\u2019s health minister resigns as country reels from worst dengue outbreak in history","volume":"381","author":"Taylor","year":"2023"},{"key":"b15","series-title":"BMJ Open","first-page":"e071236","article-title":"Sociodemographic factors associated to knowledge and attitudes towards dengue prevention among the Peruvian population: Findings from a national survey","volume":"13","author":"Fernandez-Guzman","year":"2023"},{"key":"b16","year":"2023"},{"key":"b17","year":"2023"},{"key":"b18","year":"2023"},{"key":"b19","year":"2017"},{"key":"b20","series-title":"BMC Infect Dis","first-page":"1130","article-title":"Survey of knowledge, attitude and practice of healthcare professionals on dengue transmission, diagnosis and clinical classification","volume":"21","author":"Giang","year":"2021"},{"key":"b21","series-title":"Braz J Biol","first-page":"e244966","article-title":"Knowledge, attitude and practices regarding dengue and its vector among medical practitioners in Malakand region, Pakistan","volume":"83","author":"Khan","year":"2023"},{"key":"b22","author":"Kaliyaperumal","year":"2004"},{"key":"b23","series-title":"Front Public Health","first-page":"181","article-title":"Coronavirus disease-2019: Knowledge, attitude, and practices of health care workers at Makerere University Teaching Hospitals, Uganda","volume":"8","author":"Olum","year":"2020"},{"key":"b24","year":"2023"},{"key":"b25","series-title":"BMC Med Educ","first-page":"124","article-title":"Knowledge, attitudes, and practices of Florida physicians regarding dengue before and after an educational intervention","volume":"16","author":"Doblecki-Lewis","year":"2016"},{"key":"b26","series-title":"BMC Res Notes","first-page":"43","article-title":"Healthcare workers knowledge and diagnostic practices: A need for dengue and chikungunya training in Moshi Municipality, Kilimanjaro Tanzania","volume":"12","author":"Saringe","year":"2019"},{"key":"b27","series-title":"Behav Sci (Basel)","first-page":"105","article-title":"Assessment of knowledge, attitudes, and practices regarding dengue among physicians: A web-based cross-sectional survey","volume":"11","author":"Koonisetty","year":"2021"},{"key":"b28","series-title":"Trop Dis Travel Med Vaccines","first-page":"8","article-title":"Knowledge, attitudes, and practices regarding dengue infection among public sector healthcare providers in Machala, Ecuador","volume":"2","author":"Handel","year":"2016"},{"key":"b29","author":"Panteli","year":"2019"},{"key":"b30","year":"2023"},{"key":"b31","series-title":"Vector Borne Zoonotic Dis","first-page":"434","article-title":"Dengue knowledge, attitudes, and practices among Arizona health care providers, 2014\u20132015","volume":"19","author":"Ruberto","year":"2019"},{"key":"b32","series-title":"PLoS Negl Trop Dis","first-page":"e3192","article-title":"Physician survey to determine how dengue is diagnosed, treated and reported in Puerto Rico","volume":"8","author":"Tomashek","year":"2014"},{"key":"b33","year":"2023"},{"key":"b34","series-title":"J Formos Med Assoc","first-page":"18","article-title":"Knowledge, attitude, and practice of dengue disease among healthcare professionals in southern Taiwan","volume":"112","author":"Ho","year":"2013"},{"key":"b35","series-title":"Clin Infect Dis","first-page":"1297","article-title":"Effect of a dengue clinical case management course on physician practices in Puerto Rico","volume":"63","author":"Han","year":"2016"},{"key":"b36","series-title":"PLoS Negl Trop Dis","first-page":"e0010586","article-title":"World Dengue Day: A call for action","volume":"16","author":"Srisawat","year":"2022"},{"key":"b37","series-title":"Risk Manage Heath Policy","first-page":"91","article-title":"Knowledge, attitude and practice towards dengue fever prevention and associated factors among public health sector health-care professionals: In Dire Dawa, eastern Ethiopia","volume":"12","author":"Mohammed Yusuf","year":"2019"},{"key":"b38","series-title":"Front Public Health","first-page":"1129056","article-title":"Knowledge, attitude, and practice of healthcare workers regarding dengue fever in Mazandaran Province, northern Iran","volume":"11","author":"Nikookar","year":"2023"},{"key":"b39","series-title":"J Travel Med","first-page":"34","article-title":"Travel\u2010related mosquito\u2010transmitted disease questionnaire survey among health professionals in Taiwan","volume":"18","author":"Huang","year":"2011"},{"key":"b40","series-title":"PLoS One","first-page":"e0254369","article-title":"Medical practitioner\u2019s knowledge on dengue management and clinical practices in Bhutan","volume":"16","author":"Tsheten","year":"2021"},{"key":"b41","series-title":"Lancet Infect Dis","first-page":"123","article-title":"The dengue vaccine dilemma","volume":"18","year":"2018"},{"key":"b42","series-title":"Crit Rev Eukaryot Gene Expr","first-page":"7","article-title":"Dengue vaccines: Ongoing challenges and current status in the advancement of different candidates","volume":"31","author":"Hassan","year":"2021"},{"key":"b43","year":"2023"},{"key":"b44","year":"2023"},{"key":"b45","author":"Pic\u00f3n Quedo","year":"2023"},{"key":"b46","year":"2021"},{"key":"b47","series-title":"Lancet Infect Dis","first-page":"463","article-title":"Vacuna-gate escalates in Peru","volume":"21","author":"Kenyon","year":"2021"},{"key":"b48","series-title":"Lancet","first-page":"93","article-title":"Political instability hampering Peruvian dengue response","volume":"402","author":"Daniels","year":"2023"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/111\/5\/article-p1082.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/111\/5\/article-p1082.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/111\/5\/article-p1082.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T13:45:51Z","timestamp":1730900751000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/111\/5\/article-p1082.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,6]]},"references-count":48,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.23-0794","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,6]]}}}