{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T13:20:55Z","timestamp":1788355255807,"version":"build-2803163510"},"reference-count":16,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,2]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>\n                    Crimean-Congo hemorrhagic fever (CCHF) poses a significant occupational risk to healthcare workers (HCWs) in endemic regions. Knowledge gaps, especially among nonphysician staff, may compromise infection control. The aim for the present study is to evaluate the effectiveness of a targeted educational session in improving CCHF-related knowledge and infection control attitudes among nonphysician HCWs. A prospective pre-post intervention study was conducted at a tertiary care hospital in an endemic region. A total of 176 nonphysician HCWs (nurses, technicians, administrative\/clerical staff, cleaners) completed a 15-item multiple-choice knowledge test and a five-item Likert-scale attitude survey before and after a structured 1-hour training on CCHF. The intervention was delivered using national CCHF training materials. Paired pre-test\/post-test comparisons were analyzed using the Wilcoxon signed-rank test, whereas Mann\u2013Whitney\n                    <jats:italic>U<\/jats:italic>\n                    or Kruskal\u2013Wallis tests were used for comparisons between independent groups. Subgroup analyses were performed across occupational groups. The pre-intervention mean knowledge score was 13.0 \u00b1 1.7, increasing to 14.5 \u00b1 0.9 post-intervention (\n                    <jats:italic>P<\/jats:italic>\n                    &lt;0.001). The proportion of perfect scores increased from 17.6% to 68.2%. Significant improvements were observed in previously weak areas, including disinfection protocols and tick vector recognition. All occupational subgroups benefited, with cleaners exhibiting the greatest relative improvement. Attitudes toward infection control also improved significantly across all five Likert items (\n                    <jats:italic>P<\/jats:italic>\n                    &lt;0.001), indicating enhanced confidence and adherence to protocols. A brief, structured educational session significantly enhanced both CCHF knowledge and infection-control attitudes among nonphysician HCWs. Regular training is essential to close persistent knowledge gaps and strengthen frontline preparedness against high-risk pathogens.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.26-0165","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T14:30:30Z","timestamp":1785853830000},"page":"591-596","source":"Crossref","is-referenced-by-count":0,"title":["Impact of an Educational Intervention on Crimean-Congo Hemorrhagic Fever Knowledge among Nonphysician Healthcare Workers in an Endemic Region"],"prefix":"10.4269","volume":"115","author":[{"given":"Nurten Nur","family":"Ayd\u0131n","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayten","family":"Yan\u0131k","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6mer","family":"Kara\u015fahin","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"issue":"2","key":"b1","series-title":"Curr Opin Virol","first-page":"215","article-title":"Crimean\u2013Congo hemorrhagic fever virus: New outbreaks, new discoveries","volume":"2","author":"Ergonul","year":"2012"},{"key":"b2","article-title":"Crimean-Congo Haemorrhagic Fever.","year":"2025"},{"issue":"2","key":"b3","series-title":"J Vector Borne Dis","first-page":"166","article-title":"Evaluation of knowledge of the healthcare personnel working in Giresun province regarding Crimean-Congo hemorrhagic fever before and after educational training","volume":"52","author":"Koculu","year":"2015"},{"issue":"3","key":"b4","series-title":"J Clin Med Res","first-page":"197","article-title":"Knowledge levels regarding Crimean-Congo hemorrhagic Fever among emergency healthcare workers in an endemic region","volume":"6","author":"Yolcu","year":"2014"},{"issue":"6","key":"b5","series-title":"Asian Pac J Trop Biomed","first-page":"546","article-title":"Knowledge, attitude and practice of healthcare workers concerning Crimean-Congo hemorrhagic fever in Western Iran","volume":"6","author":"Salimi","year":"2016"},{"issue":"1","key":"b6","series-title":"BMC Infect Dis","first-page":"35","article-title":"Knowledge, attitude and perceptions about Crimean Congo Haemorrhagic Fever (CCHF) among occupationally high-risk healthcare professionals of Pakistan.","volume":"21","author":"Ahmed","year":"2021"},{"issue":"1","key":"b7","series-title":"J Hosp Infect","first-page":"43","article-title":"Nosocomial infections caused by Crimean\u2013Congo haemorrhagic fever virus.","volume":"105","author":"Tsergouli","year":"2020"},{"issue":"1","key":"b8","series-title":"J Vector Borne Dis","first-page":"102","article-title":"The six-year prevalence of Crimean-Congo hemorrhagic fever (CCHF) in Erzurum, Turkey","volume":"62","author":"Igan","year":"2025"},{"issue":"3","key":"b9","series-title":"Mikrobiyol Bul","first-page":"419","article-title":"The role of blood urea nitrogen and C-reactive protein and their ratios to albumin in predicting mortality in Crimean-Congo hemorrhagic fever","volume":"57","author":"Kara\u015fahin","year":"2023"},{"key":"b10","series-title":"Int J Infect Dis","first-page":"108711","article-title":"Assessment of seroprevalence and neutralizing antibodies for healthcare worker protection in a Crimean-Congo hemorrhagic fever endemic area","volume":"168","author":"P\u0131narl\u0131k","year":"2026"},{"key":"b11","series-title":"Clin Biochem","first-page":"110574","article-title":"Evaluation of the role of serum DcR3 levels in the early clinical prognosis of patients with Crimean-Congo hemorrhagic fever","volume":"118","author":"Kerget","year":"2023"},{"issue":"1","key":"b12","series-title":"J Appl Sci Clin Pract","first-page":"14","article-title":"Knowledge, attitude, and practice toward prevention and management of COVID-19 among Indian nurses: A cross-sectional study","volume":"2","author":"Rastogi","year":"2021"},{"issue":"3","key":"b13","series-title":"Infect Prev Pract","first-page":"100376","article-title":"Infection prevention and control: Knowledge, practices and associated factors among cleaners at a National Referral Hospital in Uganda.","volume":"6","author":"Kigozi","year":"2024"},{"issue":"5","key":"b14","series-title":"J Health Sci Med","first-page":"926","article-title":"COVID-19, influenza, and pneumococcal vaccination awareness and uptake in geriatric patients: A cross-sectional study","volume":"8","author":"Dalmano\u011flu","year":"2025"},{"key":"b15","series-title":"J Multidiscip Healthc","first-page":"3875","article-title":"Knowledge and attitudes regarding Crimean-Congo hemorrhagic fever among slaughterhouse workers in Sana\u2019a and Dhamar Cities-Yemen: A cross-sectional study.","volume":"17","author":"Almorish","year":"2024"},{"issue":"3","key":"b16","series-title":"Int J Infect","first-page":"e81531","article-title":"Educational intervention to foster best infection control practices among nursing staff","volume":"5","author":"Gaikwad","year":"2018"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/115\/3\/article-p591.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/115\/3\/article-p591.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/115\/3\/article-p591.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:54:45Z","timestamp":1788353685000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/115\/3\/article-p591.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,2]]},"references-count":16,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.26-0165","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,2]]}}}