title: Knowledge and attitude of healthcare workers about Middle East Respiratory Syndrome in multispecialty hospitals of Qassim, Saudi Arabia.
abstract: BACKGROUND
  With the increase in prevalence of Middle East Respiratory Syndrome (MERS), healthcare workers (HCWs) are at risk of acquiring and subsequently transmitting this lethal virus. In view of this, HCWs were evaluated for their knowledge of and attitude towards MERS in Saudi Arabia.
  
  
  METHODS
  A cross sectional study was performed in two hospitals of Qassim region in Saudi Arabia. A total of 280 healthcare workers were selected to participate in this study. Knowledge and attitude were assessed by using self-administered and pretested questionnaire. Descriptive statistics were carried out to express participants' demographic information, mean knowledge score and mean attitude score of HCWs. Inferential statistics (Mann-Whitney U test and Kruskal Wallis tests, p < 0.05) were used to examine differences between study variables. Chi squares tests were used to assess the association between study variables and attitude questions. Spearman's rho correlation was used to identify the association between the knowledge, attitude scores.
  
  
  RESULTS
  Participants demonstrated good knowledge and positive attitude towards MERS. The mean scores of knowledge and attitude were 9.45 ± 1.69 (based on 13 knowledge questions) and 1.82 ± 0.72 (based on 7 attitude questions). The correlation between knowledge and attitude was significant (correlation coefficient: 0.12; P <0.001). HCWs were less educated about the management (42.4%), source (66%) and consequences of MERS (67.3%), while a majority of them were well aware of the hallmark symptoms (96%), precautionary measures (96%) and hygiene issues (94%). Although the majority of respondents showed positive attitude towards the use of protective measures (1.52 ± 0.84), their attitude was negative towards their active participation in infection control program (2.03 ± 0.97). Gender and experience were significantly associated with knowledge and attitude (P < 0.05).
  
  
  CONCLUSIONS
  The findings of this study showed that healthcare workers in Qassim region of Saudi Arabia have good knowledge and positive attitude towards MERS. Yet there are areas where low knowledge and negative attitude of HCWs was observed. However, studies are required to assess the knowledge and attitude of HCWs at national level so that effective interventions could be designed as surveillance and infection control measures are critical to global public health.
authors.affiliation: Department of Clinical Pharmacy, UCSI University, No, 1 Jalan Menara Gading, Taman Connaught, Cheras 56000 Kuala Lumpur, Malaysia. umair104@yahoo.com.
authors.forename: Muhammad Umair
authors.initials: MU
authors.lastname: Khan
authors.forename: Shahjahan
authors.initials: S
authors.lastname: Shah
authors.forename: Akram
authors.initials: A
authors.lastname: Ahmad
authors.forename: Omotayo
authors.initials: O
authors.lastname: Fatokun
mesh_terms: D000328:Adult; D018352:Coronavirus Infections / Q000503:physiopathology* / Q000517:prevention & control* / Q000635:transmission; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006761:Hospitals; D006801:Humans; D017053:Infection Control; D008297:Male; D008875:Middle Aged; D012529:Saudi Arabia / Q000453:epidemiology; D012737:Sex Factors