title: Physician's knowledge, attitudes, and practices regarding seasonal influenza, pandemic influenza, and highly pathogenic avian influenza A (H5N1) virus infections of humans in Indonesia.
abstract: Indonesia has reported highest number of fatal human cases of highly pathogenic avian influenza (HPAI) A (H5N1) virus infection worldwide since 2005. There are limited data available on seasonal and pandemic influenza in Indonesia. During 2012, we conducted a survey of clinicians in two districts in western Java, Indonesia, to assess knowledge, attitudes, and practices (KAP) of clinical diagnosis, testing, and treatment of patients with seasonal influenza, pandemic influenza, or HPAI H5N1 virus infections. Overall, a very low percentage of physician participants reported ever diagnosing hospitalized patients with seasonal, pandemic, or HPAI H5N1 influenza. Use of influenza testing was low in outpatients and hospitalized patients, and use of antiviral treatment was very low for clinically diagnosed influenza patients. Further research is needed to explore health system barriers for influenza diagnostic testing and availability of antivirals for treatment of influenza in Indonesia.
authors.affiliation: US Centers for Disease Control and Prevention, Jakarta, Indonesia.
authors.forename: Amalya
authors.initials: A
authors.lastname: Mangiri
authors.affiliation: Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: A Danielle
authors.initials: AD
authors.lastname: Iuliano
authors.affiliation: Johns Hopkins Center for Communication Programs, Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Yunita
authors.initials: Y
authors.lastname: Wahyuningrum
authors.affiliation: US Centers for Disease Control and Prevention, Jakarta, Indonesia.
authors.forename: Catharina Y
authors.initials: CY
authors.lastname: Praptiningsih
authors.affiliation: Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Lafond
authors.affiliation: Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA.|Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Aaron D
authors.initials: AD
authors.lastname: Storms
authors.affiliation: US Centers for Disease Control and Prevention, Jakarta, Indonesia.
authors.forename: Gina
authors.initials: G
authors.lastname: Samaan
authors.affiliation: Center for Health Research, Universitas Indonesia, Jakarta, Indonesia.
authors.forename: Iwan
authors.initials: I
authors.lastname: Ariawan
authors.affiliation: Center for Health Research, Universitas Indonesia, Jakarta, Indonesia.
authors.forename: Nugroho
authors.initials: N
authors.lastname: Soeharno
authors.affiliation: Johns Hopkins Center for Communication Programs, Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Kreslake
authors.affiliation: Johns Hopkins Center for Communication Programs, Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: J Douglas
authors.initials: JD
authors.lastname: Storey
authors.affiliation: Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Timothy M
authors.initials: TM
authors.lastname: Uyeki
mesh_terms: D000818:Animals; D000998:Antiviral Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D053124:Influenza A Virus, H5N1 Subtype / Q000472:pathogenicity*; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control / Q000821:virology; D009976:Orthomyxoviridae Infections / Q000453:epidemiology / Q000821:virology; D058873:Pandemics / Q000517:prevention & control; D010820:Physicians; D010818:Practice Patterns, Physicians'; D012621:Seasons; D011795:Surveys and Questionnaires
chemical_list: D000998:Antiviral Agents