Shafei, Mohd Nazri
(2009)
Knowledge, atiitude and practice (kap) and associated
factors for leptospirosis among town service workers
in Kota Bharu, Kelantan.
Knowledge, atiitude and practice (kap) and associated factors for leptospirosis among town service workers in Kota Bharu, Kelantan.
Abstract
Introduction: Leptospirosis is presumed to be the most widespread re-emerging zoonotic
disease in the world. This study was designed to determine the seroprevalence, explore the
knowledge, attitude, and practice (KAP) and to determine the associated factors for
seropositive leptospirosis among town service workers in Kota Bharu Municipal Council
(MPKB), Kelantan. Methods: A cross sectional study was conducted in May 2008 among
296 town service workers in Kota Bharu Municipal Council. Workers were interviewed
using a validated questionnaire and venous blood was taken from each subject at their
workplace for microscopic agglutination test (MAT). Results: All respondents were Malay
males with the mean age of 42.1 (SD 8.38) years old. The overall seroprevalence of
leptospirosis was 24.7% In the KAP assessment, majority of workers had poor knowledge
(87.2%) and unsatisfactory practice score (64.5%). The significant factors associated with
seropositive leptospirosis were those who live :'S 200 meters from river, present of rat in
their house, and involved in gardening activity. Workers who practiced wearing boots
while working, and washing hands with soaps after works had protective effect towards
leptospirosis. Conclusion: High seropositivity rates of leptospirosis indicate that town
service workers are occupational risk group for leptospiral infection. Workers' knowledge
and practice was inadequate to protect them from leptospirosis infection. There is close
relationship between seropositive leptospirosis with occupational and environmental
factors as well as recreational activities
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