D. M. Nyairo, C. Nyabuto, K. F. Maroa and F. W Nangole
ABSTRACT
Background: Wounds are a significant burden in Kenya, with limited knowledge on their prevalence and management. Timely care for acute wounds, including debridement and dressing, is essential, to prevent their development into chronic
wounds. Managing chronic wounds is more expensive but follows a similar approach,guided by the DIME principle.
Objective: To assess knowledge of healthcare workers engaged in wound management regarding various wound care options and to gauge their satisfaction levels with the existing wound care services offered across different facilities.
Design: A multicenter cross-sectional survey was carried out over a period of 2 weeks.
Setting: Selected regional hospitals in Kenya. Healthcare providers across the select hospitals completed a wound care study questionnaire.
Subjects/Participants: Healthcare practitioners involved in wound care in all cadres from nursing students, nurses, clinical officers, medical officers, surgical residents and others.
Results: One hundred and twenty three (123) healthcare practitioners, mainly nurses (82.2%), participated. Most were aged 20-30 and 31-40 (41% and 39% respectively). Females represented 67% of respondents. A significant majority lacked familiarity with modern wound care practices like maggot therapy (88.3%) and vacuum-assisted closure (VAC) dressings (60.4%). Overall, high satisfaction was reported with the
multidisciplinary team (73.8%), wound care supplies (59.4%), and preventive practices (62.4% for complications and 66.4% for infections).
Conclusion: Our study revealed deficiencies in wound care training, with over half lacking specialized training, also reflected in even more healthcare workers lacking knowledge on modern wound care practices. However, most practitioners display above-average basic understanding, which can be built on with provision of specialized training.
Key words: Acute wounds, Chronic wounds, Wound care