Knowledge of radiation safety amongst paediatric doctors in Pietersburg and Mankweng Hospitals

Abstract

BACKGROUND: Ionizing radiation is detrimental to growing cells. The potential risk of any dose of radiation in growing cells can lead to permanent damage of basic cellular structure resulting in a high risk of developing cancer in children. Therefore, paediatric doctors need sufficient knowledge to protect their patients from late effects of radiation resulting from medical use. Most studies report poor knowledge of radiation safety measures among doctors. PURPOSE: The purpose of this study is to assess the knowledge of radiation safety and radiation doses among paediatric doctors in Pietersburg and Mankweng Hospitals, Limpopo province, South Africa. OBJECTIVE: To assess the paediatric doctors’ knowledge of radiation doses used in radiological diagnostic imaging examinations, as well as their knowledge of radiation safety measures. METHODOLOGY: This is a survey of paediatric doctors in the paediatrics general ward, paediatric oncology, intensive care and neonatal units, and paediatric surgery department, at Pietersburg and Mankweng Hospitals. A self-administered questionnaire with 23 items on knowledge of radiation safety and radiation doses emitted during normal radiological examinations is used to collect the data in May 2021. Data are analysed using Statistical Package for Social Sciences (SSPS) version 26.0 software. Chi-squared test is used to analyse the relationship between variables. Analysis of variance (ANOVA) is used to analyse the differences between variables. A p value of <0.05 is considered statistically significant. A total score of 50% in each section is used to denote adequate knowledge. The result are presented in charts and tables. RESULTS: Out of 52 paediatric doctors, 47 completed the questionnaire achieving a 90.4% response rate. Majority of participants were females (n = 31; 66%). Overall, only 10 (21.2%) of the participants scored 50% and above, including three consultants, two registrars, two medical officers and one medical officer intern. Twenty-five (53.1%) participants scored 50% and above on knowledge of radiation safety. Nearly half (44.7%) of the doctors were familiar with the concept of ALARA principle in radiation dose optimisation. Three participants scored more than 50% in the knowledge of radiation doses section. Only five (10.6%) and 17 (36%) participants correctly identified MRI and ultrasound, respectively, as the radiological diagnostic modalities that do not utilize ionizing radiation. CONCUSION: The level of knowledge of radiation safety and radiation doses among the paediatric doctors are poor. A very small number of the paediatric doctors were able to identify non-ionizing radiation modalities that can be used as an alternative to reduce radiation exposure to paediatrics during radiological investigations. Paediatric doctors will benefit from courses on radiation safety and radiation doses to improve their knowledge and/or eliminate unwarranted exposure of their patients to ionizing radiation.