Knowledge, Attitudes and Practices Regarding Contrast Media Safety Among Radiology Professionals in Mardan: A Cross-Sectional Study

Abstract

Background: Contrast media are widely used in diagnostic imaging, however their administration is associated with potential adverse reactions that require prompt recognition and management. Adequate knowledge, positive attitudes, and safe practices among radiology professionals are essential to ensure patient safety.

Objectives: This study aimed to assess the knowledge, attitude, and practice regarding contrast media safety among radiology professionals in District Mardan, Pakistan.

Methods: A multicenter cross-sectional study was conducted from January to April 2026 across seven hospitals in Mardan. Eighty radiology professionals, including radiologists, technicians, and technologists, were recruited using disproportionate stratified random sampling. Data were collected using a structured questionnaire assessing knowledge, attitudes, and practices regarding contrast media safety. Analysis was performed using SPSS v26, applying descriptive statistics and Chi-square test, with p<0.05 considered significant.

Results: Of the 80 radiology professionals, 61.2% were male and 48.8% had more than six years of experience. Only 41.2% had received formal training regarding contrast media safety. The mean knowledge, attitude, and practice scores were 7.26±2.01, 7.26±1.59, and 10.26±3.53, respectively. Good knowledge, attitude, and practice levels were observed in 30%, 21.2%, and 68.8% of participants, respectively. Professional designation showed a statistically significant association with knowledge scores (p = 0.04). Similarly, years of professional experience were significantly associated with both knowledge (p = 0.03) and practice scores (p = 0.01). In contrast, no statistically significant association was observed between gender and any of the knowledge, attitude, and practice scores.

Conclusion: Radiology professionals demonstrated moderate knowledge and attitudes regarding contrast media safety. Structured educational interventions and continuous professional development programs are recommended to enhance contrast media safety practices.