scholarly journals Antibiotic Use in Poultry Production in Grenada

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Lindonne Glasgow ◽  
Martin Forde ◽  
Darren Brow ◽  
Catherine Mahoney ◽  
Stephanie Fletcher ◽  
...  

Objective. Research is often lacking in low-income countries to substantiate the regulation of antibiotics in poultry production. Nonregulation of antibiotics in food animal industries has implications for human health. This study was conducted to provide an understanding of farmers’ knowledge, attitudes, and practices regarding the use of antibiotics in poultry production in Grenada. Method. A cross-sectional study was conducted in August-September, 2016, surveying 30 poultry farmers each having 500 or more chickens grown for commercial purposes. Results. More than 1000 birds were kept on 18 (60.0%) farms. Antibiotics were used on the majority of farms (25, 83.3%). More than half of the respondents, 19 (63.3%), stated they were only somewhat aware of issues related to the use of antibiotics and the majority, 21 (70.0%), were also unable to define antimicrobial resistance. There was inconsistency in the farmers’ knowledge about how and when to use antibiotics. There was also a high level of noncompliance with manufacturers’ recommendations for use of antibiotics. The respondents were not aware of local programs to monitor antibiotic use or manage antibiotic resistance in the poultry industry. Conclusion. Generally, the farmers’ knowledge and practices were inconsistent with recommendations by the World Health Organization for antibiotic stewardship. While low-income countries, such as Grenada, are challenged with the lack of resources to undertake research and implement responsive actions, this research highlights the need for some immediate measures of remedy, such as education of farmers and monitoring procurement and use of antibiotics, to reduce risk to public health.

Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Renu Rani ◽  
Rashmi Kumari ◽  
Bhavna Langer ◽  
...  

Background: The growing concern about antibiotic resistance, of late, led World Health Organization to declare it as World Health Day theme in 2011. Knowledge spreads awareness and understanding by melting the barriers of ignorance while attitudes and practices have a bearing on the health related behaviour. The present study aims at evaluating the knowledge, attitudes and practices of medical students towards antibiotic usage.Methods: The present cross-sectional study was conducted among the Pre-final medical students (6th / 7th semester) who participated in the questionnaire survey on knowledge, attitude and practice towards antibiotics usage. The data was analysed and Chi-square was used as test of significance.Results: Overall, 132 students were interviewed. Majority (96.2%) had heard of antibiotic resistance. About 22% of the sample stated that antibiotics can cure viral infections, among them female being in the higher proportion (p<0.05). Majority (>90%) agreed that antibiotic resistance is a serious problem and had positive attitude about population awareness campaign regarding antibiotic resistance. Among practices, higher proportion of male respondents preferred antibiotics in case of cough and sore throat. (p<0.05).Conclusions: Despite being Pre-final MBBS students, the results have revealed that knowledge and attitude of the respondents were not up to the desired levels. The practices regarding use of antibiotics were more or less adequate. For effective curriculum, thorough knowledge and rational prescription of antibiotics needs to be reinforced among medical students both before and during internship.


Author(s):  
Cynthia Francisca Xavier Costa de Assis Silva ◽  
Maria do Carmo Barros de Melo ◽  
Roberto Gomes Chaves ◽  
Maria Cândida Ferrarez Bouzada

Objective: To investigate the proficiency, practices, and attitudes about breastfeeding of participants in a Pediatrics Congress. Methods: Cross-sectional study in which an online questionnaire was applied, using a specific QRcode, for each study participant, in June 2018. The questions were formulated according to the World Health Organization (WHO). Among the 39 questions, 13 identified the profile of the participants, 19 questions assessed the proficiency in breastfeeding and 7 questions the practices and attitudes. Results: Responses to 296 questionnaires were evaluated, 62.5% of which were health professionals and 37.5% were undergraduate health students. In assessing proficiency, the global average did not reach the expected minimum of 70%. But the highest proficiency averages were found among health professionals (p: 0.0136), among professionals with more recent degrees (p <0.0001), and those who performed most of their activity in the public sector (p: 0.018). 77% of health professionals and 73% of students assessed attitudes and practices about breastfeeding as appropriate. Conclusion: The low proficiency in the population studied points to the need for periodic training of professionals in breastfeeding and greater emphasis on undergraduate curricula in the health area on the subject.


2021 ◽  
pp. 69-71
Author(s):  
Atul Sankhyan ◽  
Nidhi Gupta ◽  
Preety Gupta ◽  
Krishana Priya ◽  
Surbhi Jindal ◽  
...  

WHO (World Health Organization) accepts that traditional systems will continue to play an important part in providing services to very large numbers of people, particularly in rural areas India has rich tradition of healing. A vast amount of medical knowledge has evolved in India over thousands of years, through trial and error in exchange and assimilation between diverse cultures. . In recent times, dental health care approaches also used holistic methods like Ayurveda, Homeopathy ad Naturopathy etc in managing diseases and conditions related to oral and related structures. Objective: To assess Knowledge, Attitudes and Practices (KAP) towards Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy (AYUSH) and its use in Dentistry among Dental Professionals. Methodology: A cross sectional study was conducted among n=400 dental professionals of dental colleges in and around Chandigarh. Questionnaire was used and data was analyzed using SPSS 21.ver. Results: Out of total 400 subjects 163(41%) were males and 237(59%) were females. When knowledge of AYUSH is assessed 63% had knowledge about term complementary and alternative medicine, As much as 59% subjects wished to learn AYUSH and its use in dentistry. Among users of AYUSH treatment 73% subjects found it effective. Conclusion: Majority of subjects have a positive attitude towards AYUSH and wished to learn its use in dentistry. This makes us feel that AYUSH can be integrated with existing dental curriculum.


2021 ◽  
Vol 7 ◽  
pp. 237796082110151
Author(s):  
Ahmad Ayed ◽  
Kefah Zabn

Introduction The World Health Organization (WHO) declared COVID-19 as a public health emergency of international concern and called for the collaborative efforts of all countries to prevent rapid spread. Objective The purpose of this study was to assess the knowledge and attitude towards COVID-19 among Palestinian nursing students. Methods This was a cross-sectional study conducted on 218 nursing students from Arab American University and Al-Quds University. The instrument was developed by the researchers after a critical literature review. Results The results revealed that the majority of participates were third academic year level (60.6%). Only 84 (38.5%) of respondents had a high level of knowledge and 17(7.8%) had a positive attitude regarding COVID-19. Conclusion The study confirmed that nursing students had a moderate level of knowledge about COVID-19 and a negative attitude toward it.


2020 ◽  
Author(s):  
MAKI SIFA ◽  
JONH BOSCO ISUNJU ◽  
DAVID KAISHUSHA ◽  
FISTON MUNEZA ◽  
SYLVESTER SSEMANDA ◽  
...  

Abstract BackgroundThe prevalence of Diabetes has been rising more rapidly in middle and low-income countries. In Africa, World Health Organization projections anticipate Diabetes Mellitus to be the seventh leading cause of death in 2030. Alcohol consumption intervene mainly in diabetes evolution, in such a way that it can interfere with self-care behaviors which are important determinants of diabetes prognosis. In this study, we evaluate factors associated with alcohol consumption among persons with Diabetes in Kampala so as to inform management policies and improve comprehensive diabetes care.MethodologyA cross-sectional study was conducted systematically among 290 adults with diabetes, attending diabetic clinics at Mulago National Referral hospital and St Francis hospital Nsambya. Data was entered and analyzed in the EPI-INFO version 7 and STATA 13 software. Modified Poisson regression was used to identify factors associated with alcohol consumption among persons with diabetes. All tests were two-sided and the significance level for all the analyses was set to p < 0.05.Results23.45% of persons with Diabetes are taking alcohol [95%CI: 18.9–28.7%]. Of these, 11.3% [95%CI: 8.1–15.6%] consumed alcohol hazardously last year due to stress (58.8%). Divorced, separated and Widow patients (Adj PR: 0.42, 95% CI: 0.21–0.83), Protestant (Adj PR: 0.44, 95%CI: 0.24–0.82); Muslim (Adj PR: 0.30%CI: 0.14–0.62); and Pentecostal (Adj PR: 0.32, 95%CI: 0.15–0.65) were less likely to consume alcohol. Diabetic patients who spend more than five years with diabetes were more likely to consume alcohol (Adj PR: 1.90, 95%CI: 1.25–2.88)ConclusionThe prevalence of alcohol consumption among persons with Diabetes in Kampala is high. The majority of persons with Diabetes consume alcohol hazardously due to stress. Having spent less than five years with diabetes, being widow, Protestant, Muslim and Pentecostal are associated with less consumption of alcohol. Regular screening for stress must be done among persons with Diabetes and affected individuals should be supported to reduce their stress. Sensitization message regarding alcohol consumption among persons with Diabetes should be targeting never married patients and patients who have spent more than five years with diabetes; also religion should be considered as an important avenue for health education in the community.


2021 ◽  
Author(s):  
Reshma Ramachandran ◽  
Joseph S. Ross ◽  
Jennifer E Miller

The COVID-19 pandemic has led to the rapid development of multiple vaccines, vaccines that were tested in clinical trials located in several countries around the world. Because prior research has shown that pharmaceuticals do not receive consistent and timely authorization for use in lower-income countries where they are tested, we conducted a cross-sectional study examining the authorization or approval and delivery for COVID-19 vaccines recommended by the World Health Organization (WHO) in the countries where they were tested. While countries of varying incomes have largely authorized the COVID-19 vaccines tested within their populations for use, high-income countries have received proportionately more doses, enabling them to more fully vaccinate their populations. As many lower-income countries continue to experience inequitable shortfalls in COVID-19 vaccine supply amid the ongoing pandemic, efforts must be undertaken to ensure timely access in countries across all income groups, including those hosting clinical trials.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maki Sifa Salama ◽  
Jonh Bosco Isunju ◽  
Salama Kaishusha David ◽  
Fiston Muneza ◽  
Sylvester Ssemanda ◽  
...  

Abstract Background The prevalence of diabetes has been rising increasing rapidly in middle- and low-income countries. In Africa, the World Health Organization projections anticipate diabetes mellitus to be the seventh leading cause of death in by 2030. Alcohol consumption influences diabetes evolution, in such a way that it can interfere with self-care behaviours which are important determinants of diabetes prognosis. In this study, we evaluated factors associated with alcohol consumption among persons with diabetes in Kampala to inform management policies and improve comprehensive diabetes care. Methodology A cross-sectional study was conducted systematically among 290 adults with diabetes, attending diabetic clinics at Mulago National Referral Hospital and St Francis Hospital Nsambya. Data were entered and analysed in Epi-Info version 7 and STATA 13 software. Modified Poisson regression was used to identify factors associated with alcohol consumption among persons with diabetes. All tests were two-sided and the significance level for all analyses was set to p < 0.05. Results The prevalence of alcohol consumption among persons with diabetes was 23.45% [95% CI: 18.9–28.7%]. Divorced, separated and widowed patients (Adj PR: 0.42, 95% CI: 0.21–0.83); and Protestant (Adj PR: 0.44, 95% CI: 0.24–0.82); Muslim (Adj PR: 0.30, 95% CI: 0.14–0.62); and Pentecostal (Adj PR: 0.32, 95% CI: 0.15–0.65) patients were less likely to consume alcohol. Diabetic patients who had a diabetes duration greater than 5 years were more likely to consume alcohol (Adj PR: 1.90, 95% CI: 1.25–2.88). Conclusion Approximately one-quarter of participants consumed alcohol. However being catholic, never being married and having diabetes for more than 5 years predisposed persons with diabetes to alcohol consumption. Sensitization messages regarding alcohol consumption among persons with diabetes should be target patients who have never been married and those who have spent more than 5 years with diabetes; religion should also be considered as an important venue for health education in the community.


2020 ◽  
Vol 41 (S1) ◽  
pp. s342-s342
Author(s):  
Golam Dostogir Harun ◽  
Romel Haider ◽  
Imdadul Haque ◽  
Alauddin Chowdhury ◽  
Saiful Islam

Background: Antibiotics play a vital role in reducing the morbidity and mortality associated with common infectious among children aged <5 years. Objective: We assessed the parental knowledge, attitudes, and practices regarding antibiotic use among a low-income urban population in Bangladesh. Methods: A cross-sectional study was conducted among the parents of 516 low-income urban children aged <5 years in Bangladesh from February 2018 to April 2019. A semi-structured questionnaire was developed and administrated to explore parental knowledge, attitudes, and practice regarding antibiotic use. A logistic regression analysis and Spearman rank-order correlation was used to compare and evaluate possible associations regarding parental KAP on antibiotic use. Results: The mean age of the participants was 26.65 years (SD, 6.38) and average monthly income was US$195.00. Most respondents (437 of 516) were women. One-third of the participants had no formal education, and 64% had only 5 years of education. We categorized the knowledge, attitudes, and practice regarding antibiotic use into 3 categories: poor, moderate, and good. More than half (52%) of these parents had poor knowledge of antibiotic use, and 32% had moderate knowledge of antibiotic use. Overall, 55% of parental attitudes were moderate and 70% of antibiotic practices were moderate. However, only 16% respondents had good knowledge, 14% had good attitudes, and 14% had good practices regarding antibiotic use for their children. The study revealed that 41% of parents thought that their child could be treated with antibiotics without advice from a qualified doctor, and 71% of parents thought that a child with flu-like symptoms got better faster if antibiotics were used. Also, 54% thought that the antibiotics could be stopped as soon as the symptoms disappeared. In this study, only 40% of parents completed the full dose of antibiotics. Monthly family income (P = .005), father’s profession (P = .003), and parents’ education were significantly associated with antibiotic use to treat the child. Conclusions: Most participants’ knowledge, attitude, and practices regarding rational antibiotic usage was very poor. Awareness campaigns and implementation of education on how to purchase, use, and sell antibiotics is crucial to optimum the use of antibiotics in Bangladesh.Funding: NoneDisclosures: None


2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Taísa Vedoato ◽  
Danielli Rafaeli Candido Pedro ◽  
Maria José Quina Galdino ◽  
Patrícia Aroni ◽  
Cremilde Aparecida Trindade Radovanovic ◽  
...  

ABSTRACT Objectives: to investigate the association between workaholism and quality of life in stricto sensu graduate professors in Nursing. Methods: a cross-sectional study developed with a total of 333 professors working in the Graduate Programs of Brazilian public universities. Data collection took place in the second semester of 2018, using an electronic form containing a characterization questionnaire, the Dutch Work Addiction Scale and the World Health Organization Quality of Life Instrument-BREF. The data were analyzed by univariate and multiple logistic regression. Results: it was observed that 82.3% of the professors reported low general quality of life and 19.5%, high level of excessive work and 20.1% of compulsive work. Professors who worked compulsively and excessively were less likely to have a high quality of life in the overall, physical, psychological, social relations and environment domains (p<0.05). Conclusions: the high work demands that are characteristic of the stricto sensu professors’ work process are directly associated with low quality of life.


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