Awareness of antibiotic use and antibiotic resistance amongst dental students

Objective: Antibiotic resistance is one of the most threatening public health problems of 20th century. Along with physicians, dental practitioners also routinely prescribe medications for oral and dental infections. However, previous studies have shown that dental surgeons often prescribe antibiotics where new evidence have suggested other treatment measures. Since students in their clinical year prescribe antibiotics under supervision, it is important to understand if they are aware of severity of antibiotic resistance and its impact. Hence, the study aimed to assess awareness of antibiotic use and resistance amongst dental students. Material and Methods: Cross-sectional survey was conducted amongst 3rd and 4th year dental students of 4 colleges of Pakistan. A validated questionnaire was adopted from WHO and PHE (Public Health England). It included true or false and Likert scale questions relating to knowledge and attitude of antibiotic use and antibiotic resistance. Results: Out of 396 responses, majority students were not aware of the terms superbugs (69.7%) and AMR (79%). 89.6% thought that humans can become resistant to antibiotics. 88.6% agreed that antibiotic resistance is a major threat. 61.4% thought they couldn’t do much to stop antibiotic resistance. 87.6% agreed that doctors should only prescribe antibiotics when needed. Conclusion: Overall dental students were aware of antibiotic use and importance of antibiotic resistance although their knowledge associated with antibiotic resistance was not satisfactory. It is vital that students must be taught about mechanism of antibiotic resistance and good prescription practices. Keywords Antibiotic resistance; Knowledge; Attitude; Dental students.

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Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference Hospitals

Infectious Diseases Research and Treatment ◽

10.4137/idrt.s40047 ◽

2016 ◽

Vol 9 ◽

pp. IDRT.S40047 ◽

Cited By ~ 6

Author(s):

Adel Alothman ◽

Abdullah Algwizani ◽

Mohammed Alsulaiman ◽

Abdullah Alalwan ◽

Salih Binsalih ◽

...

Keyword(s):

Antibiotic Resistance ◽

Tertiary Care ◽

Antibiotic Use ◽

Educational Interventions ◽

Global Public Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Inappropriate Drugs ◽

Knowledge And Attitude ◽

Level Of Training

Introduction Antibiotics are essential and abundantly prescribed in hospitals because of their effectiveness and lifesaving benefits. However, the unnecessary use of antibiotics has been observed in earlier studies, and it has persisted through recent years as a major issue since it is one of the leading causes of antibiotic resistance. The increase in antibiotic resistance nowadays is one of the most critical concerns in global public health around the world. The objective of this study was to evaluate the knowledge and perceptions related to antibiotic prescription among physicians at our medical centers. Method A cross-sectional survey of non-infectious diseases specialized physicians. The study was conducted during 2015 at two tertiary care centers in Riyadh, Saudi Arabia. Result Of the 107 returned questionnaires, 93 were complete and valuable. Most respondents (82%) perceived antibiotic resistance to be a critical problem globally, and 78% also think that it is a very important national problem. These attitudes did not differ across specialty or level of training. Widespread antibiotic use and inappropriate empirical choices were believed by 81% of the participants to be important general causes of resistance. Only half of respondents thought that antibiotic restriction is a useful intervention to decrease the antibiotic resistance. The physicians believed educational interventions are the most useful and effective way to improve prescription patterns and decrease antibiotic resistance. Complications due to infection with resistant organisms were acknowledged by almost all of the participants, with some differences in their estimations of how often it will occur. Conclusion Antimicrobial resistance, globally and nationally, is considered as a serious threat, and physicians in this survey acknowledged that. Among the most significant factors is antimicrobial misuse, either by overprescribing or providing inappropriate drugs with some ambivalence, as well as the importance of hand hygiene and antibiotic restrictions. By adhering to local guidelines, continuous education, and other practical interventions, the burden of resistance can be alleviated, as highlighted in this survey.

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Survey on practice, perception and knowledge of doctors on antibiotic use and resistance in Penang Government Hospitals, Malaysia

International Journal of Infection Control ◽

10.3396/ijic.v16i3.020.20 ◽

2020 ◽

Vol 16 (3) ◽

Author(s):

Phin Phin Lim ◽

Chee Jia Teoh ◽

Cheah Chin Chua ◽

Sherene Su Ann Tan ◽

Pao Pao Ch’ng ◽

...

Keyword(s):

Antibiotic Resistance ◽

Inappropriate Prescribing ◽

Knowledge Score ◽

Antibiotic Use ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Validated Questionnaire ◽

Antibiotic Management ◽

Government Hospitals ◽

Good Patient Care

Inappropriate prescribing of antibiotics is one of the factors that lead to the development of antibiotic resistance. Therefore, understanding doctors’ practice, perception and knowledge is vital in targeting strategies to prevent antibiotic resistance. The aim of the study is to determine the practice, perception and knowledge of doctors on antibiotic use and resistance in Penang government hospitals. This is a cross sectional survey carried out in 6 Penang government hospitals from 9th January 2017 to 20th January 2017. A face-and-content validated questionnaire adapted from Abbo et al., was distributed to house officers (HO), medical officers (MO) and specialists/consultants (SC) and collected back within 5 working days. A total of 243 questionnaires were completed with a response rate of 60.45%. Majority of our respondents (91.6%) considered whether patient is critically ill and/or immunocompromised when selecting an antibiotic. Regardless of their position, doctors agreed that antibiotics are overused and antibiotic resistance is a significant problem nationally. However, MO tended to perceive antibiotic management programmes as an obstacle to good patient care. The mean knowledge score among respondents was 5.88 (1.92) out of 10. Adjusted analysis showed that SC have significantly higher mean knowledge score compared to HO and MO (p

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Antibiotic use in goats: role of experience and education of Missouri veterinarians

Veterinary Record ◽

10.1136/vr.105455 ◽

2020 ◽

Vol 186 (11) ◽

pp. 349-349

Author(s):

Lauren Landfried ◽

Patrick Pithua ◽

Roger D Lewis ◽

Steven Rigdon ◽

Jonathan Jacoby ◽

...

Keyword(s):

Continuing Education ◽

Health Management ◽

Intestinal Parasites ◽

Antibiotic Use ◽

Herd Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Attitudes And Practices ◽

Prescription Practices

BackgroundIn a previous study, we found that rates of antibiotic residues in goat carcasses in Missouri were three times the published national average, warranting further research in this area.MethodsWe conducted a cross-sectional survey of goat veterinarians to determine attitudes and practices regarding antibiotics, recruiting 725 veterinarians listed on the American Association of Small Ruminant Practitioners (AASRP) website and 64 Missouri Veterinary Medical Association (MVMA) veterinarians.ResultsWe collected 189 responses (26.1%) from AASRP members (170 valid) and 8 (12.5%) from MVMA veterinarians totalling 178 responses. While the vast majority of all veterinarians indicated that they prescribed antibiotics less than half of the time, Missouri veterinarians indicated that they spent more time treating goats for overt disease like intestinal parasites and less time on proactive practices such as reproductive herd health management comparatively. While veterinarians agreed that antibiotic resistance was a growing concern, veterinarians outside of Missouri seemed more confident that their own prescription practices was not a contributor. Although nationally most veterinarians felt that attending continuing education classes was beneficial, 73.4% in other states attended classes on antibiotic use compared to only four of the nine Missouri veterinarians.ConclusionMissouri veterinarians had less veterinary experience than veterinarians in other states, and this, in conjunction with low continuing education requirements in Missouri relative to most other states, may hinder development of more proactive and effective client–veterinary relationships.

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Medical Emergency in Dental Clinic - An update

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.3031 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 831-839

Author(s):

Aksha sharen Arul Edwin ◽

Lakshmi T ◽

Karthik Ganesh Mohanraj

Keyword(s):

Dental Students ◽

Medical Emergency ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Emergency Situations ◽

Emergency Procedures ◽

Dental Clinics ◽

Dental Practitioners ◽

Medical Emergencies ◽

Spss Software

In general, one of the convincing methods to tackle an emergency is to be well-organized and prepared priory. The intention of the study is to analyze the availability of medical emergency procedures and equipment in dental clinics. Also, the aim is to determine the level of awareness, knowledge, perceptions, individual experiences and preparedness of the dental practitioners and dental students for the management of medical emergency situations in their hospitals or clinics. A cross-sectional survey based study was done from April to among 100 dental students in Chennai. The self-structured well-designed questionnaire containing the protocols and emergency procedures followed in their clinic. The questionnaire forms were circulated online through Google forms. The data from all the participants were collected and analyzed through SPSS software. In the present study, it was inferred that the majority of the population are aware about the medical emergencies in dental clinics (99%) and the remaining 1% of the population are not aware of it. The conclusion of this study is that the above statistical analysis about knowledge awareness on recent advances in the treatment of medical emergencies in dental clinics has provided an alarming situation about the capability of dentists to deal with such conditions for the betterment of patients .

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Knowledge and Expectations on Antibiotic Use among Older Adults in Malaysia: A Cross-Sectional Survey

Geriatrics ◽

10.3390/geriatrics4040061 ◽

2019 ◽

Vol 4 (4) ◽

pp. 61 ◽

Cited By ~ 1

Author(s):

Lai San Kong ◽

Farida Islahudin ◽

Leelavathi Muthupalaniappen ◽

Wei Wen Chong

Keyword(s):

Older Adults ◽

Viral Infections ◽

Antibiotic Use ◽

The Body ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Inappropriate Use ◽

Validated Questionnaire

Antibiotics are commonly prescribed among older adults, and inappropriate use of antibiotics has been noted. However, there is limited information about their knowledge and expectations for antibiotics. This study aimed to assess older adults’ knowledge of antibiotic use and resistance, their expectations for antibiotics and the relationship between knowledge, expectation and inappropriate practices related to antibiotic use. A cross-sectional survey involving respondents aged 60 years and above was conducted, using a validated questionnaire. A lack of knowledge about the role of antibiotics was observed, whereby more than half of the respondents incorrectly believed that antibiotics can treat viral infections (53.5%) and colds and coughs (53.7%). Also, 67.9% of respondents incorrectly believed that antibiotic resistance occurs when the body becomes resistant to antibiotics. Almost half of the respondents would expect antibiotics for symptoms of self-limiting viral infections. Respondents who answered correctly for the role of antibiotics in viral infections were more likely not to expect antibiotics for cold, flu and cough (p < 0.001). Respondents who answered correctly regarding the need to adhere to antibiotics were more likely to have completed their antibiotic course (p < 0.001). Future educational initiatives should provide key information on the role of antibiotics and the importance of complying with antibiotics in this population.

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Knowledge of antibiotics and antibiotic usage behavior among the people of Dhaka, Bangladesh

Asian Journal of Medical and Biological Research ◽

10.3329/ajmbr.v6i3.49803 ◽

2020 ◽

Vol 6 (3) ◽

pp. 519-524

Author(s):

Iftekhar Ahmed ◽

Md Bodiuzzaman Rabbi ◽

Marufa Rahman ◽

Rehnuma Tanjin ◽

Sharmin Jahan ◽

...

Keyword(s):

Antibiotic Resistance ◽

Antibiotic Use ◽

Antibiotic Usage ◽

Cross Sectional Survey ◽

Self Medication ◽

Cross Sectional ◽

The People ◽

Usage Behavior ◽

Educational Campaigns ◽

Adherence To Therapy

Bangladesh is a developing country with a very high prevalence of antibiotic resistance where irrational use of antibiotics is very common. This cross-sectional survey was conducted to assess the knowledge of antibiotics and antibiotic usage behavior (Antibiotic use, self-medication, adherence to therapy) among the people of Bangladesh. The association between participants’ knowledge of antibiotics and their antibiotic usage behavior was also analyzed. A cross-sectional survey based on a structured questionnaire was conducted in the Dhaka district. The questionnaire included questions about demographic information, participants’ knowledge of antibiotics, and their recent antibiotic usage. The data analysis involved the use of descriptive statistics and multivariable logistic regression. Very few participants knew that antibiotics are not effective against most common colds (16.8%), viruses (22.5%), and pains (41.7%). Most respondents (>75%) knew that excessive use of antibiotics and failing to complete a course may render antibiotics less effective in the future. However, only 56.1% were aware of antibiotic resistance. About half (46.6%) of the participants took antibiotics in the last six months, 20.5% of whom resorted to self-medication and 23.1% reported non-adherence to therapy. Greater knowledge of antibiotics was significantly associated with lower rates of self-medication (p=0.037). Misconceptions about antibiotics and antibiotic misuse are very common in Bangladesh. The findings suggest that misconceptions about antibiotics and antibiotic misuse are very common in Bangladesh. To mitigate these problems, interventions comprised of educational campaigns and redesigning of the healthcare system and policies should be undertaken. Asian J. Med. Biol. Res. September 2020, 6(3): 519-524

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Awareness of Immunosuppressant Drugs among Dental Students - A Cross-sectional Survey

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2020/v32i1730678 ◽

2020 ◽

pp. 158-166

Author(s):

B. Reshmi ◽

Dhanraj Ganapathy ◽

Ashok Velayudhan ◽

Kirankumar Pandurangan

Keyword(s):

Immune Response ◽

Immunosuppressive Agents ◽

Immunosuppressive Drugs ◽

Dental Students ◽

System Response ◽

Organ Transplants ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Dental Practitioners ◽

Chennai City

Drugs to suppress the human immune response in cases of organ transplants and autoimmune disorders have been used for more than half a century. Such agents are essential for treating patients who have received organ transplants or suffer from autoimmune diseases. The main drawback to the early immunosuppressive agents was their lack of specificity. As the understanding of immune system response at the cellular and molecular levels evolved, newer and more specific agents were developed that targeted particular components and elements of the immune response. While these newer immunosuppressive agents are not without potential adverse effects, their efficacy and safety have improved greatly when compared to earlier agents. Therapeutic guidance for the clinician is needed to handle those drugs. In dentistry, care should be taken for patients on immunosuppressive drugs. Hence knowledge about immunosuppressive drugs is needed to be known by the dental practitioners also to provide a proper treatment that benefits the patient. The study was conducted as a cross-sectional survey among 100 dental students pursuing the final year and internship in Chennai city. A self-assessed questionnaire containing 10 questions eliciting information about the knowledge of immunosuppressive drugs were framed. The responses obtained from the participants were compiled, processed further, and analyzed. Various studies were referred to gain more knowledge to improvise the study. The aim of the study is to assess the knowledge of students about immunosuppressant drugs.95.0% of the students knew about immunosuppressant drugs This study concluded that knowledge about immunosuppressive drugs is adequate. Dental awareness programs or lectures if arranged to address this concern may give additional knowledge and so as to ease their practices and pave more comfort for the patient.

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Basic Life Support Knowledge, Awareness, and Attitude among Dental Students in Davangere City, Karnataka, India: A Cross-sectional Study

Journal of Oral Health and Community Dentistry ◽

10.5005/jp-journals-10062-0006 ◽

2017 ◽

Vol 11 (2) ◽

pp. 23-28

Author(s):

A Suma Bindu ◽

V Hirekalmath Sushanth ◽

Mohamed Imranulla

Keyword(s):

Basic Life Support ◽

Life Support ◽

Cross Sectional Study ◽

Dental Students ◽

World Health ◽

Sectional Study ◽

Cross Sectional ◽

Postgraduate Students ◽

Validated Questionnaire ◽

Dental Practitioners

ABSTRACT Introduction According to the World Health Organization, heart disease is the world's largest killer claiming 17.5 million lives every year. Every 29 seconds, an Indian dies of heart problem. It is important that every member of our community including dental practitioners be trained in high-quality cardiopulmonary resuscitation (CPR) as it is a basic medical skill, which can save many lives if implemented timely. Aim The aim of the study was to determine basic life support (BLS) knowledge, awareness, and attitude among clinical dental students (III and IV year students), interns, and postgraduate students in the dental colleges of Davangere city, Karnataka, India. Materials and methods A cross-sectional study was conducted by using a close-ended, validated questionnaire comprising 17 questions pertaining to demographic details, knowledge, awareness, and attitude toward BLS among clinical dental students in Davangere city. Descriptive, chi-squared test and Logistic regression were used to analyze the data using Statistical Package for the Social Sciences version 20. Results After excluding the incomplete response forms, the data were analyzed for 495 responders with a response rate of 96.6%. In the present study, only 23.2% of the responders answered that the rate of chest compression is 100/minute in adults and children and 62.2% of the students were not aware of Heimlich maneuver. About 68.5% students had not attended previous BLS workshops. Conclusion The present study highlights that the overall knowledge, awareness, and attitude among dental students regarding BLS is not satisfactory in Davangere. This study emphasizes the fact that undergraduate course in dentistry must be regularly updated on the knowledge and skills regarding BLS along with practical courses. How to cite this article Bindu AS, Sushanth VH, Kumar PGN, Prashant GM, Imranulla M. Basic Life Support Knowledge, Awareness, and Attitude among Dental Students in Davangere City, Karnataka, India: A Cross-sectional Study. J Oral Health Comm Dent 2017;11(2):23-28.

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Risk Perceptions of Antibiotic Usage and Resistance: A Cross-Sectional Survey of Poultry Farmers in Kwara State, Nigeria

10.20944/preprints202006.0121.v1 ◽

2020 ◽

Author(s):

Al-Mustapha A. Ibrahim ◽

Victoria O. Adetunji ◽

Annamari Heikinheimo

Keyword(s):

Antibiotic Resistance ◽

Risk Perceptions ◽

Antibiotic Use ◽

Antibiotic Usage ◽

Flock Size ◽

Knowledge Level ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Increased Risk ◽

Poultry Farmers

There are overwhelming empirical evidences highlighting the contribution of indiscriminate antibiotic usage (ABU) in food animals to the overall burden of antibiotic resistance (ABR) in humans, thus making antibiotic use the main selective pressure driving antibiotic resistance. Social and behavioral perspective on antibiotic use and resistance in poultry is limited. Our study therefore aimed at obtaining information on antibiotic usage, awareness of ABR, and the attitude and perceptions towards prudent antibiotic usage and ABR. A cross-sectional survey using a structured questionnaire was conducted in 125 poultry farms in Kwara state in December 2019. Most farmers (69.6%, n=87/125) were aware of ABR and had satisfactory knowledge about ABR with a mean knowledge score of 3.16±1.47. The age, gender, level of education of farmers, and their flock size were significantly associated with a satisfactory knowledge of ABR (p<0.05). Tertiary education was significantly associated with ABR awareness (OR: 4.7; 95% CI: 0.0690, 0.654; p=0.007) and the ABR knowledge level (OR: 7.8269; 95% CI: 3.2693, 18.7381; p < 0.01). Higher flock size was significantly associated with a satisfactory knowledge of ABR (OR: 9.4551; 95%CI: 3.7928, 23.5707; p<0.01). Most of the poultry farmers (68%) had positive attitudes towards prudent antibiotic use with a mean score of 2.75±0.89. On the contrary, only 32.8% of poultry farmers had a good perception of ABR with a mean perception score of 4.95±1.12. The ABR knowledge level was significantly associated with the perceptions of farmers (p<0.05) but not their attitudes toward ABU and ABR (P=0.083). There was evidence of unprescribed use of antibiotics in poultry and a failure to observe antibiotic withdrawal periods. These constitute a risk of exposure to unacceptable levels of drug residues from poultry products and an increased risk of ABR. Improving education and communication on antibiotic stewardship programs are crucial to prevent the looming antibiotic apocalypse.

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Antibiotic Use and Antibiotic Resistance: Public Awareness Survey in the Republic of Cyprus

Antibiotics ◽

10.3390/antibiotics9110759 ◽

2020 ◽

Vol 9 (11) ◽

pp. 759

Author(s):

Mikaela Michaelidou ◽

Spyridon A. Karageorgos ◽

Constantinos Tsioutis

Keyword(s):

Antibiotic Resistance ◽

Viral Infections ◽

Public Awareness ◽

Antibiotic Use ◽

World Health ◽

Resistant Bacteria ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Awareness Campaigns ◽

Local Evidence

We aimed to assess the knowledge and understanding of antibiotic use and resistance in the general population of Cyprus, in order to inform future antibiotic awareness campaigns with local evidence. Cross-sectional survey following the methodology of the “Antibiotic resistance: Multi-country public awareness survey” of the World Health Organization, during December 2019–January 2020. A total of 614 respondents participated: 64.3% were female and most were aged 35–44 years (33.2%) or 25–34 years (31.8%). One-third had used antibiotics >1 year ago and 91.6% reported receiving advice on appropriate use from a medical professional. Despite high awareness on correct use of antibiotics, lack of knowledge was noted for specific indications, where approximately one-third believed that viral infections respond to antibiotics and 70.7% lack understanding of how antibiotic resistance develops. Higher education graduates exhibited significantly higher knowledge rates. As high as 72.3% were informed about “antibiotic resistant bacteria” from healthcare professionals or social media. Most agreed on the usefulness of most suggested actions to address antibiotic resistance, with higher proportions acknowledging the role of prescribers. Up to 47% could not identify their role in decreasing antibiotic resistance. Our study provides local evidence to inform future efforts in a country characterized by high antibiotic consumption rates.

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