scholarly journals Knowledge, attitude and practice of undergraduate medical students and interns towards pharmacovigilance

Author(s):  
Tushar R. Bagle ◽  
Vijay A. Vare ◽  
Rohan C. Hire ◽  
Abhaykumar O. Shukla

Background: Medicines had brought revolution in which diseases are treated and controlled. There are several examples in which using nonstandard medicines had led to death of many patients.Methods: A cross-sectional questionnaire based study in 200 undergraduate medical students, 150 medical students and 50 interns in a tertiary care hospital. There will be 50 each from II MBBS, III MBBS, IV MBBS and Interns.Results: The mean age was 23.68+1.64 years. In the elements of Pharmacovigilance, 5 students feel it is only detection, 4 for assessment, 1 for understanding, 5 for prevention and 142 (II:22, III:41, IV:36, Intern:43) all of the above elements while 43 don’t know about the elements of Pharmacovigilance. The factors that discourage from reporting ADR, among this did not know how to report was statistically significant compared to other factors. In students view on problems faced while reporting ADR, among them unawareness of the need to report an ADR and lengthy paper work were statistically significant. (69%) feel internet is the best reference aid to gather information on ADR to new medicines while (39.5%) prefer text books.Conclusions: The learning of PV should start as early as possible in medical school and should be frequently held to increase the Knowledge, attitude and practice of healthcare professionals regarding ADR’s monitoring.

Author(s):  
Ravindra S. Beedimani ◽  
Sameer Uz Zaman ◽  
Subrahmanyam Darb ◽  
Sharat Chandra Potturi

Background: Drugs are one of the most commonly used interventions in medical therapeutics. Spontaneous reporting of adverse drug reactions (ADRs) is the backbone of pharmacovigilance (PV) program. Under-reporting of ADRs by prescribers was possibly due to lack of knowledge, attitude and practices regarding PV. This study was done to assess the knowledge, attitude, and practice (KAP) of medical students (grouped to sixth and eighth semester) and medical doctors about PV in a tertiary care hospital.Methods: It was a questionnaire based cross-sectional study administered to 246 medical students and doctors. Study tool was a validated questionnaire containing 15 questions to evaluate KAP of PV among medical students and doctors. A descriptive analysis of data was done where necessary, statistical significance for associations between the group and their responses to questionnaire was provided using Pearson Chi square test and Fisher exact test.Results: Sixty-eight percent of the participants (90% doctors; 76% eighth-semester and 46% sixth-semester medical students) know the correct definition of PV. Sixty-one percent of the participants (67% sixth-semester, 61% doctors and 53% eighth-semester) think that reporting is a professional obligation for them. Only 15% of the participants have ever been taught or trained on how to report an ADR.Conclusions: Medical doctors and students lack adequate knowledge and practice of reporting ADRs, but they seem to have a positive attitude towards the PV program. Our study findings strongly suggest that there is a great need to create awareness amongst them to promote reporting of ADRs.


Author(s):  
Khajan Singh ◽  
Brijesh Kumar ◽  
Mahender Singh ◽  
Preeti .

Background: Antibiotic resistance (ABR) has now become a global health problem. It has significantly increased the mortality and morbidity related to infectious diseases as well as the economic burden due to these infections. There is global consensus on development of new strategies for prevention of antibiotic abuse and hence decreasing the prevalence of ABR. Medical students should be given more education during their undergraduate training regarding antibiotic resistance and appropriate prescribing. Therefore, this study was planned to assess Knowledge, attitude and practice (KAP) about antibiotics usage among medical undergraduates.Methods: An observational cross-sectional study was done among 2nd year undergraduate medical students of NC Medical College and Hospital, Israna, Panipat. Data was collected through specifically developed structured questionnaire from 130 students. The data was entered in MS excel 2010 and statistical analysis was done using MS excel 2010 and IBM Statistical package for social sciences (SPSS) version 20.0.0.Results: 93.07% (n=121) of the students were aware that antibiotic resistance has become an important and serious global public health issue. The attitude of the students about antibiotic use and resistance was found to be casual and negligent. 21.53% (n=28) of study participants believed that they should take antibiotics when they have cold to prevent from getting a serious illness. 38.46% (n=50) of students considered taking antibiotics whenever they had fever.Conclusions: This study provides useful information about the knowledge, attitudes and the practices of 2nd year undergraduate medical students about antibiotic resistance and usage.


2020 ◽  
pp. 48-50
Author(s):  
Dipsikha Das ◽  
Kalpana Gohain

Introduction: Self medication is referred to the use of medications to treat self-diagnosed disorders or symptoms without a valid prescription. Self medication practice is seen widely due to availability of over the counter drugs and lack of awareness of adverse drug reactions. Aims and Objectives: To study the knowledge, attitude and practice of self medication for diarrhoea among undergraduate medical students in a tertiary care hospital of Assam. Materials and methods: A cross-sectional questionnaire based study was carried out among the Undergraduate medical students of Assam Medical College & Hospital, Dibrugarh. The questionnaire was designed to assess the Knowledge, attitude and practice of self-medication for diarrhoea. A total of 130 students were included in the study after obtaining written informed consent from them. The data of the completely filled up questionnaire was analyzed and presented as mean and percentage. Results: Out of 130 students 89.23% practised self-medication for diarrhoea. The most common cause of self medication practice was to save time and source of information was from medical textbooks. The most common source of medicines was medical stores and commonly used drugs for diarrhoea were ORS, Metronidazole, Ofloxacin, probiotics and anti-motility drugs. Only 17.25% of students had awareness of the harmful effects of self medication for diarrhoea. Conclusion: There is high prevalence of self-medication practice to treat diarrhoea among undergraduate medical students which necessitates proper education and awareness regarding the benefits and hazards associated with self medication practice.


2019 ◽  
Vol 57 (216) ◽  
Author(s):  
Ruchi Shrestha

Introduction: Antimicrobial resistance is an urgent and serious global health problem, demanding considerable attention from health care professionals worldwide. The unavoidable consequence of the widespread use of these agents has been the reason for emergence of antibiotic resistant pathogens, leading to increase in need for new drugs. This study aims to assess knowledge, attitude and practice towards antibiotics use and its resistance in undergraduate medical students. Methods: A descriptive, cross sectional study was conducted among 228 undergraduate medical students studying in Universal College of Medical Sciences in February, 2018. Data was collected through self administered questionnaire and was entered in Statistical Package for Social Sciences 2016. Descriptive statistical analysis was carried out to find out knowledge, attitude and practice on antibiotics use and its resistance on medical students. Results: The mean knowledge, attitude and practice score towards antibiotics use among students was 7.44±1.26, 3.35±1.12 and 5.06±1.45 respectively. Out of total students, only 39 (17.1%) had good knowledge and practice whereas 114 (50%) had good attitude towards antibiotics use. Approximately all 224 (98.2%) students were aware that antibiotics are useful for bacterial infection. Fifty two (22.8%) students said that antibiotics are safe drugs, therefore can be used commonly. Conclusions: Although half of the students had good attitude, majority had moderate knowledge and practice towards antibiotics use. Adequate educational training should be provided to future doctors regarding proper prescribing, dispensing and usage of antibiotics.


Author(s):  
Vindhya Polineni ◽  
Supriya Acharya

Background: Diabetes mellitus is a chronic non-communicable disease which has become the epidemic of the 21st century.  According to WHO 1.6 million deaths were estimated to be directly caused by diabetes in the year 2016 and attributed to be the seventh leading cause of death in the world. Objective of the study was to assess the knowledge, attitude, practice about diabetic care among the diabetic patient, and to assess the association between KAP of diabetic care and socio-demographic factors.Methods: Cross-sectional study was done with purposive sampling for 4 months, on 62 sample size. Data collection tool was the KAP questionnaire which was adapted a study by Herath HMM.Results: Out of 66 participants, 34 (51.5%) had good knowledge about diabetes, 27 (40.9%) and 5 had poor knowledge (7.6%), 16 had positive attitude about diabetes care (24.2%) and 50 (75.8%) had negative attitude, 47 had good practice about diabetes care (71.2%) and 19 (28.8%) of them had bad practice.Conclusions: Though majority of the study participants had good to moderate knowledge (92.4%), their attitude was negative (75.8%) and the knowledge level did not fully reflect into the attitude and practices (71.2%). This suggests there is a gap in the knowledge, attitude and practice.


Author(s):  
Manjula R. ◽  
Anjani Kumar Srivastava ◽  
Ashok S. Dorle

Background: Evidence based practice (EBP) is based on the integration of the best research evidence with clinical expertise to facilitate clinical decision making. Those patients who receive evidence-based therapies have better outcomes than those who do not.Evidence-based medicine is becoming a specialty in its own right, and it's an area that medical students should pay close attention to when determining their path. The objective of the study was to assess the knowledge, attitude and practice regarding evidence based practice among the undergraduate and postgraduate students of a medical college in North Karnataka.Methods: After obtaining ethical clearance from institutional ethical committee, this cross-sectional study was conducted in a Medical College in North Karnataka from November 2016–January 2017. All the interns and postgraduates studying in the College were included in the study. After obtaining informed consent, data was collected through pre-designed semi-structured questionnaire. Data was compiled and tabulated by using MS Excel and was analyzed.Results: Overall, majority of the participants hold positive attitudes toward EBP but lack sufficient knowledge and skills for implementation. The main barriers to implement EBP are insufficient time to read scientific research articles and the cost to its access.Conclusions: More focus should be given to EBP from the medical school itself, either through continuing medical education or various workshops, it can even be included in the curriculum so that all the undergraduate medical students can be sensitized to it from a very initial stage.


Author(s):  
Mohd Junaid ◽  
Swapnil Shinkar ◽  
Amol Patil

Background: Poor knowledge, attitude, and practice (KAP) patterns among patients might reflect the danger of possible high transmission of COVID-19 and the need for awareness campaigns. The need of the hour is to gauge the knowledge, awareness and practices of the people to help prevent the further outbreak of COVID-19.Methods: Questionnaire based cross sectional study was done for a period of 7 days to access the knowledge attitude and practice towards COVID-19 among patients attending a tertiary care hospital in Durg, Chhattisgarh.Results: A total of 288 people participated in the study, majority of respondents were males 53% mean age was 39±15.9 years. Overall, 80.4% of the participants had good knowledge, 68.6% of the participants had a positive attitude, 83.8% of the participants were following good practices. Gender and income influenced knowledge scores, being significantly higher in males and higher income individuals (p value <0.05) while attitude and practices scores had no significant association with gender and income group (p value >0.05).Conclusions: Though the population demonstrated decent knowledge, appropriate practice, and positive attitude towards COVID-19 at the time of outbreak there is still need of on-going health education and awareness campaigns and need of policies and intervention that are more person centred. 


Author(s):  
Swetha E. Jose ◽  
Navya C. Joseph ◽  
Soorya Sheela ◽  
Vidhu M. Joshy

Background: Immunization is globally recognized as one of the most powerful, safe, and cost-effective for the prevention/control of some childhood diseases. Father's involvement is essential for the successful immunization of the child, as man is the head of the family and he takes responsibility for all decision’s measures including health and financial issues. Fathers having good knowledge of RI are likely to encourage their children to assess immunization services. This study thus aimed at assessing the knowledge, attitude and practice of fathers, uptake of RI and its associated factors. To assess the knowledge, attitude and practice of fathers about childhood immunization.Methods: After obtaining institutional ethical clearance we interviewed 110 fathers who have children within the age group 9 months to 2 years who attended the pediatric OP and their knowledge, attitude and practice about immunization was analyzed.Results: Out of 110 fathers interviewed majority come from joint family (91.8%) and had secondary education only (42.7%). Majority were skilled workers (65.5%). Only 0.9% had child death in their family and only 2.7% had a history of vaccine preventable disease in their family. Only 10.9% had good knowledge, 99.09% had good attitude and only 32.7% had good practice.Conclusions: It was found that majority of fathers had poor knowledge and practice about childhood immunization. More awareness programs have to be done in order to improve the routine immunization.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2259-2265
Author(s):  
Rakesh KS ◽  
Santosh Kumar K

Knowledge of Breastfeeding and its practice among lactating mothers is an essential factor which determines the breastfeeding rates. Exclusive breastfeeding helps in preventing neonatal and infant mortality and morbidity and is one of the most important public health intervention, which can reduce the under-five mortality also. This study was conducted in Saveetha medical college hospital between March 2020 and June 2020. To assess the knowledge, attitude, Practice of Breastfeeding among lactating mothers. Descriptive cross-sectional study. 100 lactating mothers admitted to our hospital after delivery were selected randomly. They were interviewed based on a questionnaire which was prepared to assess the knowledge attitude and practice of breastfeeding. Informed consent was obtained after explaining the objective of the study. Out of 100 mothers, 71.38% had good knowledge, 66.6% showed a positive attitude towards breastfeeding, and 63.33% had acceptable breastfeeding practices. The breastfeeding practices followed in our hospital can be improved further by proper counselling and nutritional education of the mothers in the antenatal and immediate postnatal period. The comprehensive lactation management programme which has recently been started in our hospital could aid in the same. Dedicated lactation counsellor and lactation nurse could also help achieve improved breastfeeding practices and attitude towards breastfeeding.


2019 ◽  
Vol 6 (2) ◽  
pp. 371
Author(s):  
Nilesh S. Sonawane ◽  
Chaitanya R. Patil

Background: Tuberculosis is major public health problem especially in the low and middle income countries like India. We conducted a study to assess the knowledge, attitude and practice related to tuberculosis among the patients attending our tertiary care institute.Methods: A cross sectional study was conducted in a tertiary care hospital on the patients attending OPD of tertiary care hospital in Maharashtra. The patients with debilitating illness or bed bound patients and those diagnosed and cured of tuberculosis or were on treatment of tuberculosis were excluded from the study. A pretested and designed questionnaire was used to assess the knowledge, attitude and practice about the cause, clinical features and treatment of tuberculosis.Results: The mean age of the study subjects was 43.34±11.23 years with male: female ratio of 1.45. About 16.67% of the subjects stated that cause of TB is bacteria, 51.33% reported that cough was the most common symptom, 58.67% believed that it spreads from person to person and among the people who said it spreads 58.67% said that it can be preventable.Conclusions: About 1/5th of the study subjects expressed the cause of TB is bacteria or germs, and more than ½ believed that TB spreads from person to person. About 2/3rd of the patients felt that TB was a very serious disease; more than ½ of them expressed fear if they were diagnosed with TB but more than ½ of them also expressed rejection if they have a TB patient as a closed one.


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