scholarly journals Knowledge, attitude and practices about antimicrobial resistance and appropriate use of antimicrobial agents among the MBBS students of a medical college hospital in Eastern India

Author(s):  
Abhishek Ghosh ◽  
Snehasish Das ◽  
Raju Dasgupta

Background: Antimicrobial agents are one of the most commonly used as well as misused drugs. Rational antibiotic use is thought to be the best way to control resistance. Awareness and practice about antimicrobial use and resistance among medical students of different years so that appropriate measures can be taken to educate them properly to prevent misuse of antimicrobial as far as possible.Methods: It was a cross sectional questionnaire-based study undertaken in a teaching hospital in Eastern India among 328 medical students in 4 different batches. their responses remained confidential. total correct and incorrect responses from each of the 4 batches of MBBS students. overall trend and batch wise difference in the responses were analyzed.Results: Most of them had idea about problem of antimicrobial resistance and most of the students answered majority of the questions correctly. While assessing difference in responses in different batches, result showed that there was very significant improvement in the response of 6th semester students than the response of 4th semester students, may be due to acquiring knowledge of antimicrobials from their pharmacology classes in that period.Conclusions: Overall knowledge of antimicrobial resistance and proper use of antimicrobials appears good among different batches of MBBS student of this institution, though some areas need to be improved. Knowledge improvement is most evident from 4th semester to 6th semester students. Pharmacology training appears to make students more aware of this problem. Regular education is important to make them more aware.

2019 ◽  
Author(s):  
ADEM KOSE

Abstract Background Irrational antibiotic use can adversely affect treatment outcomes or even lead to increased antimicrobial resistance. We aimed to determine antimicrobial prescribing habits and to evaluate the level of theoretical knowledge of rational antibiotic use and awareness about antimicrobial resistance among the senior students of medical faculty and the family physicians in Malatya province in Turkey. Methods This study was cross-sectional research and was carried out between dates of 01 February-30 April 2019, in Malatya province. Power analysis was calculated as minimum 240 participants when considering a proportion difference of 0.18 between the groups, a type I error of 0.05 and a type II error of 0.20. A total 225 senior students in Inonu University Medical Faculty (Group 1) and 230 actively-working family physicians in Malatya primary healthcare services who were found eligible (Group 2) were included in to this study. A questionnaire form was prepared including seven sections and thirty questions. All of the participants were interviewed face to face. Before the questions, the purpose of the study and the contents of the questions were explained to participants. Qualitative data were analyzed by Pearson chi-square test. A p<0.05 value was considered to be statistically significant. Results The group 1 had a tendency to apply to specialist physician when starting to themselves antibiotic treatment, they were more cautious when making antibiotic decision, and their theoretical knowledge level was better. They argued that penal sanctions could be more effective by developing strict use policies to raise awareness of resistance to antibiotics. The group 2 had higher self-confidence and it was also concluded that forgot their theoretical antibiotic knowledge over time and could not follow the novel information because of the intensity of working life. Both groups stated that post-graduation trainings could be used effectively for reducing the antibiotic resistance. Conclusion This study highlighted the need for immediate action of training and corrective actions and might create awareness to determine the difference in theoretical knowledge levels and behavior models of physicians before and after graduation and to reduce higher use rates to lower levels. Key words: Antimicrobial resistance, antibiotic, awareness, rational use


2018 ◽  
Vol 5 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas

Background: Medical students are in a huge pressure due to their academic syllabus. Objective: The purpose of the present study was to assess the relationship between anxiety and academic performance among private medical college.Methodology: This cross sectional study was done in private medical College Hospital, Dhaka, Bangladesh and 3rd and 4th year medical student were included. Data was   collected by using semi structured Socio-demographic questionnaire and Burn Anxiety Inventory scale and Checklist. Finally all data and results were analyzed using latest version of SPSS software. For descriptive statistics means, medians, SD and range will be calculated as required. Data will be presented in frequency table, bar, pie and scattered diagram as per need.  Statistical test chi-square test were used and p<0.05 was consider to be statistically significant.Results: A total number of 200 medical students were studied after fulfilling the inclusion and exclusion criteria. Among them 87.0% were Muslim; 98.0% were unmarried; 83.0% were in nuclear family; family member of 42.5% respondents had 4 to 6 persons; monthly income of 64.7% respondents were less than 50,000 Taka; 47.0% of the respondents’ father occupation was businessman. In 1st profession examination 68.0% in Anatomy, 73% in Physiology, 76% in Biochemistry were passed in anatomy. In 1st professional exam, students suffered from moderate to extreme anxiety were passed 78% and referred 22% as well as suffered from minimal to mild anxiety were passed 43% and referred 57% in Physiology. So there was strong association between the two variables (p<0.05).Conclusion: Three fifth of the students are suffered from moderate anxiety level and those who are suffered moderate to extreme anxiety passed more and their class attendance are good.Journal of Current and Advance Medical Research 2018;5(2):68-72


Author(s):  
Krutarth R. Brahmbhatt ◽  
Amul B. Patel

Background: Antimicrobial-resistant organisms are spreading worldwide, and the pipeline for new antimicrobials remains meager. The next generation of doctors must be better prepared to use antimicrobials more sparingly and appropriately.Methods: A cross-sectional study was conducted among undergraduate medical students of GMERS Medical College Junagadh from January to May 2017. Self-administered structured close ended questionnaire in English was used. Pearson’s correlation co-efficient, t test and ANOVA were used as tests of significance.Results: Total 130 students participated in the study. Participation of females (48.5%) and males (51.5%) was almost equal. Almost 60% participants had adequate knowledge about antimicrobial resistance. The mean antimicrobial resistance knowledge score of participants was 22.7 (SD: ±5.27, min: 8, max: 37).Conclusions:Important finding of the study was that just one forth of the participants agreed that information they have received so far in medical course regarding antimicrobial resistance is adequate. The budding doctors should receive correct, adequate information regarding antimicrobial resistance.  


2021 ◽  
Author(s):  
Adem Kose ◽  
Cemil Colak

Abstract Background Irrational use of antibiotics may adversely affect the treatment outcomes or even lead to increased antimicrobial resistance. We aimed to evaluate the level of theoretical knowledge of rational antibiotic use and awareness about antimicrobial resistance among the senior students at a medical school and the family physicians.Methods This study was cross-sectional research and was carried out between 01 February-30 April 2019 in Malatya province. Two-hundred twenty-five senior students in the Inonu University Medical School (Group 1) and 230 actively-working family physicians in Malatya primary healthcare services who were found eligible (Group 2). Power analysis was calculated as the minimum of 240 participants when considering a proportion difference of 0.18 between the groups, a type I error of 0.05 and a type II error of 0.20. A p<0.05 value was considered to be statistically significant.Results Researchers argued that penal sanctions can be more effective by developing strict use policies to raise awareness of resistance to antimicrobials. Group 2 had higher self-confidence, and it was also concluded that they forgot their theoretical antibiotic knowledge over time, and they could not follow the current information because of the intensity of their working life. Both groups stated that post-graduation training could be used effectively for reducing antimicrobial resistance.Conclusions This study attempted to increase awareness to determine the difference in theoretical knowledge levels and behavior models of physicians before and after graduation. Sustainable antibiotic training for doctors after graduation will contribute positive effects to antimicrobial resistance and rational use of antibiotics.


2021 ◽  
pp. 161-163
Author(s):  
Hannah Roberts O R ◽  
Saranya Bai S ◽  
Sangeetha N ◽  
Mahendranath P

OBJECTIVE: To determine the awareness and knowledge of blood donation among undergraduate medical students MATERIALS AND METHODS: A cross sectional study was conducted at ACS Medical College and Hospital, Chennai, from st nd rd th January to March 2021.The study population was 400 medical students of 1 , 2 , 3 and 4 year. Pre-tested and self-structured equestionnaire was sent to the study population and the responses were viewed using a separate email id. RESULTS: Of the 400 medical students, 41.5% males and 58.5% females. The mean age is 20.6 years. 368 (92.0 %) are aware of voluntary blood donation. Online platforms or web portals are used by 267 (66.8 %) to assess information about Voluntary Blood Donors. Only 11 (2.7 %) have donated blood regularly. CONCLUSION: We infer that the knowledge and awareness on voluntary blood donation was comparatively higher among males and nal year students. The facts pertaining to voluntary blood donation, when conveyed by the online platforms were found to have greater impact on the current youth generation. Hence, this study recommends organising regular talks and interactive sessions as a must to bridge the gap in knowledge, to identify and remove misconceptions and motivate them for voluntary blood donation on a regular basis.


Antibiotics ◽  
2019 ◽  
Vol 8 (3) ◽  
pp. 154 ◽  
Author(s):  
Mainul Haque ◽  
Nor Azlina A. Rahman ◽  
Judy McKimm ◽  
Massimo Sartelli ◽  
Golam Mohammad Kibria ◽  
...  

Background: Antimicrobial prescribing behaviors are often influenced by the local culture and prescribing appropriateness of medical doctors and other health care professionals. Globally, antimicrobial utilization practices have a profound impact on antimicrobial resistance and are a tremendous public health concern. The aim of this survey was to explore the knowledge and attitudes of medical students from the National Defence University of Malaysia regarding antimicrobial usage and antimicrobial resistance. Research design and methods: This was a cross-sectional study. The study population consisted of undergraduate medical students in each year group from the National Defence University of Malaysia. Students receive limited formal training on the use of antibiotics in their curriculum, and most of this learning is opportunistic whilst on clinical placement. Universal sampling was used as the study population was small. Data were collected utilizing a previously validated instrument regarding antibiotic use. Simple descriptive statistics were used to generate frequencies and percentages with SPSS V21. This research was approved by the Centre for Research and Innovation Management, National Defence University of Malaysia. Results: 206 questionnaires were distributed with a response rate of 99.03%, 54% (110) male, and 46% (94) female. Out of the respondents, 65% (132) had used antibiotics in the last year. Respondents displayed a moderate level of knowledge about antibiotics. Conclusions: This study revealed that the older the student was, or when the year of study and total knowledge score was higher, the students were less likely to stop antimicrobials when they felt better or use leftover antibiotics without consulting a doctor. Therefore, the nearer the students were to graduation, the better their knowledge and skills were, and this translated into their own behaviors regarding use of antimicrobials. This finding has clear implications for curriculum design and the inclusion of formal teaching throughout the medical program on antimicrobial use and antimicrobial resistance (AMR). However, more research is needed on this topic, including the prescribing habits and antibiotic use of practicing doctors.


Author(s):  
Jayaram Chundru ◽  
Shailendra D. ◽  
Rahul R. Tirumalareddy ◽  
Harsha Kumari ◽  
Vishal P. Kovilakonda

Background: Inappropriate antimicrobial use contributes to antimicrobial resistance. Assessing knowledge, perception and attitude regarding antimicrobial use serves as a prelude to design and implement educational modules to promote rational antimicrobial use.Methods: An online questionnaire based cross-sectional study involving 338 medical students; under-graduates, interns and post-graduates was conducted in a medical college in south India. Chi-square test or Fisher exact test were used to determine association between variables.Results: Fifty percent of the participants (170/338) responded to the questionnaire. The responses were similar across undergraduates, interns and post-graduates. Majority of the responders had good knowledge regarding use of antimicrobials. Most of the participants (92.35%) expressed that a broad-spectrum antimicrobial should be started to treat a serious infection while awaiting culture and sensitivity reports and 88.82% did not prefer to use antimicrobial agents for common cold. Similarly, most of the respondents (93.56%) were aware of the fact that antimicrobial resistance is a global problem. However, many of them (74.71%) were not aware of antimicrobial stewardship programme in their college.Conclusions: This study revealed that most of the students had good knowledge, fair perception and positive attitude regarding the use of, and resistance to antimicrobial agents but not about stewardship programmes. Proactive measures are required to sensitise medical students on antimicrobial stewardship programmes.


2020 ◽  
Vol 11 (4) ◽  
pp. 7405-7409
Author(s):  
Pooja B ◽  
Dheepak Sundar M

To assess the awareness about eye donation among undergraduate medical students. A cross-sectional descriptive study was carried out among 400 medical students studying in a tertiary medical college/hospital located in Tamil Nadu. The study tool used was a semi-structured google form questionnaire designed for assessing the awareness about eye donation among medical students. It was observed that the majority of the students (99.4%) of the students were aware of eye donation. Media has been the primary source for this awareness. The cornea is the part of the eye used for transplantation, and only 238(59.6%) knew about this The identity of the donor. The recipient will be kept confidential, and also the donors family will not be charged any money for the donation, but only 54% of the students were aware of this fact. Though the awareness was high, only 206(51.60%) were willing to pledge their eyes for donation. The study highlights the importance of educating medical students about eye donation as they play a significant role in helping the public in clarifying misconceptions and also increase the eye donation rates. The importance of consent over the telephone has also been emphasized in this study. Media can be used as a powerful tool in creating appropriate advertisements through television, newspapers, billboards and social media, which will be helpful.


2020 ◽  
Vol 10 (3) ◽  
pp. 69-73
Author(s):  
Nisha Jha ◽  
Sunil Shrestha ◽  
Pathiyil Ravi Shankar ◽  
Shital Bhandary

Background:Antibiotic resistance is a global crisis posing a considerable threat, especially, to developing countries and can cause 10 million deaths by 2050. Medical students as future doc­tors play an essential role in promoting the rational use of antibiotics. The objectives of this study were to evaluate the respondents’ knowledge, attitude and practice (KAP) regarding an­tibiotic use, antibiotic self-medication, and antibiotic resistance and compare the KAP among different subgroups of respondents at KIST Medical College, Lalitpur, Nepal. Methods: A cross-sectional study was done among final year medical students and interns from Sep­tember to October 2019. A structured questionnaire with 22 statements for assessing knowledge, 13 statements for attitude and 12 statements for practice was used as a data collection tool. Differ­ences in the KAP scores among different subgroups were studied using appropriate statistical tests. Results: A total of 131 respondents participated, and 76(58%) were female. Most were from the Brahmin ethnic group 54(41.2%) while 82(62.6%) had relatives in the medical field. Ninety-three (71%) were final year medical students and 38(29%) were medical interns. The knowledge scores were high (76) among most subgroups of respondents. The attitude score was 58 out of 65 and prac­tice score was 6 out of 12. Knowledge scores were higher among female respondents, and practice scores were higher among interns (p=0.002). Conclusions: The study showed good knowledge and attitude regarding antibiotics among the final year medical students and the interns. Interns were found to have a better practice than the final year students for using antibiotics rationally.


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