scholarly journals Study on knowledge, attitude and practices with respect to antibiotic use among medical students

2019 ◽  
Vol 8 (7) ◽  
pp. 1628
Author(s):  
Bhavika D. ◽  
A. Naga Teja Pavani ◽  
G. Meghavani ◽  
Aditya Jillella ◽  
Sameer Uz Zaman
Keyword(s):  
Antibiotic Resistance ◽  
Medical Students ◽  
Antibiotic Use ◽  
Educational Strategies ◽  
Key Factors ◽  
Cross Sectional ◽  
Response Options ◽  
Rational Use ◽  
Global Problem ◽  
Rational Use Of Antibiotics

Background: Antibiotic resistance has emerged as a serious global problem. Irrational prescribing of antibiotics is one of the key factors responsible for the development of antibiotic resistance. As today’s medical students will be the future prescribers their awareness regarding antibiotic resistance and rational prescribing of antibiotics is very much important. The main objective of the study was to evaluate the knowledge, attitude and practices of the medical students towards antibiotic use.Methods: A cross-sectional questionnaire-based study was conducted involving the medical students from all the semesters. A predesigned questionnaire was used to evaluate the knowledge, attitude and practices of the respondents. The response options were ‘yes’ or ‘no’ for some questions, and a 5 point Likert scale used to assess some questions. The data was analyzed using MS office Excel.Results: A total of 457 fully completed questionnaires from the respondents were evaluated. Majority of the respondents (70%) were females, and 91% of the respondents were aware of antibiotic resistance as a global problem. On analysis of score of questions assessing knowledge, 91% of respondents had attained a score in the range of 5-7. Majority (83%) of the respondents used antibiotics only on doctor’s prescription and 74% of the respondents had completed the prescribed course.Conclusions: The present study gives an insight on the knowledge, attitude and practices of medical students on antibiotic use, and can be used as a tool to plan educational strategies to improve the knowledge of the students regarding rational use of antibiotics.

scholarly journals Antibiotic resistance and usage, a survey on the knowledge, attitude and practices among the medical students of a southern Indian teaching hospitals

2019 ◽  
Vol 8 (5) ◽  
pp. 1083
Author(s):  
Swathi Ratnam Regidi ◽  
Billa S. B. Mallika
Keyword(s):  
Antibiotic Resistance ◽  
Medical Students ◽  
Teaching Hospital ◽  
Antibiotic Use ◽  
Educational Interventions ◽  
Teaching Hospitals ◽  
Public Health Issue ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Background: Examining the knowledge, attitude and practices (KAP) of the medical students regarding antibiotic resistance (ABR) and use can help us in devising suitable educational interventions for them, tailored according to their earlier held knowledge, beliefs, capabilities and experience.Methods: A cross sectional, questionnaire based survey was conducted among medical students of a teaching hospital, whereby their KAP regarding antibiotic use and resistance was assessed by using a questionnaire, whose responses ranged from ‘agree’ to ‘disagree,’ ‘always to never’ and true / false. The data was analysed by using simple descriptive statistics. Wherever it was relevant, the Chi-square test was used to determine any significant difference.Results: The number of medical students who agreed that ABR was an important and a serious public health issue in this teaching hospital was 76 percent (n = 325). But, only 54.3% (n = 233) of the students were aware that bacteria were not responsible for causing cold and flu, while the remaining 37.2 percent (n = 22) were not knowledgeable about this fact. More than 80% rated the adverse effect profile of the antibiotic and the risk of a super infection as the important factors which deserved consideration. Cost of the antibiotic was considered to be an important factor deserving consideration by only 65.5% (n=277) of the participants.Conclusions: Our survey revealed that most of the students were aware of the antimicrobial resistance and its consequences. The only concern was their casual attitude regarding the antibiotic use. Further educational interventions are necessary to improve their understanding and perceptions on antibiotic resistance, as well as their attitude towards antibiotic use.

scholarly journals A cross-sectional assessment of Indonesian female health cadres’ knowledge and attitude towards antibiotics

2021 ◽  
Vol 15 (10) ◽  
pp. 1453-1461
Author(s):  
Jene Vida Christanti ◽  
Adji Prayitno Setiadi ◽  
Yosi Irawati Wibowo ◽  
Bobby Presley ◽  
Steven Victoria Halim ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Response Rate ◽  
Change Agents ◽  
Antibiotic Use ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Attitudes And Knowledge ◽  
Knowledge And Attitude ◽  
Rational Use Of Antibiotics ◽  
And Storage

Introduction: Health cadres have a key role in building awareness related to irrational antibiotic use and antibiotic resistance in Indonesia. Cadres help to bridge the gap between the shortage of health professionals and the need to reach the broader population. This study aimed to identify cadres’ background, antibiotic knowledge and attitudes in an Indonesian setting. Methodology: A paper-based questionnaire survey was validated and conducted among purposefully selected cadres attending a seminar in Malang Indonesia. A 5-point Likert scale was used to identify attitudes, while true/false statements determined their knowledge. A total of 112 cadres responded, giving a 100% response rate. Results: The majority had been cadres for >2 years with previous counseling experience. Their attitudes on antibiotic use, were shown by the lower levels of disagreement to the statements “when I get a sore throat, I prefer to use antibiotics” (37.5%); “I would take antibiotics if I have had a cough for more than one week” (41.1%); and, “when I get influenza, I would take antibiotics to help me recover sooner” (47.3%), within the “indications” domain. For knowledge, lower scores were reported for domains related to “indications” (mean 1.49 ± 0.82/3), “resistance” (mean 1.06 ± 0.94/3), and “storage and disposal” (mean 1.23 ± 0.78/3). Conclusions: These findings indicated a need to improve cadres’ attitudes and knowledge prior their involvement as change agents for improving the rational use of antibiotics to minimise antibiotic resistance in Indonesia.

scholarly journals Rational Use of Antibiotics – A Point Prevalence Study Carried out at a Tertiary Hospital in South-South Nigeria

2020 ◽  
pp. 39-47
Author(s):  
Okechukwu Chioma
Keyword(s):  
Antibiotic Resistance ◽  
Antibiotic Use ◽  
Tertiary Hospital ◽  
Point Prevalence ◽  
Prescribing Patterns ◽  
Prevalence Study ◽  
Antibiotic Prescribing ◽  
Point Prevalence Study ◽  
Rational Use ◽  
Rational Use Of Antibiotics

Introduction: The burden of antibiotic resistance in the hospitals and communities is progressively worsening hence the critical need to put into practice all the key components of rational use of antibiotics in our daily patient interactions. This paper aims to highlight the problem of antibiotic resistance, the importance of rational use of antibiotics and to show an on the spot sketch of the antibiotic use pattern among in-patients in the children wards in a tertiary hospital. Methodology: A brief review of the existing literature on antibiotic resistance and the rational use of antibiotics was done. A one-day cross-sectional point prevalence study was conducted in the children wards in UPTH and all children receiving antibiotics on that day, identified. The prevalence of antibiotic use was determined by dividing the number of inpatients on antibiotics at the time of the survey by the total number of patients on admission. Data were presented in percentages using pie and bar charts. Results: There were a total of 40 children on admission in the paediatric wards with a Male: Female ratio of 1.2:1. 34 (85.0%) of the children on admission were receiving at least one antibiotic. The most common route of administration of the antibiotics was the intravenous route (94.1%). The five most commonly prescribed antibiotics in the children medical wards and the emergency ward were Ceftriaxone, Gentamycin, Cefuroxime, Metronidazole and Crystalline penicillin, while the five most common antibiotics prescribed in the special care baby unit were Gentamycin, Ceftazidime, Ceftriaxone, Metronidazole and Ofloxacin. Only 10 (29.4%) out of children receiving antibiotics had a microbiology culture result available, and 4 were receiving antibiotics in line with the culture sensitivity pattern. Two (5.9%) children had a multidrug-resistant infection. Conclusion: This study showed a high prevalence of antibiotic use among inpatients and low utilization of microbiology culture results in the choice of antibiotics in a tertiary hospital in South-south Nigeria. Antibiotic prescribing patterns among healthcare workers should be improved upon by training and retraining of personnel as well as strict adherence to antibiotic prescription guidelines.

scholarly journals Knowledge, attitude and practices of antibiotic usage among university students from Karachi, Pakistan

2019 ◽  
Vol 7 (2) ◽  
pp. 519
Author(s):  
Dnyanesh Limaye ◽  
Patrick Ziesenis ◽  
Vaidehi Limaye ◽  
Mansoor Ahmad ◽  
Farah Saeed ◽  
...  
Keyword(s):  
University Students ◽  
Public Awareness ◽  
Antibiotic Use ◽  
Symptomatic Improvement ◽  
Cross Sectional Study ◽  
Antibiotic Usage ◽  
Cross Sectional ◽  
Rational Use ◽  
Rational Use Of Antibiotics ◽  
Medical Advances

Background: Antimicrobial resistance has become a serious global problem. A potential post-antibiotic era is threatening present and future medical advances. In Pakistan, the usage of antibiotic is unnecessarily high and due to over exposure to these drugs, bacteria are developing resistance against these drugs. It is necessary to improve public awareness about the rational use of antibiotics in order to bring a change in consumer’s behaviour. Therefore, present study was undertaken to assess the existing knowledge, attitude and practices related to antibiotic usage among university students.Methods: A cross-sectional study was carried out among university students from Karachi, Pakistan during May-June 2018. 200 students were approached to participate in the study of which 159 agreed to participate (males: 70, females: 89). Pretested questionnaire was distributed to the study subjects and the collected data was analyzed using IBM SPSS version 23.Results: Substantial number of (33% and 50%) participants were unaware about the differences in antibiotic: anti-inflammatory drugs and antibiotic: antipyretics respectively. 29% of the participants thought it is right to stop antibiotics only based on symptomatic improvement. Thirty nine percent and eighty three percent participants believed that antibiotics should always be prescribed to treat flu like symptoms and pneumonia respectively.Conclusions: Participants demonstrated average knowledge about antibiotics. Similarly, their attitude and practice toward antibiotic use was associated with misconceptions. An educational intervention is necessary to make them aware about rational use of antibiotics.

scholarly journals Antibiotic use: evaluating knowledge, attitude and practices among medical students in a sub Himalayan state

2017 ◽  
Vol 6 (10) ◽  
pp. 2516 ◽  
Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Renu Rani ◽  
Rashmi Kumari ◽  
Bhavna Langer ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Medical Students ◽  
Viral Infections ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
World Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Health Organization

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.

scholarly journals Nursing Students’ Knowledge and Awareness of Antibiotic Use, Resistance and Stewardship: A Descriptive Cross-Sectional Study

Antibiotics ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 203 ◽  
Author(s):  
Andrea Rábano-Blanco ◽  
Eva María Domínguez-Martís ◽  
Diego Gabriel Mosteiro-Miguéns ◽  
Manuel Freire-Garabal ◽  
Silvia Novío
Keyword(s):  
Antibiotic Resistance ◽  
Nursing Students ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Santiago De Compostela ◽  
Level Of Knowledge ◽  
Cross Sectional Design ◽  
Rational Use Of Antibiotics ◽  
The University

Antibiotic resistance is an emerging worldwide concern with serious repercussions in terms of morbi-mortality. Bearing in mind that the inadequate use of antibiotics, by healthcare staff as well as by the general population, is one of its main causes, a multidisciplinary approach is required to try to combat it. The aim of the present study was to determine nursing students’ knowledge and awareness of antibiotic use, resistance and stewardship. A cross-sectional design was used. A total of 578 nursing students from the University of Santiago de Compostela (Spain), ≥18 years old of both sexes were invited to complete the Spanish version of the questionnaire “Knowledge and awareness of the use, resistance and administration of antibiotics” between February and April 2019. Students had a low level of knowledge about antibiotics, 4.1 (CI95% = 3.4–4.8), especially in relation to antibiotic resistance. As the students were aware of this deficiency, the majority affirmed (>90%) that the current curriculum of nursing degree should have more training on antibiotics and infection control. Nursing staff play an important role in the rational use of antibiotics and as teachers of patients, so their training could be key in fighting antibiotic resistance.

scholarly journals Understanding of antibiotic use and resistance among final-year pharmacy and medical students: a pilot study

2014 ◽  
Vol 8 (06) ◽  
pp. 780-785 ◽  
Author(s):  
Shazia Qasim Jamshed ◽  
Ramadan Elkalmi ◽  
Kingston Rajiah ◽  
Abdul Kareem Al-Shami ◽  
Siti Hadijah Shamsudin ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Medical Students ◽  
Pilot Study ◽  
Antibiotic Use ◽  
Resistant Bacterium ◽  
Pharmacy Students ◽  
Face Validity ◽  
Extensive Literature ◽  
Cross Sectional ◽  
Adequate Knowledge

Introduction: This study is aimed to investigate the understanding of antibiotic use and antibiotic resistance and its correlate factors among final-year medical and pharmacy students at International Islamic University Malaysia (IIUM). Methodology: This was a cross-sectional study. The study instrument was developed by extensive literature search and was subjected to face validity and content validity to medical and pharmacy academics. A pilot study was conducted to ascertain the reliability coefficient. Data was entered to SPSS version 17 and descriptive and inferential statistics were applied. Results: A total of 123 questionnaires were included in the study. Out of 123 respondents, 58.5% (n = 72) were final-year medical students, while 41.5% (n = 51) were final-year pharmacy students. The majority of the respondents showed adequate knowledge regarding the course contents related to antibiotics (n = 116; 94.3%). Almost all the respondents correctly reported the difference between bactericidal and bacteriostatic antibiotics. Only 15.4% (n = 19) and 27.6% (n = 34) of students were able to recognize Streptococcus pyogenes as non-pencillin resistant bacterium and Enterococcus as vancomycin-resistant bacterium, respectively. Conclusions: The students showed good understanding regarding antibiotic resistance. In comparison to medical students, pharmacy students showed better understanding and more adequate knowledge, as the mean value for each domain was slightly higher for pharmacy students. Extensively improving the curriculum and educating healthcare professionals, especially physicians and pharmacists, right from the time of their educational training can inculcate a moral responsibility toward the judicious use of antibiotics, which can serve to eradicate antibiotic resistance.

scholarly journals Knowledge, attitude, and practice regarding antibiotic use and resistance among medical students in Colombia: a cross-sectional descriptive study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Luis Felipe Higuita-Gutiérrez ◽  
Gustavo Eduardo Roncancio Villamil ◽  
Judy Natalia Jiménez Quiceno
Keyword(s):  
Socioeconomic Status ◽  
Antibiotic Resistance ◽  
Medical Students ◽  
Antibiotic Use ◽  
Empiric Antibiotic Therapy ◽  
Cross Sectional ◽  
Training Cycle ◽  
Attitude And Practice ◽  
The University ◽  
Knowledge Attitude And Practice

Abstract Background This study was designed to describe the knowledge, attitude, and practice regarding antibiotic use and resistance among medical students in Medellín, Colombia. Methods A cross-sectional study was conducted among medical students from three universities from September to December 2018. The sample size was calculated, the classrooms were visited, and those students who were willing to participate were invited to do so. The data collection instrument was constructed in three stages: i) the literature was systematically reviewed, ii) the items from the studies identified were extracted, and iii) item reduction was performed with exploratory factor analysis. Data were analyzed by calculating absolute and relative frequencies and means for quantitative variables. The indexes of knowledge, attitude, and practice were transformed to a scale from 0 (worst possible score) to 100. Comparisons were performed using the Mann-Whitney U test, Kruskall-Wallis H test, and linear regressions. Results Five hundred and thirty-two medical students were included with a response rate of 96%. Of the total participants, 49.1% reported having used antibiotics within the past year. Regarding knowledge, only 18.2% had heard of the term “antimicrobial stewardship” and 69.3% were aware that empiric antibiotic therapy contributes to antibiotic resistance. Regarding attitude, 11.6% considered that antibiotics should be discontinued as soon as symptoms disappear and 24.6% stated that it is better to prescribe broad-spectrum antibiotics to ensure that the patient is cured. Regarding practice, 28.5% recognized that resistance is a multifactorial problem, but they do not act on it because they consider that individual actions would have little impact. The adjusted linear regression showed that the variables associated with knowledge, attitude, and practice were socioeconomic status, training cycle, university, previous experience of research or education, the general perception of the training received, and antibiotic consumption. Conclusion Knowledge, attitude, and practice differ widely depending on the university, training cycle, and socioeconomic status, and a significant proportion of students consider that the standard of training received at the university on antibiotics and bacterial resistance is poor or mediocre. These findings show that there is a need to strengthen the medical students’ curriculum on antibiotics, mechanisms of antibiotic resistance, and the prudent use of antibiotics as an important strategy to combat problem-resistant public health, primarily in endemic countries.

scholarly journals Knowledge, attitude and practice about antibiotic use, self-medication and antibiotic resistance among final year medical students and interns at a medical college in Lalitpur, Nepal

2020 ◽  
Vol 10 (3) ◽  
pp. 69-73
Author(s):  
Nisha Jha ◽  
Sunil Shrestha ◽  
Pathiyil Ravi Shankar ◽  
Shital Bhandary
Keyword(s):  
Antibiotic Resistance ◽  
Medical Students ◽  
Statistical Tests ◽  
Antibiotic Use ◽  
Attitude Score ◽  
Self Medication ◽  
Cross Sectional ◽  
Medical College ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

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.

scholarly journals Prescribers’ Knowledge, Attitudes and Behaviors on Antibiotics, Antibiotic Use and Antibiotic Resistance in Jordan

Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 858
Author(s):  
Reema A. Karasneh ◽  
Sayer I. Al-Azzam ◽  
Mera Ababneh ◽  
Ola Al-Azzeh ◽  
Ola B. Al-Batayneh ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Antibiotic Prescribing ◽  
Prescribing Practices ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Attitudes And Behaviors ◽  
And Behaviors ◽  
Ease Of Access

More research is needed on the drivers of irrational antibiotic prescribing among healthcare professionals and to ensure effective prescribing and an adequate understanding of the issue of antibiotic resistance. This study aimed at evaluating prescribers’ knowledge, attitudes and behaviors about antibiotic use and antibiotic resistance. A cross-sectional study was conducted utilizing an online questionnaire and included physicians and dentists from all sectors in Jordan. A total of 613 prescribers were included (physicians n = 409, dentists n = 204). Respondents’ knowledge on effective use, unnecessary use or associated side effects of antibiotics was high (>90%), compared with their knowledge on the spread of antibiotic resistance (62.2%). For ease of access to the required guidelines on managing infections, and to materials that advise on prudent antibiotic use and antibiotic resistance, prescribers agreed in 62% and 46.1% of cases, respectively. 28.4% of respondents had prescribed antibiotics when they would have preferred not to do so more than once a day or more than once a week. Among respondents who prescribed antibiotics, 63.4% would never or rarely give out resources on prudent use of antibiotics for infections. The findings are of importance to inform antibiotic stewardships about relevant interventions aimed at changing prescribers’ behaviors and improving antibiotic prescribing practices.

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