scholarly journals Knowledge levels and awareness about rational antibiotic use and antimicrobial resistance before and after graduation: A cross-sectional study conducted in Malatya province, Turkey

2021 ◽  
Author(s):  
Adem Kose ◽  
Cemil Colak
Keyword(s):  
Antimicrobial Resistance ◽  
Family Physicians ◽  
Antibiotic Use ◽  
Theoretical Knowledge ◽  
Cross Sectional ◽  
Before And After ◽  
Knowledge Levels ◽  
Group 2 ◽  
Senior Students ◽  
Rational Antibiotic Use

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.

A cross-sectional research conducted in Malatya province, Turkey: Knowledge levels and awareness about rational antibiotic use and antimicrobial resistance before and after graduation

2019 ◽  
Author(s):  
ADEM KOSE
Keyword(s):  
Antimicrobial Resistance ◽  
Family Physicians ◽  
Antibiotic Use ◽  
Theoretical Knowledge ◽  
Cross Sectional ◽  
Before And After ◽  
Group 2 ◽  
Senior Students ◽  
Rational Antibiotic Use ◽  
Group 1

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

scholarly journals Knowledge levels and awareness about rational antibiotic use and antimicrobial resistance before and after graduation

2021 ◽  
Author(s):  
Adem Kose ◽  
Cemil Colak
Keyword(s):  
Antimicrobial Resistance ◽  
Medical School ◽  
Family Physicians ◽  
Antibiotic Use ◽  
Theoretical Knowledge ◽  
Before And After ◽  
Knowledge Levels ◽  
Group 2 ◽  
Senior Students ◽  
Rational Antibiotic Use

Abstract Objective 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.

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

2018 ◽  
Vol 7 (3) ◽  
pp. 370 ◽  
Author(s):  
Abhishek Ghosh ◽  
Snehasish Das ◽  
Raju Dasgupta
Keyword(s):  
Medical Students ◽  
Antimicrobial Resistance ◽  
Regular Education ◽  
Antimicrobial Agents ◽  
Antibiotic Use ◽  
Eastern India ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Rational Antibiotic Use

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.

scholarly journals Assessing Knowledge and Perception Regarding Antimicrobial Stewardship and Antimicrobial Resistance in University Students of Pakistan: Findings and Implications

Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 866
Author(s):  
Iltaf Hussain ◽  
Nisa Yousaf ◽  
Sana Haider ◽  
Pervisha Jalil ◽  
Muhammad Usman Saleem ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
University Students ◽  
Antimicrobial Stewardship ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Dosing Regimen ◽  
Student Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Self Administered Questionnaire

The irrational use of antimicrobials has enormously contributed to antimicrobial resistance (AMR) globally and especially in the developing world. To assess the knowledge and perception regarding AMR and antimicrobial stewardship (AMS), a descriptive cross-sectional study was carried out in university students enrolled in pharmacy, veterinary, and biology programs by using an online self-administered questionnaire. The Chi-square and Fisher exact tests (where applicable) were performed to assess the association of the demographics with the students’ knowledge and perception regarding AMR and AMS. A total of 496 students completed the questionnaire, among which, 85.7% of the participants were familiar with the term AMR and 79.4% of the participants correctly identified a poorly designed dosing regimen as a contributing factor towards AMR. The majority of participants (57.9%) were familiar with the term AMS and 86.5% were aware of the aim of AMS. The participants showed good knowledge regarding AMR and AMS, but to further improve student knowledge and perception of AMS and AMR, it is suggested that dedicated modules on antibiotic use and AMS should be incorporated into the curricula of these undergraduate and postgraduate programs.

scholarly journals A study on antibiotic prescription among the hospitalized pediatric patients at a referral center in Puducherry, India

2017 ◽  
Vol 4 (3) ◽  
pp. 700
Author(s):  
M. Bala Gopal ◽  
P. Thiyagarajan ◽  
Vinayagamoorthy Venugopal ◽  
Venkata Naveen Kumar
Keyword(s):  
Infectious Disease ◽  
Developing Countries ◽  
Antimicrobial Resistance ◽  
Significant Proportion ◽  
Antibiotic Use ◽  
Hospitalized Children ◽  
Referral Centre ◽  
Cross Sectional ◽  
Microbial Resistance ◽  
The Cost

Background: Antimicrobial resistance has reached to a significant proportion globally. This antimicrobial resistance increases the cost of health care in addition to the existing burden of the prevalence of infectious disease in developing countries. We need to have institutional protocols based on the standard guidelines. It is important for the clinician to use antibiotics only when it is necessary. The aim of the study was to analyze the rationality of the antibiotics used among the hospitalized children in the referral centre located in the rural area, to evaluate the pattern of antibiotics prescribed among the hospitalized children and to find out the factors associated with the usage of antibiotics among them.  Methods: Analytical, cross sectional study was performed on all patients admitted to the inpatient pediatric medical service at a referral centre situated in the rural part of the Puducherry, India during the period from July 2015 to June 2016. Results: 959 children were included in our study.607 children belong to less than 5 years of age group. Overall 60% of the children have received either oral or parenteral antibiotics. Based on the categorization of children as per the final clinical diagnosis children requiring antibiotic, can be used and not required are 13% (125), 38.6% (370) and 48.4% (464) respectively. Respiratory, gastrointestinal and systemic infectious diseases were the major group of cases admitted in our centre. Antibiotic use in respiratory and systemic infectious disease were maximum with 248 (70.1%) and 179 (71.6%) respectively. Among the antibiotics cephalosporin, penicillin group and azithromycin constitute more than 90% of the antibiotics prescribed cases.Conclusions: Overuse of antibiotic is universal and seen in both developed and developing countries. This increases the cost of treatment and increases the chances of microbial resistance. As per the W.H.O. recommendations surveillance system is required in all the hospitals to assess the antibiotic use and to monitor the prevalence of microbial resistance. 

scholarly journals Knowledge levels of senıor nursing students about epilepsyHemşirelik son sınıf öğrencilerinin epilepsi hakkındaki bilgi düzeyleri

2017 ◽  
Vol 14 (2) ◽  
pp. 1966 ◽  
Author(s):  
Havva Sert ◽  
Serap Çetinkaya ◽  
Ahmet Seven ◽  
Meryem Pelin
Keyword(s):  
Social Media ◽  
Nursing Students ◽  
Literature Review ◽  
Health Personnel ◽  
Demographic Characteristics ◽  
Knowledge Level ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Knowledge Levels ◽  
Senior Students

Aim: This study was conducted to determine knowledge levels and the factors affecting of  senior nursing students about epilepsy.Method: The study was conducted descriptively and cross-sectional between 17-27 January 2017 with 168 nursing senior students who agreed to participate in the study. The data was collected on social media with questionnaire which was composed of the literature review by the researchers. 15 of the questions were about socio-demographic characteristics and 20 of questions were about epilepsy. Analysing of data were carried out in a computer program by using percentage, Mann-Whitney U and Kruskal Wallis-H test.Results: It was determined that mean score of the students' knowledge level about epilepsy is 81,10±7,27. There was a statistically significant relationship between where they got the information about epilepsy, care a patient previously had a seizure and mean scores of epilepsy knowledge level (p<0,05). It was determined that students ,who got information about epilepsy from the health personnel and those who care a patient previously had a seizure, had high mean scores.Conclusion: In the study, ıt was determined that nursing senior students’ knowledge level about the epilepsy is high; where they got the information about epilepsy, care a patient previously had a seizure affects epilepsy knowledge.Extended English abstract is in the end of PDF (TURKISH) file. ÖzetAmaç: Bu çalışma, hemşirelik son sınıf öğrencilerinin epilepsi hakkındaki bilgi düzeylerini ve etkileyen faktörleri belirlemek amacıyla yapıldı.Gereç ve Yöntem: Çalışma, 17-27 Ocak 2017 tarihleri arasında çalışmaya katılmayı kabul eden 168 hemşirelik son sınıf öğrencisiyle tanımlayıcı ve kesitsel olarak yapıldı. Çalışmanın verileri sosyal medya aracılığı ile toplandı. Verilerin toplanmasında araştırmacılar tarafından literatür taranarak oluşturulan, 15’i sosyo-demogrofik özellikleri, 20’si epilepsi hakkında bilgi durumlarını ölçmeye yönelik sorudan oluşan soru formu kullanıldı. Veriler; bilgisayar ortamında, yüzdelik, Mann-Whitney U ve Kruskal Wallis-H testleri kullanılarak değerlendirildi.Bulgular: Öğrencilerin epilepsi bilgi düzeyleri toplam puan ortalamalarının 81,10±7,27 olduğu belirlendi. Öğrencilerin epilepsi hakkında bilgiyi nereden aldığı ve daha önce nöbet geçiren hastaya bakma durumları ile epilepsi bilgi düzeyi toplam puan ortalamaları arasında istatiksel olarak anlamlı ilişki olduğu saptandı (p<0,05). Sonuç: Çalışmada hemşirelik son sınıf öğrencilerinin epilepsi hakkındaki bilgi düzeylerinin yüksek olduğu; epilepsi hakkında bilgiyi nereden aldığı ve daha önce nöbet geçiren hastaya bakım vermenin epilepsi bilgi durumunu etkilediği belirlendi.

scholarly journals Mass drug administration with azithromycin for trachoma elimination and the population structure of Streptococcus pneumoniae in the nasopharynx

2020 ◽  
Author(s):  
Rebecca A. Gladstone ◽  
Ebrima Bojang ◽  
John Hart ◽  
Emma M Harding-Esch ◽  
David Mabey ◽  
...  
Keyword(s):  
Population Structure ◽  
Streptococcus Pneumoniae ◽  
Antimicrobial Resistance ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Macrolide Resistance ◽  
P Value ◽  
Cross Sectional ◽  
The Third ◽  
Before And After

ABSTRACTBackgroundMass drug administration (MDA) with azithromycin for trachoma elimination reduces nasopharyngeal carriage of Streptococcus pneumoniae in the short term. We evaluated S. pneumoniae carried in the nasopharynx before and after a round of azithromycin MDA to determine whether MDA was associated with changes in pneumococcal population structure.MethodsWe analysed 514 pneumococcal isolates cultured from nasopharyngeal samples collected in Gambian villages that received MDA for trachoma elimination. The samples were collected during three cross-sectional surveys conducted before the third round of MDA (CSS-1) and at one (CSS-2) and six (CSS-3) months after MDA. Whole genome sequencing was conducted on randomly selected isolates. Bayesian Analysis of Population Structure (BAPS) was used to cluster related isolates by capturing variation in the core genome. Serotype and multi-locus sequence type were inferred from the genotype. The Antimicrobial Resistance Identification by Assembly (ARIBA) tool was used to identify macrolide resistance genes.ResultsTwenty-seven BAPS clusters were assigned. These consisted of 81 sequence types (STs), 15 of which were novel additions to pubMLST. Two BAPS clusters, BAPS20 (p-value<=0.016) and BAPS22 (p-value<=0.032) showed an increase in frequency at CSS-3 not associated with antimicrobial resistance. Macrolide resistance within BASP17 increased after treatment (p<0.05) and was carried on a mobile transposable element that also conferred resistance to tetracycline.ConclusionsLimited changes in pneumococcal population structure were observed after the third round of MDA suggesting treatment had little effect on the circulating lineages. An increase in macrolide resistance within one BAPS highlights the need for antimicrobial resistance surveillance in treated villages.

Assessment of Community Pharmacists Knowledge on dispensing of Antimicrobial drugs and Prevention of Antimicrobial Resistance in Community practice

2021 ◽  
Vol 11 (6) ◽  
pp. 14-20
Author(s):  
Nisar Ahmed ◽  
Mohanta GP ◽  
Bhagat MP
Keyword(s):  
Health Care ◽  
Antimicrobial Resistance ◽  
Health Care Cost ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Community Practice ◽  
Antimicrobial Drugs ◽  
Cross Sectional ◽  
Before And After ◽  
Prevention Programmes

The antimicrobial resistance has more impact on the health care division which would increase the mortality and hospital readmission duration. Our objective is to assess the community pharmacist’s knowledge on dispensing of antimicrobial drugs and prevention of antimicrobial resistance in community practice. A cross-sectional study was conducted for six months. A sample size of 150 registered community pharmacists participated in the study. We have used simple random techniques to select the community pharmacists. Questionnaire were distributed to the community pharmacists at pre and post visits and the response was analyzed. The collected data was analyzed using graph pad prism software. The mean and standard deviation was calculated and P<0.005 was considered to be statistically significant. For 25-30 years of age , community pharmacists were more 68 (45.33%) as compared to other ages. Pre visit before and after average mean antimicrobial resistance score was found to be 4.87. Proper implementation of antimicrobial resistance prevention programmes would drastically increases the rational use of antimicrobials could and minimizes the health care cost.

scholarly journals Impact of a mobile decision support tool on antimicrobial stewardship indicators in St. John’s, Canada

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252407
Author(s):  
Daniel Doyle ◽  
Gerald McDonald ◽  
Claire Pratt ◽  
Zahra Rehan ◽  
Tammy Benteau ◽  
...  
Keyword(s):  
Decision Support ◽  
Antimicrobial Resistance ◽  
Antimicrobial Stewardship ◽  
Cost Savings ◽  
Antibiotic Use ◽  
Defined Daily Dose ◽  
Support Tool ◽  
Survey Tool ◽  
Before And After ◽  
The Impact

Objectives Inappropriate antibiotic use contributes to antimicrobial resistance. The SpectrumTM app provides antibiotic decision support, based on local antimicrobial resistance rates. We determined the impact of regional implementation of the app on inpatient antimicrobial appropriateness, inpatient antimicrobial usage (AMU), population-based Clostridioides difficile infection (CDI) rates and cost, using a retrospective, before and after quasi-experimental design, including a one-year study period. Methods The SpectrumTM app was released to prescribers in February, 2019. We performed two one-day inpatient point prevalence surveys using the National Antimicrobial Prescribing Survey tool, six months before (June 25, 2018) and six months after (June 25, 2019) app dissemination. Inpatient AMU in Defined Daily Dose/1000 patient days and CDI incidence were compared, before and after app dissemination. Results The pre-survey included 184 prescriptions, and the post-survey included 197 prescriptions. Appropriateness was 97/176 (55.1%) pre, and 126/192 (65.6%) post (+10.5%, p = 0.051). Inpatient AMU declined by 6.6 DDD/1000 patient days per month, and CDI declined by 0.3 cases per month. Cost savings associated with reduced AMU were $403.98/bed/year and associated with reduced CDI were $82,078/year. Conclusion We observed improvement in antimicrobial stewardship indicators following SpectrumTM implementation. We cannot determine the cause of these improvements.

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