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

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.

2016 ◽  
pp. 15-19
Author(s):  
M Nasir ◽  
R A Perveen ◽  
N Farha ◽  
M Ahmed

The prevalence of self -medication with antibiotics is quite high in developing countries as opposed to developed countries due to easy availability and poor regulatory controls for selling these drugs. Antibiotics are often taken erroneously for certain ailments, without having the appropriate knowledge of their use. This carries potential risks for the individual as well as the community, in form of several side effects such as antibiotic resistance. Therefore the prevalence of self-medicated antibiotics in developing countries needs to be studied. To assess knowledge, attitude and practice of antibiotic usage among undergraduate medical students, a descriptive cross-sectional study was carried out in Holy Family Red Crescent Medical College, Dhaka. Total 150 students of third and fourth year MBBS were included in the study. Data was collected using self-administered pre-tested questionnaires ensuring before the teaching sessions on antibiotics in MBBS curriculum to evaluate the unbiased response of the participants. Almost 90% of the respondents wrongly believed to treat common cold most of the time by antibiotic. About 77% students were uncertain about the treatment outcome due to injudicious use of antibiotics. Almost 70% respondents strongly disagreed about development of antibiotic resistance due to skipping 1-2 doses. About 62% students believed that more than one antibiotic combination might reduce the adverse effects of single antibiotic. Only 46% participants think they had individual role in antibiotic resistance. The prevalence of self-medication with antibiotics among the medical students was high despite the awareness of adverse effects. The study showed remarkable lack of awareness of medical students at para-clinical phase regarding individual role and use of antibiotic in development of resistance. The academic input of knowledge and course content of Pharmacology may contribute in the improvement of attitude and practice, which should be evaluated in follow up studies.


2016 ◽  
Vol 25 (Number 1) ◽  
pp. 15-19
Author(s):  
M Nasir ◽  
R A Perveen ◽  
N Farha ◽  
M Ahmed

The prevalence of self -medication with antibiotics is quite high in developing countries as opposed to developed countries due to easy availability and poor regulatory controls for selling these drugs. Antibiotics are often taken erroneously for certain ailments, without having the appropriate knowledge of their use. This carries potential risks for the individual as well as the community, in form of several side effects such as antibiotic resistance. Therefore the prevalence of self-medicated antibiotics in developing countries needs to be studied. To assess knowledge, attitude and practice of antibiotic usage among undergraduate medical students, a descriptive cross-sectional study was carried out in Holy Family Red Crescent Medical College, Dhaka. Total 150 students of third and fourth year MBBS were included in the study. Data was collected using self-administered pre-tested questionnaires ensuring before the teaching sessions on antibiotics in MBBS curriculum to evaluate the unbiased response of the participants. Almost 90% of the respondents wrongly believed to treat common cold most of the time by antibiotic. About 77% students were uncertain about the treatment outcome due to injudicious use of antibiotics. Almost 70% respondents strongly disagreed about development of antibiotic resistance due to skipping 1-2 doses. About 62% students believed that more than one antibiotic combination might reduce the adverse effects of single antibiotic. Only 46% participants think they had individual role in antibiotic resistance. The prevalence of self-medication with antibiotics among the medical students was high despite the awareness of adverse effects. The study showed remarkable lack of awareness of medical students at para-clinical phase regarding individual role and use of antibiotic in development of resistance. The academic input of knowledge and course content of Pharmacology may contribute in the improvement of attitude and practice, which should be evaluated in follow up studies.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Luis Felipe Higuita-Gutiérrez ◽  
Gustavo Eduardo Roncancio Villamil ◽  
Judy Natalia Jiménez Quiceno

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.


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 ◽  
Vol 10 (3) ◽  
pp. 25-28
Author(s):  
Ashish Kumar Bhattarai ◽  
Prabin Kumar Karki

Background: Medical education is one of the toughest education systems where the stu­dents are under intense physical and mental pressure especially during the exam time. They have information of different drugs that can cope with their medical conditions and also aware of different cognitive enhancers. Self-medication results in wastage of resource, ad­verse effects, drug dependence and increase chances of resistance of pathogens. Hence, this study was undertaken to determine the knowledge, attitude and practice of irrational drug use among the medical students during the exam time. Methods: This was descriptive cross-sectional using semi-structured questionnaire in the one of the medical school located inside Kathmandu Valley. A total of 90 students participated in the study. The data was analyzed with SPSS version 20, by using descriptive statistics. Results: Among the total respondents,20 (17.7%) were practicing self-medication during the exam time. Of the participants who practiced the self-medication, most common drug used was NDAIDs. Most of the respondents 87(96.7%) were aware of the possible adverse consequences. About 75(83.3%) participants thought the self-medication practice during the exam time is acceptable while 15(16.7%) regarded this as unacceptable. Conclusions: Although low incidence of self-medication was found among students during exam time, the false prerogative of being medical students can lead to meager practice and awful con­sequences.


2021 ◽  
Vol 4 (Special1) ◽  
pp. 337-342
Author(s):  
Jacob Davies Kalliath ◽  
Anuradha Kizhatil ◽  
Brilly M Rose ◽  
Ann Mary Kuncheria ◽  
Alexander John

Background: COVID – 19 infection is a serious pandemic the world is now facing. This study aimed to assess the knowledge, attitude, and practice regarding COVID-19 infection among medical students at a private medical college in central Kerala.  Methods: A cross-sectional web-based study was conducted during April-May 2020 in a private medical college in Ernakulam District using the Universal sampling technique. The study tool was a semi-structured validated questionnaire containing sociodemographic details and questions on knowledge, attitude, and practice (KAP) regarding COVID-19 infection. Data were analyzed using SPSS version 20 software. Results: A total of 288 students were included in the study, with a mean age of 21±1.4. The male-to-female ratio was 2.75:1. Medical students showed adequate knowledge (81.6%), attitude (91.3%), and practice (84.7%) towards the COVID-19 pandemic, respectively. The main symptoms of COVID-19 infection were known to at least 83% of the participants. The majority (85.4%) were aware that there is no specific treatment for COVID-19 infection and 90% were aware of the main modes of the disease transmission. The majority (99%) of the medical students believed that COVID-19 infection could be prevented through social distancing, wearing masks, and the practice of self-hygiene. About 75.6% believed that government measures for prevention are adequate. Steam inhalation, saline gargling, and consumption of vitamin C-rich foodstuffs were the main specific measures adopted. Older age and female gender were found to be associated with better knowledge. Conclusion: Adequate KAP levels among medical students in this study are attributable to the current lockdown and the strict government measures to contain the infection.


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.


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