scholarly journals Knowledge, Attitude and Practice on Antibiotics Use and its Resistance Among Medical Students in A Tertiary Care Hospital

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.

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.


Author(s):  
Amruta Pasgonda Patil ◽  
Prashant A. Shirure ◽  
Rasika S. Khobragade

Background: Early detection of adverse drug reaction is one step towards the prevention of ADRs. Foundation of Pharmacovigilance is spontaneous reporting which is minimal in India. Among the all health care professionals, nurses are caregivers at bedside. Improvement in knowledge and practice of adverse drug reaction reporting among nurses will definitely increases spontaneous reporting. In this study, knowledge, attitude and practice of nursing staff about pharmacovigilance was evaluated.Methods: It was prospective, cross-sectional, observational, questionnaire-based study among the nurses of the tertiary care hospital Solapur. A questionnaire evaluating knowledge, attitude and practice was distributed among nursing staff and filled questionnaire were collected back and analyzed by microsoft excel 2013.Results: Response rate of our study was 44.88%.  38.61% doctors were knowing meaning of pharmacovigilance while 61.38% participants knew that all drugs available in market are not safe. Taking proper medication history before prescribing drugs was considered important by 92.57% participants. 79.70% participants were aware about Pharmacovigilance program of India. 64.35% doctors answered correctly to elements which are mandatory to record. Only 24.75% participants were knowing the basis that pharmcovigilance provides for.Conclusions: Nursing staff of tertiary care hospital, Solapur had very appreciable and positive attitude towards pharmacovigilance but there is a need for improvement in knowledge and practice of ADR reporting.


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.


2021 ◽  
Vol 15 (1) ◽  
pp. 335-345
Author(s):  
Pandian Balu ◽  
Divya Ravikumar ◽  
Virudhunagar Muthuprakash Somasunder ◽  
Sumetha Suga Deiva Suga ◽  
Poonguzhali Sivagananam ◽  
...  

Catheter-associated Urinary Tract Infection (CAUTI) is a common healthcare-related infection occurring in patients admitted for various ailments. Approximately 80% of hospital acquired Urinary Tract Infections (UTIs) are catheter associated. The purpose of the current research was to find out the level of knowledge, attitude and practice on prevention of CAUTI among healthcare professionals working in tertiary care hospital. A descriptive study was done among 95 health care working in tertiary care hospital in Chennai. The researchers administered standard questionnaire and statistically explored the knowledge, attitude, and practice levels about prevention of CAUTI among the participants. Among 95 participants, 28.4% and 71.6% of the individuals had moderately adequate knowledge and adequate knowledge about CAUTI. About 4.2% of the participants had unfavourable, 88.4% had moderately favourable and 7.4% had favourable attitude towards prevention of CAUTI. About 4.2% of the individuals had moderately adequate and 95.8% had adequate practice towards the prevention of CAUTI. There was significant correlation between attitude and practice. The professional experience of the participants showed statistically significant association with the level of practice among the demographic variables. In our present study, we found out that health care professionals had adequate knowledge, attitude, and practice on prevention of CAUTI. Medical education programs, frequent auditing with a checklist about catheter care must be conducted to maintain the achieved knowledge and practice levels.


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