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

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.

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

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20192662 ◽

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.

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Awareness of antibiotic use and antibiotic resistance amongst dental students

Brazilian Dental Science ◽

10.14295/bds.2021.v24i3.2470 ◽

2021 ◽

Vol 24 (3) ◽

Author(s):

Khaloud Tariq ◽

Muhammad Hassan ◽

Mehreen Wajahat ◽

Nadia Muneer ◽

Eisha Imran

Keyword(s):

Public Health ◽

Antibiotic Resistance ◽

Antibiotic Use ◽

Dental Students ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Prescription Practices ◽

Validated Questionnaire ◽

Dental Practitioners ◽

Knowledge And Attitude

Objective: Antibiotic resistance is one of the most threatening public health problems of 20th century. Along with physicians, dental practitioners also routinely prescribe medications for oral and dental infections. However, previous studies have shown that dental surgeons often prescribe antibiotics where new evidence have suggested other treatment measures. Since students in their clinical year prescribe antibiotics under supervision, it is important to understand if they are aware of severity of antibiotic resistance and its impact. Hence, the study aimed to assess awareness of antibiotic use and resistance amongst dental students. Material and Methods: Cross-sectional survey was conducted amongst 3rd and 4th year dental students of 4 colleges of Pakistan. A validated questionnaire was adopted from WHO and PHE (Public Health England). It included true or false and Likert scale questions relating to knowledge and attitude of antibiotic use and antibiotic resistance. Results: Out of 396 responses, majority students were not aware of the terms superbugs (69.7%) and AMR (79%). 89.6% thought that humans can become resistant to antibiotics. 88.6% agreed that antibiotic resistance is a major threat. 61.4% thought they couldn’t do much to stop antibiotic resistance. 87.6% agreed that doctors should only prescribe antibiotics when needed. Conclusion: Overall dental students were aware of antibiotic use and importance of antibiotic resistance although their knowledge associated with antibiotic resistance was not satisfactory. It is vital that students must be taught about mechanism of antibiotic resistance and good prescription practices. Keywords Antibiotic resistance; Knowledge; Attitude; Dental students.

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

Antibiotics ◽

10.3390/antibiotics8040203 ◽

2019 ◽

Vol 8 (4) ◽

pp. 203 ◽

Cited By ~ 2

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.

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Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference Hospitals

Infectious Diseases Research and Treatment ◽

10.4137/idrt.s40047 ◽

2016 ◽

Vol 9 ◽

pp. IDRT.S40047 ◽

Cited By ~ 6

Author(s):

Adel Alothman ◽

Abdullah Algwizani ◽

Mohammed Alsulaiman ◽

Abdullah Alalwan ◽

Salih Binsalih ◽

...

Keyword(s):

Antibiotic Resistance ◽

Tertiary Care ◽

Antibiotic Use ◽

Educational Interventions ◽

Global Public Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Inappropriate Drugs ◽

Knowledge And Attitude ◽

Level Of Training

Introduction Antibiotics are essential and abundantly prescribed in hospitals because of their effectiveness and lifesaving benefits. However, the unnecessary use of antibiotics has been observed in earlier studies, and it has persisted through recent years as a major issue since it is one of the leading causes of antibiotic resistance. The increase in antibiotic resistance nowadays is one of the most critical concerns in global public health around the world. The objective of this study was to evaluate the knowledge and perceptions related to antibiotic prescription among physicians at our medical centers. Method A cross-sectional survey of non-infectious diseases specialized physicians. The study was conducted during 2015 at two tertiary care centers in Riyadh, Saudi Arabia. Result Of the 107 returned questionnaires, 93 were complete and valuable. Most respondents (82%) perceived antibiotic resistance to be a critical problem globally, and 78% also think that it is a very important national problem. These attitudes did not differ across specialty or level of training. Widespread antibiotic use and inappropriate empirical choices were believed by 81% of the participants to be important general causes of resistance. Only half of respondents thought that antibiotic restriction is a useful intervention to decrease the antibiotic resistance. The physicians believed educational interventions are the most useful and effective way to improve prescription patterns and decrease antibiotic resistance. Complications due to infection with resistant organisms were acknowledged by almost all of the participants, with some differences in their estimations of how often it will occur. Conclusion Antimicrobial resistance, globally and nationally, is considered as a serious threat, and physicians in this survey acknowledged that. Among the most significant factors is antimicrobial misuse, either by overprescribing or providing inappropriate drugs with some ambivalence, as well as the importance of hand hygiene and antibiotic restrictions. By adhering to local guidelines, continuous education, and other practical interventions, the burden of resistance can be alleviated, as highlighted in this survey.

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KNOWLEDGE AND ATTITUDE ON ANTIBIOTIC USE AMONG PUBLIC IN RURAL AREA BATU PAHAT, JOHOR

Malaysian Journal of Public Health Medicine ◽

10.37268/mjphm/vol.20/no.1/art.566 ◽

2020 ◽

Vol 20 (1) ◽

pp. 220-228

Author(s):

Chow CQ ◽

Nor Liana CY

Keyword(s):

Antibiotic Resistance ◽

Rural Area ◽

Negative Attitude ◽

Antibiotic Use ◽

Cross Sectional Study ◽

Rural Residents ◽

Cross Sectional ◽

Antibiotic Overuse ◽

Common Location ◽

Knowledge And Attitude

Antibiotic resistance is a global threat to public health, leads to health and economic burden. Studies show that knowledge and attitude towards antibiotic use is poor, especially among rural residents. However, there is no study conducted on knowledge and attitude towards antibiotic use among the public in rural area Malaysia. The aim of this study is to assess knowledge and attitude on antibiotic use among public in rural area Batu Pahat, Johor. This was a cross-sectional study in which closed-ended questionnaires were distributed to 350 rural residents in Batu Pahat by convenience sampling method. The questionnaire was constructed into socio-demographic, antibiotic use and indication, knowledge and attitude towards antibiotic use. The most inappropriate knowledge responses were found for assumption about the effectiveness of antibiotics towards viral infection (69.1%), colds and coughs (57.7%). Only few were aware about the decrease in antibiotic effectiveness following antibiotic overuse (29.1%). Misuse antibiotics for cold (64.0%), expect antibiotics to be prescribed for common cold symptoms (52.6%) and discontinue antibiotics when start feeling better (63.4%) were the several highest inappropriate responses in attitude domain. Significant association was shown between both knowledge level and attitude level with age, gender, educational level, monthly income, occupation related to healthcare, family member’s occupation related to healthcare and most common location seek for healthcare. In conclusion, the rural residents demonstrated moderate knowledge (50%) but negative attitude (56.9%) towards antibiotic use. To cope with antibiotic resistance issue, proper planning on effective methods to promote appropriate use of antibiotics are necessary.

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PARTISIPASI DALAM KELAS IBU BALITA BERHUBUNGAN DENGAN PENGETAHUAN DAN SIKAP

Jurnal Sains Kebidanan ◽

10.31983/jsk.v2i1.5787 ◽

2020 ◽

Vol 2 (1) ◽

pp. 24-28

Author(s):

Wanodya Hapsari ◽

Puji Hastuti ◽

Septerina Purwandani Winarso

Keyword(s):

Statistical Test ◽

Community Empowerment ◽

Cluster Sampling ◽

Chi Square ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

Attitudes And Knowledge ◽

Knowledge And Attitude ◽

The Relationship ◽

Knowledge Value

This paper is carried out to assess the relationship between knowledge and attitudes towards participation in toddler mother classes. This needs to be done because participation in attending the class of under-five mothers is still low due to the customary patterns in the existing market system that most people will come to these markets on market day to meet household needs. The problem in previous research with community empowerment interventions through the use of the MCH handbook studied in the toddler mother class, was guided by the facilitator namely the midwife in the local village, but it was still not used maximally because not all mothers were willing / able to read and study it. This paper proposes exploring the relationship between knowledge of attitudes and knowledge with the participation of toddler mother classes.The method used was descriptive analytic, cross sectional, the population in this study were all mothers of toddlers aged 2-5 years as many as 1204 people, cluster sampling, a sample of 89 people, with an instrument in the form of a questionnaire. Chi square statistical test obtained attitudes and knowledge value p = 0,000 with knowledge value OR = 34.5 and attitude OR = 59.7. Conclusion: there is a significant relationship between knowledge and attitude with participation in the toddler mother class

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Knowledge and attitude related to antibiotic use among high school students

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v20i2.36409 ◽

2021 ◽

Vol 20 (2) ◽

pp. 142-147

Author(s):

Manoj Sharma ◽

Sammodavardhana Kaundinnyayana ◽

Premlata Das

Keyword(s):

High School ◽

Antibiotic Resistance ◽

High School Students ◽

Antibiotic Use ◽

World Health Organisation ◽

World Health ◽

School Students ◽

Cross Sectional ◽

Inappropriate Use ◽

Knowledge And Attitude

Introduction: Antibiotic resistance has been described by World Health Organisation as a major global health problem that threats our ability to treat common infectious diseases and needs urgent action. Among many other factors, knowledge and behaviour of community members that lead to inappropriate use of antibiotic highly contributes to development and spread of antimicrobial resistance. Hence this study has been undertaken with the aim to assess the knowledge and attitude related to antibiotic use among high school students. Methods: A cross-sectional questionnaire based survey was conducted at a Kathmandu based high-school. The data were collected via self-administered questionnaire after verbal consent for voluntary participation. There were nine questions related to knowledge and five questions related to attitude. Data were aggregated to compile frequency distribution tables and the percentages of responses were calculated. Result: A total of 232 students participated in the study. In the questions related to knowledge, nearly 62% of the students agreed to the statement “Antibiotics are needed to cure most coughs and cold”. About 19% students were not sure whether antibiotics can kill the useful bacteria in our body. In the attitude part, 53.87% students responded that they stop taking antibiotics when they start to feel better and 59.91% students responded that they buy antibiotics on their own from a pharmacist when needed. Conclusions: The deficiencies in basic understanding about the nature and use of antibiotics and casual attitude in their use among high school students is a matter of great concern as it poses many serious problems including promotion of antibiotic resistance

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

Antibiotics ◽

10.3390/antibiotics10070858 ◽

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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Satisfaction of Postoperative Patients on Pain Management Program its Relationship to the Knowledge and Attitudes of Chinese Nurses: A Cross-Sectional Survey

Tobacco Regulatory Science ◽

10.18001/trs.7.6.134 ◽

2021 ◽

Vol 7 (6) ◽

pp. 6609-6626

Author(s):

Shuyuan Li

Keyword(s):

Pain Management ◽

Optimal Level ◽

Management Program ◽

Chinese Patients ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

Pain Management Program ◽

Before And After ◽

Knowledge And Attitude

This study is a cross-sectional survey of the satisfaction of postoperative patients its relationship to the knowledge and attitudes of Chinese nurses on pain management. Data were sourced out from two groups of respondents participated in the study, 75 post-operative patients and 97 in-service nurses from the health institutions China. The study was conducted for five-months. Ethics protocols were observed before and after the conduct of the study. Findings showed that post-operative pain management program among the participating medical institutions in China were assessed to have moderate level of satiation by the patients. All the components namely pain relief experience, care provided by the nurses, education provided as to pain management, and therapeutic dialogue provided by the nurses were all assessed by postoperative Chinese patients at a fair level. Meanwhile, gender and education of post-operative patients can be considered as factors in the planning and implementation of pain management program. Consequently, similar to studies conducted worldwide, Chinese nurses do not establish yet an optimal level of knowledge and attitude towards pain management. Meanwhile age, experience, education are factors on the knowledge and attitude on pain management among nurses. Finally, positive moderate relationship is established between patient satisfaction and knowledge and attitudes of nursing staff towards pain management. The findings of these study call for action and reform in the implementation of pain management program focusing on the major role and development of 21st century nurses. Practical implications of the study are discussed.

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Antibiotics stewardship in Ghana: a cross-sectional study of public knowledge, attitudes, and practices

10.21203/rs.2.19809/v1 ◽

2020 ◽

Author(s):

Tamara Jimah ◽

Ama P. Fenny ◽

Oladele Ogunseitan

Keyword(s):

Antibiotic Resistance ◽

Inappropriate Medication ◽

Antibiotic Use ◽

Antibiotic Consumption ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices ◽

Individual Knowledge ◽

Knowledge Attitudes And Practices

Abstract Background Antibiotic resistance is a major contributing factor to global morbidity and mortality and is associated with inappropriate medication use. However, the level of antibiotic consumption and knowledge about antibiotic resistance in Ghana is inadequately quantified. Our study identifies strategies for improved stewardship of antibiotics to prevent the proliferation of resistant pathogens by assessing the level of antibiotic knowledge, attitudes, and consumption behaviors by region, gender, age, and education in rural and urban Ghana. Methods A cross-sectional study was conducted in 12 communities in the urban Greater Accra and rural Upper West regions of Ghana. A questionnaire survey was administered to 400 individuals aged 18 years and older in selected locations during September-October 2018 to gather data on individual knowledge, attitudes, and practices concerning antibiotics and antibiotic resistance. Multivariate analysis was used to investigate the association between demographic characteristics and knowledge, attitudes, and related behaviors. Results Over 30% (125/400) had not received a doctor’s prescription during their last illness. Seventy percent (278/400) had taken at least one antibiotic in the year prior to the survey. The top five frequently used antibiotics were Amoxicillin , Amoxicillin-clavulanic acid , Ampicillin , Ciprofloxacin , and Metronidazole . Women and older adults had higher knowledge compared to their respective counterparts (p<0.01). Furthermore, prudent antibiotic use was significantly more prevalent in women than men (p<0.05). Although no regional differences were found in overall knowledge, compared to urban residents, individuals residing in rural settings exhibited higher knowledge about the ineffectiveness of antibiotics for viruses like the cold and HIV/AIDS (p<0.001). Two hundred and fifty-two (63%) respondents were unaware of antibiotic resistance. There was generally a low level of self-efficacy among participants regarding their role in preserving the effectiveness of antibiotics. Conclusion Antibiotic knowledge, attitudes, and use varied significantly across demographics, suggesting a context-specific approach to developing effective community interventions.

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