scholarly journals Knowledge, Attitude and Practice About Use of Antibiotic by Medical Students : A Cross Sectional Pilot Study on Para-clinical Students in HFRCMC

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.

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.


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.


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.


Author(s):  
Bhuvaneswari Balan ◽  
Sharmila Bakthavatchalam

Background: Self-medication is consumption of medicines without consulting a physician. The present study was undertaken to determine the knowledge, attitude and practice of self-medication among medical students and to compare impact of pharmacology teaching among them.Methods: A cross-sectional comparative questionnaire-based study was conducted among 200 II MBBS and III MBBS students. Data was collected and analyzed.Results: 90.91% II MBBS students and 85.97% III MBBS students practiced self-medication. The commonest reason cited for self-medication among both the groups was minor ailments and intention to get quick relief. The commonest indication for self-medication was common cold and fever. The commonly used drugs were analgesics followed by cough remedies and antibiotics. Our study showed that the knowledge about generic and trade name, package inserts, course of treatment and adverse effects was more among third year students who had completed pharmacology curriculum. Hence the Pharmacology teaching equips the student with better knowledge to choose a drug for self-medication. Only 4.54% of II MBBS students and 13.79% of III MBBS students agreed on the practice of self-medication. Majority believed that medical education is necessary for better administration of self-medication. Both II and III year MBBS students opine that growing trend of self-medication can be prevented by prevention of supply of medicines without prescriptions and education.Conclusions: Our study shows the positive impact of pharmacology curriculum on the knowledge attitude and practice of self medication among medical students.


2021 ◽  
Vol 14 (2) ◽  
pp. 153-159
Author(s):  
Bindu Malla ◽  
Deepti KC

Background: Self-medication of the over-the-counter (OTC) drug is practice all over the world. Although appropriate self-medication practice can address minor illness and is time and cost-effective, it can promote irrational use of medicine; prolong the illness, drug dependency and abuse. Medical students are the future medical practitioners and play the crucial role in counseling the patients. Therefore, the present study was conducted to assess the knowledge, attitude and practice of self- medication among undergraduate students. Methods: An institution based descriptive, cross sectional study was conducted after ethical approval was taken from the Institutional ethical committee of Gandaki medical college teaching hospital and research center (GMCTHRC) and data was collected from May to July 2018. Descriptive and correlation analysis were done with the data. The results were expressed in percentages. Results: Among 115 respondents, 60.9 % (70) were female and 39.1% (45) were male students. Majority of respondents (94.8%) believed that instruction on the label of the drugs should be followed and 78.3% respondents agreed that OTC drugs could interact with other prescribed drugs. However, only 53.9% respondents knew that OTC drugs were Group Ga drugs in Nepal. Despite good knowledge and attitude only 37.4% students had good practice in the rational use of the OTC drugs. Moreover, Antipyretic and analgesic drugs were the most commonly used drugs. However, only 36.84% respondents (p<0.05) knew about the correct dose and duration to take the drugs. Conclusions: We concluded that first year medical and dental should be motivated to use their knowledge into practice.


Author(s):  
Dayanand R. Raikar ◽  
Nagendra S. Manthale

<p class="abstract"><strong>Background:</strong> Acne is one of the most common inflammatory chronic skin diseases that affect teenagers and continues into adulthood. Self-medication is common among medical students. Hence this present study was undertaken to study the knowledge, attitude and practice of self-medication for acne among medical students.</p><p class="abstract"><strong>Methods:</strong> This cross-sectional study included medical students of the second phase and final phase (Part I and Part II). A pretested questionnaire was given to them which included questions on knowledge, attitude and practice about self-medication for acne.<strong></strong></p><p class="abstract"><strong>Results:</strong> Self-medication for acne was seen in 240 (77.4%) students out of 310 students. Mild nature of illness was the most common reason for self-medication for acne followed by privacy. Most common source of information was seniors/friends/family members. Most of the students felt that self-medication is part of self-care (48%). Clindamycin was the most common drug self-medicated for acne.</p><p class="abstract"><strong>Conclusions:</strong> Self-medication for acne is quite high among medical students. Self-medication is part of self-care so it should be encouraged for minor illness. But should be based on thorough knowledge and restricted to over the counter drugs.</p>


Author(s):  
SNEHA PRABHA MP ◽  
SONISH S PRABHAKARAN

Objective: The objective of our study was to assess knowledge, attitude, and practice regarding package inserts (PIs) among medical undergraduates of a Government Medical College in Kerala, India Methods: A cross-sectional, questionnaire-based study was carried out on 100 medical students. It was conducted with the consent of all participants and after the approval of Institutional Review Board and Ethics Committee. Pre-validated 15 items questionnaire was used to elicit responses about knowledge, attitude, and practice with a scoring scheme of +1 for “yes”/positive response and 0 for “no/I don’t know”/negative response. Data analyzed using “SPSS” and responses were expressed as mean scores and percentages. Results: Statistical analysis (response rate 98%) revealed that 88.2% have seen PIs but only 18.4% had the knowledge of drug acts governing the information to be provided on PIs in India. About 78.6% agreed PIs are necessary add-on to drug information. About 62.2% opined that PIs must be in regional language along with English. About 100% agreed that written information in PIs is difficult to read and understand. About 66.3% feel that doctors must instruct patients to read PIs thoroughly. About 71.4% have referred PIs as a source of knowledge for Indication/Contraindication/ Adverse Effects/Drug interaction. About 95.9% would like to refer PIs in future while prescribing as physician. Conclusion: We conclude that participants have positive attitude toward PIs but have less knowledge as compared with developed countries. Results suggest the need for escalating knowledge and awareness among medical students about PIs which, in turn, help to minimize medication errors.


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.


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