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

2016 ◽  
Vol 9 ◽  
pp. IDRT.S40047 ◽  
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.

scholarly journals Awareness of antibiotic use and antibiotic resistance amongst dental students

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.

scholarly journals Evaluation of Antibiotic Supply Decisions by Community Pharmacists in Thailand: A Vignette Study

Antibiotics ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 154
Author(s):  
Sisira Donsamak ◽  
Marjorie C. Weiss ◽  
Dai N. John
Keyword(s):  
Respiratory Infections ◽  
Acute Diarrhoea ◽  
Community Pharmacists ◽  
Antibiotic Use ◽  
Educational Interventions ◽  
Community Pharmacies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Case Vignettes ◽  
A Chain

In Thailand, antibiotics are available lawfully from community pharmacies without a prescription. Inappropriate supply of antibiotics from Thai community pharmacies to the public for common, self-limiting diseases has been reported. The study aimed to evaluate the appropriateness of antibiotics selected by community pharmacists in Thailand in response to vignettes. A cross-sectional survey of community pharmacists across Thailand was conducted using a self-administered questionnaire including nine case vignettes with three conditions, namely upper respiratory infections (URIs), acute diarrhoea and simple wounds. A total of 208 questionnaires were completed and analysed (20.8% response rate). In response to vignettes relating to URIs, 50.8% of pharmacist recommendations were not in accordance with antibiotic guidelines. Inappropriate recommendations for diarrhoea and wound cases were 20.8% and 16.7%, respectively. A higher proportion of younger pharmacists, those with less experience, Pharm. D. graduate pharmacists, employee pharmacists and those pharmacists who worked in a chain pharmacy were more likely to recommend appropriate antibiotic treatment in response to the vignettes (p < 0.05). These findings will be useful to promote educational interventions for community pharmacists regarding common infectious disease management in order to improve appropriate antibiotic use.

scholarly journals Knowledge, Attitude & Practice Among Psoriasis Patients in India Towards Teledermatology During COVID-19 Pandemic

2021 ◽  
Vol 6 (4) ◽  
pp. 01-13
Author(s):  
Archana Mavoori ◽  
Sudha Bala ◽  
Rajiv Kumar Bandaru ◽  
Aruna Kumari Yerra
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Attitude And Practice ◽  
Knowledge And Attitude ◽  
Knowledge Attitude And Practice

Background: The current COVID-19 pandemic has imposed upon the entire community norms of social distancing and home quarantine. Follow up consultations in these times can be made through teledermatology through smart phones. Success of this technology in these hours of crisis depends upon the knowledge, attitude and behaviour of patients towards teledermatology. Follow up consultations done through teleconsultations will decrease risk of exposure to COVID-19 among psoriasis patients who need frequent follow ups. Aim: The main objective of this study is to assess the awareness, knowledge, attitude and practice of teledermatology through teledermatology among psoriasis patients at a tertiary care teaching hospital. Materials and Methods: A cross-sectional survey, from Psoriasis Clinic registry maintained in the outpatient department of DVL of a tertiary care teaching hospital in India is conducted. A pre-validated self-administered questionnaire is used for the survey to assess knowledge, attitude and practice of teledermatology. Analysis will be done as per study objectives using descriptive statistics for quantitative data and content analysis for qualitative data. Results: Out of 150 patients, 87(58%) were males and females were 63(42%). Most common age group to participate in the study was 36-45 years- 43(28.7%). Majority of participants were educated up to –graduate 53(35.3%). Males had higher knowledge and attitude scores compared to females. Most of the patients found using teleconsutations easy and convenient. Conclusion: Teledermatology is the need of the hour to be implemented in these hours of COVID-19 pandemic.

scholarly journals Knowledge of antibiotics and antibiotic usage behavior among the people of Dhaka, Bangladesh

2020 ◽  
Vol 6 (3) ◽  
pp. 519-524
Author(s):  
Iftekhar Ahmed ◽  
Md Bodiuzzaman Rabbi ◽  
Marufa Rahman ◽  
Rehnuma Tanjin ◽  
Sharmin Jahan ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Antibiotic Use ◽  
Antibiotic Usage ◽  
Cross Sectional Survey ◽  
Self Medication ◽  
Cross Sectional ◽  
The People ◽  
Usage Behavior ◽  
Educational Campaigns ◽  
Adherence To Therapy

Bangladesh is a developing country with a very high prevalence of antibiotic resistance where irrational use of antibiotics is very common. This cross-sectional survey was conducted to assess the knowledge of antibiotics and antibiotic usage behavior (Antibiotic use, self-medication, adherence to therapy) among the people of Bangladesh. The association between participants’ knowledge of antibiotics and their antibiotic usage behavior was also analyzed. A cross-sectional survey based on a structured questionnaire was conducted in the Dhaka district. The questionnaire included questions about demographic information, participants’ knowledge of antibiotics, and their recent antibiotic usage. The data analysis involved the use of descriptive statistics and multivariable logistic regression. Very few participants knew that antibiotics are not effective against most common colds (16.8%), viruses (22.5%), and pains (41.7%). Most respondents (>75%) knew that excessive use of antibiotics and failing to complete a course may render antibiotics less effective in the future. However, only 56.1% were aware of antibiotic resistance. About half (46.6%) of the participants took antibiotics in the last six months, 20.5% of whom resorted to self-medication and 23.1% reported non-adherence to therapy. Greater knowledge of antibiotics was significantly associated with lower rates of self-medication (p=0.037). Misconceptions about antibiotics and antibiotic misuse are very common in Bangladesh. The findings suggest that misconceptions about antibiotics and antibiotic misuse are very common in Bangladesh. To mitigate these problems, interventions comprised of educational campaigns and redesigning of the healthcare system and policies should be undertaken. Asian J. Med. Biol. Res. September 2020, 6(3): 519-524

scholarly journals Antibiotic resistance and usage, a survey on the knowledge, attitude and practices among the medical students of a southern Indian teaching hospitals

2019 ◽  
Vol 8 (5) ◽  
pp. 1083
Author(s):  
Swathi Ratnam Regidi ◽  
Billa S. B. Mallika
Keyword(s):  
Antibiotic Resistance ◽  
Medical Students ◽  
Teaching Hospital ◽  
Antibiotic Use ◽  
Educational Interventions ◽  
Teaching Hospitals ◽  
Public Health Issue ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Background: Examining the knowledge, attitude and practices (KAP) of the medical students regarding antibiotic resistance (ABR) and use can help us in devising suitable educational interventions for them, tailored according to their earlier held knowledge, beliefs, capabilities and experience.Methods: A cross sectional, questionnaire based survey was conducted among medical students of a teaching hospital, whereby their KAP regarding antibiotic use and resistance was assessed by using a questionnaire, whose responses ranged from ‘agree’ to ‘disagree,’ ‘always to never’ and true / false. The data was analysed by using simple descriptive statistics. Wherever it was relevant, the Chi-square test was used to determine any significant difference.Results: The number of medical students who agreed that ABR was an important and a serious public health issue in this teaching hospital was 76 percent (n = 325). But, only 54.3% (n = 233) of the students were aware that bacteria were not responsible for causing cold and flu, while the remaining 37.2 percent (n = 22) were not knowledgeable about this fact. More than 80% rated the adverse effect profile of the antibiotic and the risk of a super infection as the important factors which deserved consideration. Cost of the antibiotic was considered to be an important factor deserving consideration by only 65.5% (n=277) of the participants.Conclusions: Our survey revealed that most of the students were aware of the antimicrobial resistance and its consequences. The only concern was their casual attitude regarding the antibiotic use. Further educational interventions are necessary to improve their understanding and perceptions on antibiotic resistance, as well as their attitude towards antibiotic use.

scholarly journals Risk Perceptions of Antibiotic Usage and Resistance: A Cross-Sectional Survey of Poultry Farmers in Kwara State, Nigeria

2020 ◽  
Author(s):  
Al-Mustapha A. Ibrahim ◽  
Victoria O. Adetunji ◽  
Annamari Heikinheimo
Keyword(s):  
Antibiotic Resistance ◽  
Risk Perceptions ◽  
Antibiotic Use ◽  
Antibiotic Usage ◽  
Flock Size ◽  
Knowledge Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk ◽  
Poultry Farmers

There are overwhelming empirical evidences highlighting the contribution of indiscriminate antibiotic usage (ABU) in food animals to the overall burden of antibiotic resistance (ABR) in humans, thus making antibiotic use the main selective pressure driving antibiotic resistance. Social and behavioral perspective on antibiotic use and resistance in poultry is limited. Our study therefore aimed at obtaining information on antibiotic usage, awareness of ABR, and the attitude and perceptions towards prudent antibiotic usage and ABR. A cross-sectional survey using a structured questionnaire was conducted in 125 poultry farms in Kwara state in December 2019. Most farmers (69.6%, n=87/125) were aware of ABR and had satisfactory knowledge about ABR with a mean knowledge score of 3.16&plusmn;1.47. The age, gender, level of education of farmers, and their flock size were significantly associated with a satisfactory knowledge of ABR (p&lt;0.05). Tertiary education was significantly associated with ABR awareness (OR: 4.7; 95% CI: 0.0690, 0.654; p=0.007) and the ABR knowledge level (OR: 7.8269; 95% CI: 3.2693, 18.7381; p &lt; 0.01). Higher flock size was significantly associated with a satisfactory knowledge of ABR (OR: 9.4551; 95%CI: 3.7928, 23.5707; p&lt;0.01). Most of the poultry farmers (68%) had positive attitudes towards prudent antibiotic use with a mean score of 2.75&plusmn;0.89. On the contrary, only 32.8% of poultry farmers had a good perception of ABR with a mean perception score of 4.95&plusmn;1.12. The ABR knowledge level was significantly associated with the perceptions of farmers (p&lt;0.05) but not their attitudes toward ABU and ABR (P=0.083). There was evidence of unprescribed use of antibiotics in poultry and a failure to observe antibiotic withdrawal periods. These constitute a risk of exposure to unacceptable levels of drug residues from poultry products and an increased risk of ABR. Improving education and communication on antibiotic stewardship programs are crucial to prevent the looming antibiotic apocalypse.

scholarly journals Antibiotic Use and Antibiotic Resistance: Public Awareness Survey in the Republic of Cyprus

Antibiotics ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. 759
Author(s):  
Mikaela Michaelidou ◽  
Spyridon A. Karageorgos ◽  
Constantinos Tsioutis
Keyword(s):  
Antibiotic Resistance ◽  
Viral Infections ◽  
Public Awareness ◽  
Antibiotic Use ◽  
World Health ◽  
Resistant Bacteria ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Awareness Campaigns ◽  
Local Evidence

We aimed to assess the knowledge and understanding of antibiotic use and resistance in the general population of Cyprus, in order to inform future antibiotic awareness campaigns with local evidence. Cross-sectional survey following the methodology of the “Antibiotic resistance: Multi-country public awareness survey” of the World Health Organization, during December 2019–January 2020. A total of 614 respondents participated: 64.3% were female and most were aged 35–44 years (33.2%) or 25–34 years (31.8%). One-third had used antibiotics >1 year ago and 91.6% reported receiving advice on appropriate use from a medical professional. Despite high awareness on correct use of antibiotics, lack of knowledge was noted for specific indications, where approximately one-third believed that viral infections respond to antibiotics and 70.7% lack understanding of how antibiotic resistance develops. Higher education graduates exhibited significantly higher knowledge rates. As high as 72.3% were informed about “antibiotic resistant bacteria” from healthcare professionals or social media. Most agreed on the usefulness of most suggested actions to address antibiotic resistance, with higher proportions acknowledging the role of prescribers. Up to 47% could not identify their role in decreasing antibiotic resistance. Our study provides local evidence to inform future efforts in a country characterized by high antibiotic consumption rates.

Patient safety awareness and attitude among interns of a tertiary care hospital

2021 ◽  
Vol 71 (11) ◽  
pp. 2645-2647
Author(s):  
Ayesha Abubakar Mitha ◽  
Usman Mahboob
Keyword(s):  
Patient Safety ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Great Depth ◽  
Domain Score ◽  
Military Hospital ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knowledge And Attitude

Background: Patient Safety (PS) emerging as global health problem. PS attitudes are being assessed worldwide but behaviors and attitudes in young doctors have not been studied in great depth. Aim: To assess knowledge and attitude towards PS in Foundation Year Trainees (Interns) in a tertiary care hospital. Method: A cross sectional Survey was applied to 126 Interns of Combined Military Hospital Lahore using Questionnaire (APSQ) in December 2019. The survey was kept anonymous. Statistical analysis was by utilizing SPSS Version 23. Results: Interns had PS knowledge. Highest domain score was “Attitude to medical error reporting” (53.34 + 7.62) followed by “PS knowledge” (50.88 + 6.85). The lowest domain score was “Attitude to PS Skills” (16.34 + 3.46). Pearson correlations revealed significant correlation between domains. Conclusion: The study showed that there was prevalence of PS knowledge among interns but limited understanding requiring training. KEYWORDS: Attitude, patient safety, medical errors, interns Continuous...

scholarly journals Assessment of Knowledge, Attitude, and Practice toward Antibiotic Use among Harar City and Its Surrounding Community, Eastern Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
ALemnesh Jifar ◽  
Yohanes Ayele
Keyword(s):  
Antibiotic Use ◽  
Educational Interventions ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Full Dose ◽  
Attitude And Practice ◽  
Antibiotics Use ◽  
Knowledge And Attitude ◽  
Knowledge Attitude And Practice

Purpose. Community plays significant role in the process of emergence and spread of antibiotic resistance. The aim of this study is to assess knowledge, attitude, and practice toward antibiotic use among Harar city and its surrounding community, Eastern Ethiopia. Patient and Methods. A cross-sectional study was conducted among 384 subjects from February 1 to May 1, 2017, through interview using pretested structured questionnaires. The data was entered into EpiData 3.1 and analyzed using Statistical Package for Social Science for windows version 20. Results. A large number of the respondents (83%) replied that antibiotics speed up the recovery from coughs and colds. The majority of participants (78.4%) agreed that the unnecessarily use of antibiotics can increase the resistance of bacteria. Many respondents agreed on the importance of taking full dose (92.1%) and not to keep antibiotics for future use in their home (87.2%). They (90%) also had belief that antibiotics should not be shared from family or friends without a physician consultation and significant participants (73.1%) emphasized on the need for prescription to collect antibiotics from pharmacy. Around 79% of the subjects reported the use of antibiotic 1 year prior to study period at least once. During this period many subjects (65.3%) self-prescribed antibiotics without consulting physicians. Conclusion. In the present study, widespread use of antibiotics was reported, most of this antibiotics being accessed without prescription. Respondent exhibited poor knowledge and attitude toward antibiotics use. There were also malpractices such as failing to take full dose. Therefore, educational interventions on antibiotics use and its association with drug resistance are needed to promote judicious use of antibiotic. Introducing and enforcing antibiotics regulations should be also considered to reduce antibiotics self-prescription.

scholarly journals Risk Perceptions of Antibiotic Usage and Resistance: A Cross-Sectional Survey of Poultry Farmers in Kwara State, Nigeria

Antibiotics ◽  
2020 ◽  
Vol 9 (7) ◽  
pp. 378 ◽  
Author(s):  
Ahmad I. Al-Mustapha ◽  
Victoria O. Adetunji ◽  
Annamari Heikinheimo
Keyword(s):  
Antibiotic Resistance ◽  
Risk Perceptions ◽  
Antibiotic Use ◽  
Antibiotic Usage ◽  
Flock Size ◽  
Knowledge Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk ◽  
Poultry Farmers

Overwhelming empirical evidence has highlighted the contribution of indiscriminate antibiotic usage (ABU) in food animals to the overall burden of antibiotic resistance (ABR) in humans, thus making antibiotic use the main selective pressure driving antibiotic resistance. The social and behavioral perspective on antibiotic use and resistance in poultry is limited. Our study therefore aimed at obtaining information on antibiotic usage, awareness of ABR, and the attitude and perceptions towards prudent antibiotic usage and ABR. A cross-sectional survey using a structured questionnaire was conducted in 125 poultry farms in Kwara state in December 2019. Most farmers (69.6%, n = 87/125) were aware of ABR and had satisfactory knowledge about ABR with a mean knowledge score of 3.2 ± 1.5. Age (older farmers; OR: 1.1, 95% CI: 1.0, 1.2) and gender (male respondents, OR: 8.5, 95% CI: 3.0, 23.9; p < 0.01) were more likely to have satisfactory knowledge of ABR. Tertiary education was significantly associated with ABR awareness (OR: 4.7; 95% CI: 0.1, 0.7; p = 0.007) and the ABR knowledge level (OR: 7.8; 95% CI: 3.3, 18.7; p < 0.01). Higher flock size was significantly associated with a satisfactory knowledge of ABR (OR: 9.5; 95% CI: 3.8, 23.6; p < 0.01). Most of the poultry farmers (68%) had positive attitudes towards prudent antibiotic use with a mean score of 2.7 ± 0.9. On the contrary, only 32.8% of poultry farmers had a desirable perception of ABR with a mean perception score of 4.9 ± 1.1. The ABR knowledge level was significantly associated with the perceptions of farmers (p < 0.05) but not their attitudes toward ABU and ABR (p = 0.083). There was evidence of unprescribed use of antibiotics in poultry and a failure to observe antibiotic withdrawal periods. These constitute a risk of exposure to unacceptable levels of drug residues from poultry products and an increased risk of ABR. Improving education and communication on antibiotic stewardship programs are crucial to prevent the looming antibiotic threat.

Sign in / Sign up

Export Citation Format

Share Document