Antibiotic Abuse: A Cross-Sectional Study on Knowledge, Attitude, and Behavior Among the University Students in Dhaka, Bangladesh (original) (raw)
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Journal of Advances in Medical and Pharmaceutical Sciences, 2020
Background and Objectives: Antibiotic resistance has become a global encumbrance in the field of medicine. Various factors like antibiotic abuse, overuse or irrational usage of antibiotics, over the counter availability of antibiotics etc., have been put forth as accused leading to antibiotic resistance. The present study aims at evaluating the knowledge, attitude and practice of antibiotic usage and antibiotic resistance among undergraduate students in private universities in Dhaka, Bangladesh. Original Research Article Chowdhury et al.; JAMPS, 22(8): 6-18, 2020; Article no.JAMPS.61731 7 Methodology: A cross-sectional, questionnaire-based quantitative survey conducted among undergraduate students in private universities in Dhaka, Bangladesh including 1 st year to 4 th year from different academic background. The questionnaire comprised of: Demographic data; Knowledge including 17 questions; Attitudes including 16 questions and practices consisting of 8 questions. Majority of the qu...
Journal of Drug Delivery and Therapeutics, 2017
Antibiotic resistance is a worldwide public health concern now and only proper knowledge and practices can solve the problem. This study was aimed to evaluate the knowledge, attitudes, and practices regarding antibiotic use among the University students who study Microbiology. In January-February 2017, a cross-sectional study was conducted amongst 266 students of the Microbiology department at the Noakhali Science and Technology University in Bangladesh. Students of all the academic years (first year to masters) took part in this study. A self-administered questionnaire was provided during regular lectures. The questionnaire included demographic characteristics of participants and 25 questions about their knowledge, attitudes and actual practices about antibiotic use. Collected data was analyzed using Microsoft Excel and Statistical package for social sciences (SPSS). In a case of knowledge, 23.7% of the respondents stated that antibiotics are appropriate for viral infections, 48.9% think that antibiotics can speed up the recovery of cold and cough and 45.9% provided a positive response regarding the better efficacy of newer and costly antibiotics. Overall attitude towards antibiotic resistance is good among total students (87.6%-100%). Student's practices regarding proper antibiotic use (63.5%-84.6%) is poor than their knowledge and attitudes. About half (52.26%) of the students took antibiotic last year and of them, 75.5% took those antibiotics through the professional doctor's prescription. A high proportion of the study participants (36.5%) mentioned that they usually take antibiotic for fever and 31.6% said they started an antibiotic therapy after a simple doctor call or without a proper medical examination. Students of the Microbiology department in Noakhali Science and Technology University have a fair knowledge and attitude about antibiotic usage but their practices of antibiotic usage need to be improved. As these Students are the future contributor of the health sector in Bangladesh, their proper knowledge and practices are highly expected.
Infection and Drug Resistance
Background: Antibiotics are lifesaving drugs, and inappropriate uses lead to the resistance that renders them ineffective. This study aims to understand knowledge, attitude, and practice (KAP) concerning antibiotic use and resistance among university students in Bangladesh. Methods: A cross-sectional study was performed from January to April 2020 among students at Jahangirnagar University (JU), Bangladesh. Purposive sampling was conducted through an in-person interview using a structured questionnaire. Students from the faculties of biological sciences and non-biology background were included. The univariate ordinal regression technique was used to analyze the relationship between predictors and good knowledge about the antibiotics. A two-tailed p-value was calculated to determine statistical association. Results: Out of 205 study participants, 92 and 113 responders were from biological science faculty and non-biology disciplines, respectively. Less than half of the students (42.4%) showed a good knowledge level (scores higher than 80%). Biology-background students possess better knowledge than non-biology students [odds ratio (OR) = 4.44, 95% confidence level (CL) (2.56, 7.70), p < 0.001]. A better attitude was noticed among all students. The self-medication rate was quite low, and more than 90% of students were found to consume antibiotics according to the physician's prescription. Lack of treatment adherence was recorded, and students admitted to stoptaking antibiotics when symptoms disappeared (48.67% biology and 36.26% non-biology). Multivariate regression analysis was unable to detect any significant association between selfmedication and gender, student category or the level of knowledge about antibiotics. Conclusion: Students of biological science background possessed better knowledge indicating the importance of appropriate curriculum imparted in knowledge buildup. Introducing a short course about the risk and development of antibiotic resistance will grow the students' awareness to avoid the resistance phenomenon.
Universal Journal of Pharmaceutical Research
Aim and objective: The study attempts to investigate the knowledge and actual condition of antibiotic uses among university students to get rid from different infectious diseases. Methods: The study was conducted in a residential dormitory of a public university of Bangladesh. About 145 (n=145) students took part in the study which was conducted in January, 2020. Data were collected on the basis of a questionnaire made of basic questions about antibiotics and its resistance. Results: Among 145 students, 94.5% previously known about antibiotic which is impressive but a vast majority (46.4%) had no idea about antibiotic resistance and 51% did not know anything what will happen if bacteria become resistant to antibiotics which is alarming. It was found that the most used antibiotic was Azithromycin (46.4%), whereas amoxicillin (40%) was second highest. Those antibiotics were used to treat mostly fever (63.4%), various infections (31%), cold cough(25.4%),diarrhea(15.5%) irritable bowel ...
European Journal of Biology and Biotechnology
Aims: The study aimed to assess perception of the students about antibiotic consumption and the rise of antibiotic resistance with the view to developing an effective community engagement strategy for antimicrobial stewardship. Methods: A cross-sectional study was carried out from July 2020 to November 2020. The students from Dhaka City, Bangladesh were approached through social media to complete an online questionnaire containing self-identification data, knowledge about antibiotics, attitudes toward antibiotics, and antibiotic consumption. Descriptive statistics were used to analyze the data. Results: Out of the 472 survey participants, 24.6% of participants identified antibiotic side effects as the worst outcome, while 74.2% were unaware of the antibiotics’ long-term impact on global health. Participants believe antimicrobial stewardship and legal disciplinary action against indiscriminate use of antibiotics are the best strategies for countering the spread of antimicrobial resis...
Annals of Punjab Medical College
Background: Antibiotic resistance is a critical issue that needs to be addressed, especially in a developing country like Pakistan. Overuse of antibiotics has rendered life-saving drugs ineffectual, creating a major dilemma for local hospitals. Objective: To assess and evaluate the knowledge, attitude and behavior regarding antibiotics misuse among medical students. Study Design: An Observational descriptive study. Settings: The medical students of public sector medical college of Faisalabad Pakistan. Duration: After getting approval of the ethical committee, the duration of study was 5 weeks. Methodology: 200 students were interviewed according to the pattern of the questionnaire. Results: 82% of students were most likely to use antibiotics during common viral infections. However, 88.5% knew about the consequences of antibiotics misuse i.e. antibiotic resistance, but still 53.50% sought non-prescribed antibiotics from medical stores and 60.5% of them didn't complete the antibiotics course recommended by their doctors.40.50% of students admitted to self-medicate themselves on antibiotics twice a year. Conclusion: Efforts are necessary to persuade the health education programs to inform the general public and health care workers about the long-term hazards of antibiotic resistance.
Knowledge of antibiotics and antibiotic usage behavior among the people of Dhaka, Bangladesh
2020
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.
This study is aimed to estimate general knowledge and awareness of patients regarding use of antibiotics to find out possible reasons of irrational use of antibiotics in Bangladesh. It was a questionnaire based crosssectional health survey conducted on 350 subjects aged 18 or over who came to get service at three tertiary healthcare centers named Dhaka . It was found from the study that the general knowledge of the patients about the indication of antibiotics was very poor. Majority of the patients did not know the appropriate use of antibiotics. Only 26% respondents answered correctly that antibiotics are indicated for bacterial infections. In addition, 38.97% of them also did not know that an antibiotic is a prescription drug and should not be used without doctor's prescription. The awareness about the patients towards use of antibiotics was also poor. A very high percentage of the patients (51.71%) answered that they do not complete the full course of therapy. Surprisingly, 39.14% of the patients replied that they stop antibiotics when the symptoms disappear and remarkably 14.29% just make the dose double if they forget to take due dose. On the other hand, 28.86% of the patients said that they do not maintain dosing schedule during the course of therapy. Moreover, prevalence of self-medication with antibiotics in cold and fever was also extremely high (60.86%). This study indicates that there is an urgent need of health education for the community to increase knowledge and awareness about use of antibiotics to decrease the self-medication and inappropriate use of antibiotics.
Knowledge and Attitude Related to Antibiotic Use Among Students of a Kathmandu Based High School
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 highschool. 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
Knowledge, Attitude, Perception and Practice of Antibiotics Usage Among the Medical Students
2020
Background: Antibiotic resistance is an alarming situation in the healthcare sector, where the practice of healthcare professionals plays a vital role in preventing antibiotics-related harm. A cross-sectional study was conducted to analyze the knowledge, attitude, perception, and practice of antibiotic use and resistance among the final year pharmacy students of a Malaysian private medical university. Methods: A cross-sectional study was carried out among the pharmacy students. The study instrument consists of a set of questions to analyze respondents' demographic details, knowledge of antibiotics, and antibiotic resistance, attitude and perception towards antibiotics usage, and general perception on global issues of antibiotic resistance were used. Results: A total of 98 respondents completed the survey and the response rate was 74.8%. Most of the respondents (93%) get a prescription from healthcare professionals to purchase antibiotics, and the majority of them (98%) aware of the importance of stop taking antibiotics once they completed their full course as directed by the healthcare professionals. However, 29% of respondents did not know that antibiotic-resistant bacteria can spread from one another and 48% were having the misconception that there are not many people like them to stop antibiotic resistance. Conclusion: The final year pharmacy students of this private medical university have good knowledge of antibiotics and resistance, with moderate to less attitude and perception on the use of antibiotics. There were few gaps identified in the current curriculum where the students are lacking knowledge on antibiotics practice. These gaps must be improved through appropriate curriculum revision and the incorporation of more continuous educational programs at the graduate and postgraduate levels.