Patients’ Knowledge and Awareness towards Use of Antibiotics in Bangladesh: A Cross-sectional Study Conducted in Three (original) (raw)
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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 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.
Awareness Level of Patients Regarding usage of Antibiotics in a Slum Area of Dhaka City, Bangladesh
Antibiotics are the most important classes of drugs in Bangladesh and the patients are not aware of it use and thus causing various harmful effects as well as the antibiotic resistance. The aim of the present investigation was to find out the awareness level of slum patients of Dhaka city regarding the usage of antibiotics and also to propose such recommendations after the findings. A cross sectional survey was done for 6 months by a preselected questionnaire. From the survey it was found that, people who are living in the poverty line have a high prone of chance of antibiotic resistance. Again they have no knowledge about antibiotic uptake because of lack of education. They usually use antibiotic without consulting any physicians and do not complete the antibiotic course. On the basis of this, government and other social authorities should come forward to boost up the awareness level of patients. People have to be more educated and government should have to pay a great attention in this issue. The livelihood stock should have to be improved. Physicians have to play important role here. Media coverage is needed to create mass awareness. By ensuring all these issues, it is possible to fight against antibiotic resistance.
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.
Annals of Clinical Microbiology and Antimicrobials, 2014
Background: Antibiotics prescribing by physicians have gained due importance across the globe, mainly because of an increase in antibiotic usage, prevalence of infections and drug resistances. The present study is aimed to evaluate the physicians prescribing pattern of antibiotics, their usages by outpatients and disease conditions for which the antibiotics are prescribed in three cities of Bangladesh.
International Journal of Innovative Scientific Research & Education
Introduction: Antibiotics resistance is a form of a drug resistance where bacteria are able to survive after exposure to one or more antibiotics. Bacteria that are resistant to multiple antibiotics are considered multidrug resistant. Overuse and misuse of antibiotics has become the primary cause of rising levels of antibiotic resistance. Aim of the study: To assess the knowledge and practices regarding use of antibiotics among adults residing in selected area of District Mohali. Material and methods: Convenient sampling technique was used to select 200 adults residing in selected areas of District Mohali. The investigator developed a questionnaire and Likert rating scale to assess knowledge and practices on use of antibiotics respectively. Results: Majority of subjects 128 (64%) had inadequate knowledge regarding antibiotic use whereas only 72 (36%) subjects had adequate knowledge regarding antibiotics. As per practice, majority of subjects 76 (38%) often reduced the doses of antibiotics when they get better. 68 (34%) subjects sometimes took antibiotics by their own choice when condition was mild. 76 (38%) subjects believe that they often get more sick if they did not receive antibiotics for common cold and cough. 102 (51%) rarely followed antibiotics doses strictly. 100 (50%) rarely felt that skipping of antibiotics doses does not make much difference. 78 (39%) often took antibiotics for common cold. 76 (38%) subjects often felt that children with common cold get better faster when antibiotics are given. 78 (39%) subjects often expect prescription of medication including antibiotics when they visit to doctor. 84 (42%) subjects felt that their cold symptoms are often cured by antibiotics. 72 (36%) subjects often stopped taking antibiotics when they felt better. 106 (53%) sometimes stopped taking to antibiotics when family and friends advised to them. 76 (38%) rarely get antibiotics from pharmacy without prescription. 70 (35%) subjects rarely stored antibiotics at home for future use. 72 (36%) sometimes took antibiotics without prescription when they had high temperature. 84 (42%) subjects rarely changed the doctor when doctor do not prescribed antibiotics. Conclusion: Majority of subjects 64% had inadequate knowledge regarding antibiotic use whereas only 36% subjects had adequate knowledge regarding antibiotics.
Pattern of Antibiotics Use at the Primary Health Care Level of Bangladesh: Survey Report-1
Stamford Journal of Pharmaceutical Sciences, 2010
Although Bangladesh has made substantial progress in drug manufacturing since the introduction of its National Drug Policy (NDP) in 1982, irrational use of drugs, inappropriate prescribing, inadequate access to essential drugs and unjustified self medication are a few of a range of problems that are affecting the total health care system seriously. Taking this in view, a survey project has been designed to conduct nationwide to explore the pattern of antibiotics use at the primary health care level in Bangladesh using carefully constructed questionnaires containing questions covering both antibiotic prescription habit of the physicians and patients’ response to antibiotic use. In the first phase of this effort, 20 Upazila Health Complexes and the Union Health Centres thereunder each of Dhaka and Chittagong division were randomly surveyed. From physician survey it was evident that 55.57% of the doctors prescribe antibiotics in suspected infection while only 33.46% of them prescribe a...
Electronic Journal of General Medicine
Antibiotic abuse has contributed to the development of antimicrobial resistance (AMR) and has become a global concern. With a poorly regulated health system and a general lack of data, Bangladesh remains under high risk of AMR spread. To minimize the existing gap in the literature, this study was conducted to assess the knowledge, attitude, and behavior regarding antibiotic use and misuse among university students. Methods: A cross-sectional study design was used to survey 1400 students using a self-administered questionnaire from the University of Dhaka, Bangladesh. Descriptive and inferential analyses were performed with statistical significance defined as p < 0.05. Results: More than half of the respondents had poor knowledge and neutral attitude towards antibiotics. The students from bioscience were found to have better knowledge and attitude than arts and business. Respondents with good knowledge were more likely to show a positive attitude, p<0.05. Most of the respondents did not know that antibiotics are ineffective against most coughs and cold; and above 60% practiced self-medication. About one-third did not know that antibiotics mainly target bacteria, and surprisingly, more than four-fifth perceived that humans & animals could become resistant to antibiotics. Also, half of the participants did not fulfill their prescribed antibiotic course. Conclusion: There is a substantial amount of knowledge and attitude gap about and non-compliance to the proper use of antibiotics among the university students. The research findings, therefore, reflect the need for policy-level interventions to increase awareness and develop effective countermeasures to prevent the misuse of antibiotics.
Ibrahim Cardiac Medical Journal, 2020
Background & objective: Antibiotics are considered among the most commonly sold drug classes in the developing countries. The irrational and overuse of antibiotics result not only in the emergence of resistant bacterial strains but also adverse reactions and economic burden on national health system. This study was carried out with the focus to assess the awareness, attitude and practice of patients visiting Outpatient Department (OPD) of Bangladesh Institute of Research & Development in Endocrine & Metabolism (BIRDEM) General Hospital. towards antibiotic usage and development of its resistance Methods: This cross-sectional study was done in the OPD of BIRDEM General Hospital from June 2017 to July 2017. Patients presented at OPD were selected by convenient sampling. The total number of respondents was 100. A semi-structured questionnaire was used to collect information from the respondents. Data were analyzed using statistical package for social sciences (SPSS) version 20.0 and des...