Antibiotic-resistant bacteria has become a global phenomenon, mainly due to the inappropriate use of antibiotics. There are no studies in Lebanon to assess the public's knowledge, attitudes and practices (KAP) of antibiotic usage. A cross-sectional study was carried out using a self-administered questionnaire completed by a random convenience sample of 500 people. Nearly half of the respondents (46.1%) demonstrated moderate knowledge levels, while 40.6% demonstrated moderate attitudes. Although 80.2% knew that antibiotics are anti-bacterial, 73.5% did not know that antibiotics are not anti-viral. Moreover, 68.3% of respondents reported consuming antibiotics 1-3 times per year, while 22.4% consumed antibiotics on their own accord. Approximately 66.7% realized that abusing antibiotics could lead to resistance. Participant knowledge and attitudes were significantly associated with monthly family income, educational level, place of residency, having medical insurance, working in the health sector or having a relative working in the health sector. Nation-wide awareness campaigns targeting susceptible demographics should be initiated.
Intestinal obstruction caused by a remnant fallopian tube from previous hysterectomy is a rare entity that has been reported once in the literature. We report the case of a 61-year-old woman who presented with both small and large bowel obstructions caused by a strangulating remnant fallopian tube. She had an ovarian sparing hysterectomy 16 years ago and was diagnosed with antiphospholipid syndrome. Our case report will discuss the clinical presentation, imaging and outcome of the patient. It will also briefly tackle other rare causes of bowel obstruction.
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