Antibiotic usage at a primary health care unit in Bangladesh.

Fahad, B

doi:10.4066/amj.2010.32

Cited by 24 publications

(26 citation statements)

References 19 publications

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“…17 71.14% of total patients had received antimicrobials in rural Bangladesh, which is higher than other parts of Asia, Europe or the USA. 41 This result is also close to the statement of our students (41-60%) with a number of studies. 42,43 The emergence and accelerated the spread of AR is also due to inappropriate use of antimicrobial drugs, e.g.…”

Section: Discussionsupporting

confidence: 78%

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Hoque¹,

Mostafa²,

Haque³

2016

JYP

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Background: Physicians formally receive education regarding antimicrobials and microbial resistance during a 5-6 year curriculum of the undergraduate medical program. However, the once magical bullet of antibiotics is now threatened by AR, which has become a significant hazard to global health. Thus, a doctor must possess the adequate knowledge to select an antibiotic or other drug for use in a particular disease. This issue is not currently being addressed in the undergraduate curriculum resulting in irrational prescribing. Therefore, it is essential to possess a comprehensive knowledge regarding drugs, including antimicrobials at an undergraduate level. Currently, there is no comprehensive evaluation of medical students' perception of AR in Bangladesh. This was the driving force to conduct this study and to identify gaps in KAP of medical students about AR, as well as to enrich the medical curriculum. Methods: This is a cross-sectional, randomized, questionnaire-based study. Data were collected using a validated instrument. Results: 107 students were selected using a quota sampling technique. A total of 107 participants (32.71% male and 67.29% female) attended the study. The response rate was 100%. Out of the cohort; 37.38%, 30.84%, and 31.78% were from the Year-III, Year-IV, and Year-V respectively. The participants felt more confident in 'Making an accurate diagnosis of infection/ sepsis.' Conclusion: Our study population found to be suffering from a lack of confidence partially due to a gap in their knowledge about the proper selection of antimicrobials.

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Section: Discussionsupporting

confidence: 78%

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Hoque¹,

Mostafa²,

Haque³

2016

JYP

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“…We concur with other researchers [1,6,7] that gross misuse of antibiotics is being done in Bangladesh. Most of the responsibilities of gross misuse belong to two parties, non-physicians, illegal medical practitioners, quacks, and lack of awareness among the patients.…”

Section: Resultssupporting

confidence: 77%

“…The highest percentage of self-prescribed antibiotics was metronidazole (50.43%) followed by azithromycin (20.75%), ciprofloxacin (11.53%), amoxicillin (10.37%) and tetracycline (7.49%), respectively [6]. Fahad et al also found similar findings to us, in a primary health care-based study [7]. They reported that the highest prescribed antibiotic was ceftriaxone (30.19%) followed by cefixime (18.87%) and amoxicillin (16.98%).…”

Section: Discussionsupporting

confidence: 72%

“…The prevalent aberrations in the practice of using antibiotics in Bangladesh include self-medication, prescription by quacks and non-physicians, non-registered "village doctors", irrational prescription, etc. [2,6,7]. The resultant rises in resistant strains of several bacteria are also seen [4,[8][9][10] and probably much is yet unseen and unnoticed.…”

Section: Introductionmentioning

confidence: 87%

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Pattern of Antibiotic Usage in Rural and Sub-Urban Settings in Bangladesh: Experience From a Primary Health Care Facility

Hasan¹,

Mozazfia²,

Hossain³

et al. 2017

Clin Infect Immun

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Background: Bangladesh is not exempted from the grave dangers of antibiotic resistance and the other problems arising from its misuse. The prevalent aberrations in the practice of using antibiotics in Bangladesh include self-medication, prescription by quacks and nonphysicians, non-registered "village doctors", irrational prescription, etc. The resultant rises in resistant strains of several bacteria are also seen, and probably much is yet unseen and unnoticed.

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“…15,24,26 Bangladesh has become a major field of antibiotic misuse and abuse. [26][27][28][29][30] Very sadly, this prevalent malpractice of abusing antibiotics in Bangladesh contributes to add complexity to the danger which may prove to be possibly the greatest threat humans have ever faced. There is much scarcity of medical literature in Bangladesh, on the antibiotic sensitivity pattern and prevalent microorganisms.…”

Section: Introductionmentioning

confidence: 99%

Prevalent Bacteria and Their Sensitivity and Resistance Pattern to Antibiotics: A Study in Dhaka Medical College Hospital

Hossain

Naher²,

Hasan

et al. 2017

J Dhaka Med Coll

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amikacin, moxifloxacin, imipenem, meropenem, piperacillin+tazobactum combination, vancomycin, doxycycline, tetracycline, tigecycline, nitrofurantoin, azactum, linezolid and 100% resistant to cefixime. Enterobacter was 100% sensitive to penicillin, amikacin, gentamicin, netilmicin, doxycycline, tetracycline, tigecycline and 100% resistant to cefixime, ceftazidime, ceftriaxone, cefepime, cotrimoxazole, levofloxacin, vancomycin. E. coli was 100% sensitive to imipenem, meropenem, vancomycin, tigecycline and 100% resistant to mecillinam, aztreonam. Klebsiella was 100% sensitive to flucloxacillin, colistin, vancomycin, tigecycline, linezolid and 100% resistant to nalidixic acid. Proteus was 100% sensitive to cephradine,

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Antibiotic usage at a primary health care unit in Bangladesh.

Cited by 24 publications

References 19 publications

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Pattern of Antibiotic Usage in Rural and Sub-Urban Settings in Bangladesh: Experience From a Primary Health Care Facility

Prevalent Bacteria and Their Sensitivity and Resistance Pattern to Antibiotics: A Study in Dhaka Medical College Hospital

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