Global collaboration to encourage prudent antibiotic use

Earnshaw, Sarah; Mendez, Andrea; Monnet, Dominique; Hicks, Lauri A.; Cruickshank, Marilyn; Weekes, Lynn; Njoo, Howard; Ross, Stacie

doi:10.1016/s1473-3099(13)70315-3

Cited by 27 publications

(29 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4,5 The other factors implicated in the emergence of bacterial resistance are the patient's insisting to write antibiotics, incentives given to the doctors by the pharmaceutical industry in writing particular type of brands, over the counter availability, lack of culture and sensitivity reporting and lack of public awareness regarding the antimicrobial resistance. 6 Antimicrobial resistance increases the cost of healthcare due to lengthier stays in hospital, additional tests, usage of more expensive drugs and more intensive care required. Without effective antimicrobials for prevention and treatment of infections, medical procedures such as organ transplantation, cancer chemotherapy, diabetes management and major surgeries become very high risk.…”

Section: Introductionmentioning

confidence: 99%

Comparative assessment of antibiotic resistance among first and second year undergraduate medical students in a tertiary care teaching hospital

Gupta

Malhotra

2019

Int J Res Med Sci

View full text Add to dashboard Cite

Background: Antibiotics are one of the commonest prescribing drugs in day to day practice. However indiscriminate and irrational use of antibiotics has given rise to the emergence of antibiotic resistance. Thus, intervention in the form of educating students and making them aware about this important concept should be initiated at the gross root level right from the beginning of medical profession. Objective was to assess the comparative awareness regarding antimicrobial resistance between first and second year MBBS students.Methods: This was a comparative, cross-sectional questionnaire based study. Two forty six undergraduate medical students, 118 students from 1st year and 129 students from 2nd year MBBS were included in the study to assess the extent of knowledge and about the problem of antibiotic resistance. Self-administered questionnaire was used to collect the data from respondents. The questionnaires of both the groups were analyzed for the responses of the students and were compared using student ‘t’ test and chi-square test.Results: Majority of the participants 63.6% and 72.9% had completed the full course of antibiotics as prescribed by the physician. Statistically significant difference (p<0.05) was found between the two groups where in 58.4% of the first year and 16.3% of the second year students were of the view that antibiotics can be used for viral illnesses. Only 44.1% students of first year knew the reasons for antibiotic resistance.Conclusions: It can be concluded from the present study that second year medical students were more aware regarding antimicrobial resistance as compared to first year MBBS students who represented the general public. Thus, it is very important to educate the students in a practical manner about this concept as they are the future health care givers who can promote the rational use of antibiotics in near future.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparative assessment of antibiotic resistance among first and second year undergraduate medical students in a tertiary care teaching hospital

Gupta

Malhotra

2019

Int J Res Med Sci

View full text Add to dashboard Cite

show abstract

“…Th ere are several reasons for the inappropriate use of antibiotics: failure to adhere to national guidelines, lack of knowledge and professional training, pressure from pharmaceutical companies, the fi nancial benefi t for physicians, and patient pressure on doctors to prescribe antibiotics even when they are not necessary [32][33][34][35][36][37][38]. One of the most important steps to slow down the development and spread of resistance is the rational use of antibiotics [39], per local guidelines, which are based on local antibiotic resistance maps [3]. Due to the implementation of new guidelines, adopted at the end of 2018, shortly aft er data collection for this study, it is extremely important to assess the adherence of rational use of antibiotics to the previous ones.…”

Section: Discussionmentioning

confidence: 99%

The antibiotic prescription practice in primary health care from the pharmacist perspective

Čović¹,

Todorović²,

Čanji³

et al. 2019

Hosp Pharm Int Multi J

View full text Add to dashboard Cite

Introduction: Antibiotic resistance is a growing problem. Adherence to national guidelines is one of the key factors necessary for the rational use of antibiotics. Aim: The aim of the study was to examine characteristics of antibiotic prescribing practice in primary health care in Novi Sad. Method: The analysis was designed as a descriptive, cross-sectional study based on the data obtained from the health institution Cvejić Pharmacy. The guidelines available to physicians at the time of prescribing were used to assess the compliance of the prescribed antibiotics with the guidelines. Additionally, the most frequently dispensed antibiotics for all diagnoses were recorded and results were expressed as a percentage of frequency of analyzed antibiotic prescriptions. Results: The study has shown that antibiotic prescriptions make 5.48% of all prescriptions (719 out of 13115), 513 (71.35%) of which were established by national guidelines, and 206 (28.65%) for less frequent diagnoses which was not included in national guidelines. In the study sample, 297 (65.42%) terapeutical regimes had adequate terapeutical dosage. The most commonly prescribed antibiotic groups were: macrolides (35.18%), penicillins (28.68%) and cephalosporins (14.60%). Conclusions: Irrational prescribing and dispensing of antibiotics is both national and global problem. It is necessary to pay close attention to antibiotics prescribing and dispensing. The focus should be on national guidelines and their extension.

show abstract

“…Improving the rational use of antibiotics is one of the best ways to slow down the development and spread of AMR (van de Sande-Bruinsma et al 2008;Sumpradit et al 2012;Earnshaw et al 2013;Llor and Bjerrum 2014). This means addressing issues such as physicians' lack of adherence to treatment guidelines and their lack of knowledge and training regarding antibiotics, the lack of diagnostic facilities as well as uncertainty over the diagnosis, pressures from patients and the pharmaceutical industry and finally fear of clinical failure (Little et al 2013; Van Nguyen et al 2013;Hassali et al 2015;Md Rezal et al 2015;Riaz et al 2015).…”

Section: Extent and Threat Of Antimicrobial Resistance And Its Impactmentioning

confidence: 99%

Drug Resistance in Bacteria, Fungi, Malaria, and Cancer

Godman

Fadare

Kibuule

et al. 2017

View full text Add to dashboard Cite

Global collaboration to encourage prudent antibiotic use

Cited by 27 publications

References 1 publication

Comparative assessment of antibiotic resistance among first and second year undergraduate medical students in a tertiary care teaching hospital

Comparative assessment of antibiotic resistance among first and second year undergraduate medical students in a tertiary care teaching hospital

The antibiotic prescription practice in primary health care from the pharmacist perspective

Drug Resistance in Bacteria, Fungi, Malaria, and Cancer

Contact Info

Product

Resources

About