Knowledge, Attitude and Practice of Paramedical Staff Towards Antibiotic Usage and its Resistance

Sadasivam, Kanimozhi; Chinnasami, Balaji; Ramraj, Balaji; Karthick, N; Saravanan, A

doi:10.13005/bpj/944

Cited by 24 publications

(38 citation statements)

References 11 publications

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“…This result was more eminent than the studies performed in India, Trinidad, and Tobago [8, 11, 26]. Nearly three-fourths (70%) of the participants believed that antimicrobial resistance is a major problem in the universe as comfortably as in Ethiopia.…”

Section: Discussionmentioning

confidence: 82%

“…Such misconception may lead to high rate of inappropriate use of antibiotics, which in turn fuels the expanding antimicrobial resistance. Sadasivam et al suggested that creating clear understanding about the therapeutic and non-therapeutic effect of antibiotic at an earlier stage of the medical education for paramedical students as well as the staff members is highly imperative [11]. …”

Section: Discussionmentioning

confidence: 99%

“…Besides, the majority of the participants (82.4%) agreed that dispensing antibiotics without prescription should be more closely controlled. It was advancing as compared to another similar study, in which 65% of the participants thought that antibiotics should never be purchased as over the counter drugs [11]. …”

Section: Discussionmentioning

confidence: 99%

“…Although reports from world health organization (WHO) and other studies embraced that giving training for paramedical students on rational antimicrobial prescribing and introducing the concepts of antimicrobial stewardship into the undergraduate curricula are imperative, previous studies focused on medical students alone [11, 13–17]. Paramedical students such as Health Officer, Midwifery, Pharmacy, Nursing and Optometry that play a vital role in the prevention and promotion of antimicrobial resistance were ignored [11].…”

Section: Introductionmentioning

confidence: 99%

“…Paramedical students such as Health Officer, Midwifery, Pharmacy, Nursing and Optometry that play a vital role in the prevention and promotion of antimicrobial resistance were ignored [11]. In Ethiopia, these departments have a legal and professional duty to involve in the diagnosis and management of infectious disease.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and attitude towards antimicrobial resistance among final year undergraduate paramedical students at University of Gondar, Ethiopia

2018

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BackgroundGlobally, antimicrobial resistance (AMR) is a complex public problem, which is mainly fuelled by inappropriate use of antimicrobials. Rational use of antimicrobials is the main strategy for the prevention of AMR, which can be achieved by changing the prescribers’ behavior and knowledge. Hence, this study aimed to assess knowledge and attitude of paramedical students regarding antimicrobial resistance, which helps to rationalize the use of antimicrobials.MethodsAn institutional based cross-sectional study was performed on 323 graduates paramedical students at the University of Gondar, Ethiopia. Participants were invited to complete a self-reported structured questionnaire on hard copy. The data were summarized using summary statistics such as the median. Furthermore, Kruskal Wallis test, at the level of significance of 0.05, was conducted to compare group difference.ResultsAmong 360 eligible paramedical students, 323 (90%) of them participated and most of them were males 202 (62.5%). Nearly 96% of the participants perceived that antimicrobial resistance is a catastrophic and preventable public problem but about half of the participants (55%) had a poor level of knowledge. It was also found that there was a statistically significant knowledge and attitude difference across the department (p-value< 0.0001) and (p = 0.002), respectively. Furthermore, those participants who had a good level of knowledge had greater attitude rank as compared to those who had a moderate and poor level of knowledge (p-value< 0.0001).ConclusionMajority of the participants viewed antimicrobial resistance as a preventable public problem if appropriate strategies are formulated. Nonetheless, most of them had a poor knowledge regarding antimicrobial resistance, and their knowledge and attitude significantly vary across their field of study. This result implicates that improving the students’ level of knowledge about antimicrobial resistance might be an approach to flourish their attitude and to rationalize their antimicrobial use.Electronic supplementary materialThe online version of this article (10.1186/s12879-018-3199-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Knowledge and attitude towards antimicrobial resistance among final year undergraduate paramedical students at University of Gondar, Ethiopia

2018

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Determinants of misuse of antibiotics among parents of children attending clinics in regional referral hospitals in Tanzania

Mutagonda

Marealle

Nkinda

et al. 2022

Sci Rep

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Parents are the important implementers on appropriate/inappropriate use of antibiotics, especially in the pediatric population. Limited studies have associated poor knowledge, attitude, and practice (KAP) among parents with antibiotics misuse. Therefore, this study was conducted to determine the parents’ KAP and factors associated with inappropriate use of antibiotics among Tanzanian children. A hospital-based cross-sectional study was conducted in 14 regional referral hospitals (RRHs) in Tanzania between June and September 2020. KAP was estimated using a Likert scale, whereas KAP factors were determined using logistic regression models. A total of 2802 parents were enrolled in the study. The median age (interquartile range) of parents was 30.0 (25–36) years where 82.4% (n = 2305) were female parents. The majority of the parents had primary education, 56.1% (n = 1567). Of 2802 parents, only 10.9% (n = 298) had good knowledge about antibiotics, 16.4% (n = 455) had positive attitude whereas 82.0% (n = 2275) had poor practice on the appropriate use of antibiotics. Parents' education level, i.e., having a university degree (aOR: 3.27 95% CI 1.62–6.63, p = 0.001), good knowledge (aOR: 1.70, 95% CI 1.19–2.23, p = 0.003) and positive attitudes (aOR: 5.56, 95% CI 4.09–7.56, p < 0.001) were significantly associated with the appropriate use of antibiotics in children. Most parents had poor knowledge, negative attitude, and poor practice towards antibiotics use in children. Parents’ education level, employment status, knowledge on antibiotic use, and good attitude contributed to the appropriate use of antibiotics in children attending clinics at RRHs.

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Knowledge and attitude among samples from community members, pharmacists and health care providers about antibiotic resistance in Al- Suwaria city/Wassit province/Iraq

Kanaan

Tarek

Abdullah

2021

IOP Conf. Ser.: Earth Environ. Sci.

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Antimicrobial resistance (AMR) is one of the greatest public health challenges of our time, primarily due to inappropriate antimicrobial use. Addressing this threat is a public health priority that requires a collaborative global approach in all areas. The rational use of antimicrobials is the main strategy for the prevention of antimicrobial resistance, which can be achieved by changing the behavior and knowledge of the prescribers. So, for the success of any problem management program, the most important prerequisite is community participation. Therefore, this study aimed to assess the knowledge and attitude of the samples of community members, pharmacists and health professionals in the city of Al-Suwaria, in the province of Wasit, in the Middle East of Iraq, with respect to antimicrobial resistance, which helps to rationalize the use of antimicrobials. In this survey, a cross-sectional study of 102 random contributing samples was performed. From January to March 2020. Knowledge and attitudes were assessed using a typical self-administered questionnaire. Descriptive analyzes were used to express the results. A total of 102 participants answered the questionnaire. Overall, collaborators have established good knowledge and positive attitudes toward antimicrobial resistance based on 13 knowledge questions and nine attitude statements. Gaps were identified in the knowledge of the possibility of addressing resistance through the discovery of a new drug (21.6%), the possibility of using antibiotics as an effective drug against viral diseases (36.3%) and the possibility of accelerate the treatment of diseases with antibiotics (38.2%). The majority of respondents (72.5%) agreed that antibiotic resistance induces serious global problems that affect public health. Furthermore, the majority of those interviewed (69.6%) believe that this phenomenon affects our health and that of our families. Similarly, (13.7%) of the participants totally agreed, while (65.7%) agreed that pharmacists played an important role in the appearance of this problem, and (37, 3%) of the participants fully agreed, while (58.8%) agreed that it is necessary to follow the recommendations and guidelines for life-saving antibiotics in the hospital. In contrast, 27.5% of the participants expressed a weak attitude towards the possibility of fighting antimicrobial resistance in their region through infection control practices by health professionals. Contributors in this study had good knowledge and positive attitudes toward antimicrobial resistance. Although the data is indicative of gaps in the knowledge of residents of the city of Al-Suwaria/Wasit province.

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Knowledge, Attitude and Practice of Paramedical Staff Towards Antibiotic Usage and its Resistance

Cited by 24 publications

References 11 publications

Knowledge and attitude towards antimicrobial resistance among final year undergraduate paramedical students at University of Gondar, Ethiopia

Knowledge and attitude towards antimicrobial resistance among final year undergraduate paramedical students at University of Gondar, Ethiopia

Determinants of misuse of antibiotics among parents of children attending clinics in regional referral hospitals in Tanzania

Knowledge and attitude among samples from community members, pharmacists and health care providers about antibiotic resistance in Al- Suwaria city/Wassit province/Iraq

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