Predictors of antibiotic prescriptions: a knowledge, attitude and practice survey among physicians in tertiary hospitals in Nigeria

Ogoina, Dimie; Iliyasu, Garba; Kwaghe, Vivian; Otu, Akan; Akase, Iorhen Ephram; Adekanmbi, Olukemi; Dalhat, Mahmood; Iroezindu, MO; Aliyu, Shamsudin; Oyeyemi, Abisoye; Rotifa, Stella; Adeiza, Mukhtar Abdulmajid; Unigwe, Uche; Mmerem, Juliet Ijeoma; Dayyab, Farouq Muhammad; Habib, Zaiyad Garba; Otokpa, Daniel; Effa, Emmanuel; Habib, Abdulrazaq G.

doi:10.1186/s13756-021-00940-9

Cited by 23 publications

(26 citation statements)

References 43 publications

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“…Increased awareness on AMR among healthcare students has been shown to be an effective approach to improving future practitioners’ prescribing behavior [ 47 ]. This is important as there have been concerns with knowledge regarding antibiotics and AMR among healthcare professionals in Africa and the implications thereof [ 41 , 48 , 49 , 50 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Healthcare Students’ Knowledge on Antibiotic Use, Antimicrobial Resistance and Antimicrobial Stewardship Programs and Associated Factors in a Tertiary University in Ghana: Findings and Implications

et al. 2022

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Antimicrobial resistance (AMR) is a major public health problem globally, and Ghana is no exception. Good knowledge regarding antibiotic use, AMR, and the concept of antimicrobial stewardship (AMS) is critical among healthcare students to curb rising AMR rates in the future. Consequently, a need to ascertain this. A cross-sectional survey was undertaken among fifth-year pharmacy, medical students and fourth (final)-year nursing and physician assistantship students at the University of Health and Allied Sciences in Ghana to assess their knowledge on antibiotic use, AMR and AMS using a web-based self-administered structured questionnaire. Descriptive statistics, Fishers’ exact test, and multiple logistic regression analyses were performed. A total of 160 healthcare students were interviewed, of which 56.3% (n = 90) were male and 58.8% (n = 94) were in their fourth year of study. Good knowledge of antibiotic use, AMR, and AMS was associated with the study course (p = 0.001) and the number of years of study (p < 0.001). Overall, there were differences in the level of knowledge of antibiotics among the different healthcare students and their years of study. Efforts must now be made to enhance the curricula to ensure an improved and uniform transfer of knowledge of antibiotics, AMR, and AMS among the different healthcare students to sustain the fight against AMR in Ghana given growing concerns.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Healthcare Students’ Knowledge on Antibiotic Use, Antimicrobial Resistance and Antimicrobial Stewardship Programs and Associated Factors in a Tertiary University in Ghana: Findings and Implications

et al. 2022

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“…Knowledge, attitude, and practice (KAP) studies are targeted at discovering and understanding a peculiar population's knowledge and approach towards a particular topic of interest hence conducting such studies bring to the fore existing knowledge gaps. Some KAP studies on AMR have been conducted among relevant stakeholders in Nigeria which identified gaps in AMS awareness [ 17 – 21 ]. Studies carried out among Nigerian veterinary students reported that 60% had an unsatisfactory level of knowledge of AMR while only about 7% knew the meaning of antimicrobial stewardship [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing knowledge, attitude, and practices of veterinarians towards antimicrobial use and stewardship as drivers of inappropriate use in Abuja, Nigeria

2021

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Introduction Antimicrobial resistance (AMR) has recently gained worldwide recognition, as the emergence of multi-drug resistant organisms has led to increased mortality and economic burden. This study aimed to assess knowledge, attitudes, and practices of veterinarians towards rational antimicrobial prescribing and identify factors influencing use. Methods We interviewed veterinary doctors in Abuja, Nigeria using a 50-point questionnaire distributed via WhatsApp mobile application. The questionnaire inquired about their experiences, knowledge, attitudes, and practices towards AMR and stewardship. We analyzed the data by calculating frequencies and proportions. Results Of 220 registered veterinarians, 144 (65.5%) participated in the survey. Most (52.8%) were within the age group 30 - 39 years; males (72.2%), with a Master’s degree (42.4%) and worked in public service (44.4%). Three-quarters (75.7%) had good knowledge of antimicrobials; 47.2% had received training on stewardship while 88.9% reported that they believed that overuse of antimicrobials was the major contributory factor towards AMR. Antimicrobial stewardship regulations are important in veterinary practice. Veterinarians were aware of the occurrence of resistant pathogens and agreed that restricting antimicrobial use in animal health care was necessary to reduce AMR. Conclusion Most respondents referred to the veterinary formulary (VF) when in doubt of the appropriate antimicrobial agent to administer. We recommend that the VF be updated following the WHO list of critically-important-antimicrobials (CIA) and veterinarians educated not to use these CIAs in the treatment of food animals.

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“…A sample size of 245 was calculated to be the minimum required, assuming that 20% of primary care physicians have good practices ( 13 ), and a 95% confidence interval (CI), with 0.05 absolute precisions on either side of the predicted proportion. We inflated the number to 336 to account for an expected non-response rate of 40% among participants ( 14 ).…”

Section: Methodsmentioning

confidence: 99%

Palestinian physicians’ self-reported practice regarding antibiotic use for upper respiratory tract infections in primary healthcare

et al. 2023

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BackgroundThe main objective of this study was to evaluate the antimicrobial therapy knowledge, attitudes, and practices of primary care physicians in the West Bank and Gaza.MethodsBetween January and April 2021, this cross-sectional survey was conducted. A link to the online survey was sent via confidential email lists to 336 primary care physicians who treated patients in Ministry of Health clinics. The survey questions scoring system was devised in order to evaluate the physicians’ practice, knowledge, and attitudes. Our scoring system identified favorable (good) and unfavorable (average and poor) antibiotic practices. In addition to independent t-test, the Chi-square test was used to compare the two groups of physicians’ knowledge, attitudes, and practices with their background characteristics. A multivariate analysis was performed to identify potential confounding variables having significant relationships.ResultsOf the 336 distributed questionnaires, 316 were completed, with a response rate of 94%. More than half (54.7%) were males, half (51.6%) were between 30 and 45 years of age, and most were general practitioners (74.1%). The overall good knowledge and attitude scores were 125 (39.6%) and 194 (61.4%), respectively. More than half (58.2%) had good antibiotic prescription practices. Females reported significantly more favorable practices than males, as did family medicine specialists compared with general practitioners. Finally, knowledge about antibiotic prescriptions had a substantial impact on changing their practices. However, physicians’ attitudes toward antibiotic prescriptions did not have a significant role in shaping their practices.ConclusionOveruse of antibiotics is a significant health issue in Palestine and worldwide. Most physicians know that improper antibiotic usage can cause antimicrobial resistance. More than two-thirds avoided needless antimicrobial prescriptions. In practicing antimicrobial stewardship, most prescribed fewer antibiotics and did not prescribe because of patient pressure. Family medicine specialists, female doctors, and those with high knowledge scores regardless of caseload were more likely to have good practices.

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Predictors of antibiotic prescriptions: a knowledge, attitude and practice survey among physicians in tertiary hospitals in Nigeria

Cited by 23 publications

References 43 publications

Evaluation of Healthcare Students’ Knowledge on Antibiotic Use, Antimicrobial Resistance and Antimicrobial Stewardship Programs and Associated Factors in a Tertiary University in Ghana: Findings and Implications

Evaluation of Healthcare Students’ Knowledge on Antibiotic Use, Antimicrobial Resistance and Antimicrobial Stewardship Programs and Associated Factors in a Tertiary University in Ghana: Findings and Implications

Assessing knowledge, attitude, and practices of veterinarians towards antimicrobial use and stewardship as drivers of inappropriate use in Abuja, Nigeria

Palestinian physicians’ self-reported practice regarding antibiotic use for upper respiratory tract infections in primary healthcare

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