Public knowledge, attitudes, and practices (KAP) regarding antibiotics use and antimicrobial resistance (AMR) in Bangladesh

Azim, Md Ragaul; Ifteakhar, K.M Nafiz; Rahman, Md Mahfujur; Sakib, Quazi Nazmus

doi:10.1016/j.heliyon.2023.e21166

Cited by 6 publications

(1 citation statement)

References 23 publications

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“…This study used a questionnaire based on the KAP model ( 9 , 10 ). The questionnaire consists of 54 questions on the demographic profile of participants (parents and infants aged 0–3 years) and parental KAP on three major areas including immunity, gut microbiota and biotics.…”

Section: Methodsmentioning

confidence: 99%

Knowledge, attitude, and practice of Chinese parents with infants (aged 0–3 years) toward immunity, gut microbiota and biotics: a comprehensive study

Wang,

Liu,

Chen

et al. 2024

Front. Immunol.

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In the wake of the COVID-19 pandemic, there has been an increasing focus towards infant immunity. The development and maintenance of the immune system are significantly influenced from birth, and is shaped by early-life infant feeding behavior. Hence, the knowledge, attitude, and practice (KAP) of parents play a crucial role in shaping the immune system of infants. A total of 2369 parents across 19 cities in China were surveyed using a self-designed online questionnaire. The KAP questionnaire assessed three domains: immunity, gut microbiota, and biotics (prebiotics, probiotics, and synbiotics). The questionnaire also included questions on infant health. An overwhelming majority of parents (97.90%) placed high value on their children’s immunity, and 40.40% of them reported an increased level of concern following the COVID-19 pandemic. Diarrhea (78.80%), colds (75.70%), nighttime crying (73.80%), regurgitation (71.70%) and food retention (66.50%) were the major health issues reported. Knowledge scores toward immunity and gut microbiota were positively correlated to attitude and practice scores, respectively. Attitude scores toward immunity, gut microbiota and biotics were positively correlated to their respective practice scores. Parental knowledge score on immunity was negatively correlated with diarrhea, colds, regurgitation and food retention. On the other hand, parental practice scores toward immunity were negatively correlated with food retention. In regards to gut microbiota, parental knowledge score was negatively correlated with diarrhea, regurgitation and food retention; parental attitude score was negatively correlated with nighttime crying whereas practice score was negatively correlated with diarrhea, regurgitation, food retention and nighttime crying. Attitude score toward biotics was negatively correlated with nighttime crying and practice scores toward biotics was negatively correlated with colds, food retention and nighttime crying. This study demonstrated that significant gaps and misunderstandings exist among parents regarding immunity, gut microbiota health, and biotics. Both public education and interventions are crucial to enhance parental knowledge and practices, thereby improving infant immunity.

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Section: Methodsmentioning

confidence: 99%

Knowledge, attitude, and practice of Chinese parents with infants (aged 0–3 years) toward immunity, gut microbiota and biotics: a comprehensive study

Wang,

Liu,

Chen

et al. 2024

Front. Immunol.

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Knowledge, attitude and practice (KAP) towards antibiotic use and its resistance among the general public in Klang Valley

Ali Bangash,

Kiong Ngui,

Xuan Ooi

et al. 2024

PPIJ

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Antibiotics have saved millions of lives and changed the history of infectious diseases. However, in recent years, antibiotic resistance has become a major global public health problem. Likewise, an increasing trend of antibiotic resistance (ABR) is observed in Malaysia. This study aims to determine the knowledge, attitude and practice (KAP) towards antibiotics use and its resistance among the general public in Klang Valley, Malaysia. Our hypothesis is the general public has a low level of KAP towards antibiotic use and its resistance. A cross-sectional study was distributed through a pre-validated questionnaire to all Klang Valley residents who are ≥18 years old through email and social media. Vulnerable residents and those from non-English speaking backgrounds were excluded. All data were analysed by SPSS software version 27.0. A total of 408 participants were recruited. Based on the scoring system of the study it was found that 47.0% had moderate knowledge, 41.7% had good attitude and 59.6% had good practice towards antibiotic use and its resistance. Overall, 53.4% recruited participants had moderate KAP towards antibiotic use and its resistance. Chi-Square test of independence was used to determine the association of socio-demographic variables and KAP towards antibiotic use and its resistance. The results indicated that only one categorical variable “area” was statistically significant with a p value of 0.041. The mean± SD values indicated that those individuals living in Selangor have a comparatively higher KAP towards antibiotic use and its resistance as compared to those living in Kuala Lumpur (KL) most probably due to higher educational levels. This study provided us with baseline evidence about the KAP regarding antibiotic use among the general public in Malaysia. Hence, it will be useful in guiding further interventions to improve awareness about antibiotics use and enhance antimicrobial stewardship in our community.

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Dentist Knowledge Attitudes, and Practices regarding the Use of Antibiotics and their Resistance in Al-Ahsa, Saudi Arabia: A Descriptive Cross-Sectional Study (Preprint)

Alsultan,

Umer,

Hussain Bokhari

et al. 2024

Preprint

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BACKGROUND Antibiotics are thus considered essential tools in the therapeutic armamentarium of the dental practice, and their proper use is fundamental in ensuring an effective use in the clinical setting. However, if not used appropriately, antibiotics can cause harm by contributing to the development of antimicrobial resistance, an issue of growing concern that threatens our ability to treat common infectious diseases. OBJECTIVE The aim of the study was to evaluate Dentists' knowledge, attitudes, and practices regarding the use of antibiotics and antibiotic resistance in dental clinics in Al-Ahsa, Saudi Arabia. METHODS This cross-sectional descriptive study was conducted in Al-Ahsa, Saudi Arabia. The data was collected by Google forms, link of our online questionnaire distributed among all the licensed practicing dentists working in public, private and semi-governmental dental clinics in the Al-Ahsa Governorate and the response rate was 78.5% with 424 responses from the 540 dentists. Collected data was analyzed by using SPSS 29.0. The study protocol was approved by the institutional Review Board of College of Dentistry, Research ethical committee of king Faisal University and also from the Ministry of Health in Al-Ahsa. RESULTS There was a distinctive gender breakdown in the sample: 66.75% of male dentists and 33.25% of female dentists. The largest group of dentists was Saudi nationals (65.33% of dentists), while 47.41% of the total worked in the private sector. The most common specialization remained General Practice (G.P.) dentistry (62.50%) having a wide range of clinical experience (most often between 1 to 5 years). Dentists examined different numbers of patients on the daily basis, with the majority (55.19%) examined fewer than 10. Dentists are, on average, 35.1 years old, with a large spread. The antibiotic prescription pattern shows that a significant proportion prescribes antibiotics to 10 to 15 people weekly, 41.51%, and then 62.26% affirm that they have not been involved in any CDE programs on the use of antibiotics. A significant proportion (59.73%) identified Clindamycin or Erythromycin as the frontline alternative in patients allergic to penicillin and fewer ones appeared uncertain (5.42%) or false (3.30%). CONCLUSIONS In general, the results indicate a diverse range of approaches among dentists, highlighting the need for ongoing education and professional growth to promote responsible antibiotic use and address the risks of antibiotic resistance in dental practice.

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Public knowledge, attitudes, and practices (KAP) regarding antibiotics use and antimicrobial resistance (AMR) in Bangladesh

Cited by 6 publications

References 23 publications

Knowledge, attitude, and practice of Chinese parents with infants (aged 0–3 years) toward immunity, gut microbiota and biotics: a comprehensive study

Knowledge, attitude, and practice of Chinese parents with infants (aged 0–3 years) toward immunity, gut microbiota and biotics: a comprehensive study

Knowledge, attitude and practice (KAP) towards antibiotic use and its resistance among the general public in Klang Valley

Dentist Knowledge Attitudes, and Practices regarding the Use of Antibiotics and their Resistance in Al-Ahsa, Saudi Arabia: A Descriptive Cross-Sectional Study (Preprint)

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