A STUDY ON KNOWLEDGE, ATTITUDE, AND PRACTICE REGARDING ANTIBIOTIC USE AND RESISTANCE AMONG MEDICAL STUDENTS
Main Article Content
Keywords
Medical students, Antimicrobial resistance, Global concern
Abstract
Introduction:Antibiotic resistance is a global public health concern, and inappropriate antibiotic use plays a significant role in its development. As future healthcare professionals, medical student’s knowledge, attitudes, and practices regarding antibiotic use and resistance are crucial in addressing this issue effectively.
Aims and objectives:This study aims to assess the current state of knowledge, attitudes, and practices among medical students regarding antibiotic use and resistance and identify areas for improvement.
Materials and methods:This is a cross sectional study conducted at a Medical College, Andhra Pradesh, India on undergraduate medical students of preclinical years who are willing to participate in the study with questionnaire to assess knowledge ,attitude and the prescribing practices.
Results: Out of 177 students 150 students were willing to participate in the study. The response rate was 84.74%. Out of 150 students 98%(n= 147) has knowledge towards antibiotic resistance, 90%(n=195)agreed that self medication is main cause of antibiotic resistance. 7.3%(n-=11) answered that they will always use antimicrobials given to a friend or family as long as they were used to treat same illness, 18%(n=27) answered that antibiotics can be prescribed for common cold, 9.3%(n=14) agreed that they will prescribe antibiotics at patients request.
Conclusion: From this study it is clear that though they were medical students who seems to have knowledge regarding the antimicrobial resistance and emergence mechanism of resistance, but proper use of antibiotics is not reflected in their daily life.By integrating focused education on antibiotic resistance awareness and strategies for combating multidrug-resistant organisms early in their careers, these initiatives aim to equip future healthcare professionals with the necessary tools to mitigate the emergence of resistance and deliver quality patient care..
References
2. world health organization .The world health report 2007. A safer future: global public health security in the 21st century. Available: http://www.who.int/whr/2007. Accessed 11 July 2014.)
3. World Health Organization .WHO Global Strategy for Containment of Antimicrobial Resistance.WHO/CDS/CSR/DRS/2001.2.Available:http://www.who.int/csr/resources/publications/drugresist/en/ EGlobal_Strat.pdf. Accessed 11 July 2014.)
4. Jairoun A, Hassan N, Ali A, Jairoun O, Shahwan M. Knowledge, attitude and practice of antibiotic use among university students: A cross sectional study in UAE. BMC Public Health. 2019;19(1):1–8.
5. Costelloe C, Metcalfe C, Lovering A, Mant D, Hay AD Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: systematic review and meta-analysis.BMJ 2010; 340: c2096. doi: 10.1136/bmj.c2096 PMID: 20483949
6. Vaananen MH,Pietila K, Airaksinen M Self-medication with antibiotics—does it really happen in Europe? Health policy 2006 ;77: 166–171. PMID: 16095749 5.
7. You JH, Yau B, Choi KC, Chau CT, Huang QR, et al. Public knowledge, attitudes and behavior on antibiotic use: a telephone survey in Hong Kong. Infection .2008;36: 153–157. doi: 10.1007/s15010-007- 7214-5 PMID: 18231717)
8. ( Davey P, Pagliari C, Hayes A .The patient’s role in the spread and control of bacterial resistance to antibiotics. Clin Microbiol Infect .2002;8: 43–68. PMID: 12427207
9. Franco BE, Altagracia Martinez M, Sanchez Rodriguez MA, Wertheimer AI .The determinants of the antibiotic resistance process. Infect Drug Resist .2009;2: 1–11. PMID: 21694883
10. Hulscher ME, van der Meer JW, Grol RP . Antibiotic use: how to improve it? Int J Med Microbiol .2010;300: 351–356. doi: 10.1016/j.ijmm.2010.04.003 PMID: 20434950)
11. Min S, Zhou Y, Sun Y, Ye J, Dong Y, Wang X, Zhou Z, Zhou H, Li H. Knowledge, attitude, and practice associated with antimicrobial resistance among medical students between 2017 and 2022: A survey in East China. Front Public Health. 2022 Oct 24;10:1010582. doi: 10.3389/fpubh.2022.1010582. PMID: 36353280; PMCID: PMC9637849.
12. Sharma AK, Sankhla V, Sanjay G. Knowledge, Attitude And Practicetowards Antibiotic Use And Antibiotic Resistance Among Medical Students: A Cross-Sectional Study Arun Kumar Sharma * , Vandana Goyal and Sanjay Sankhla Department of Pharmacology, J. L. N. Medical College, Ajmer - 305001,. 2022;13(10):4166–72.
13. Sanya TE, Titilayo OF, Adisa R, Segun JS. Use of antibiotics among non-medical students in a Nigerian university. Afr Health Sci. 2013;13(4):1149–55. DOI: 10.4314/ahs.v13i4.41.
14. Ijeoma et al; Knowledge of antibiotic use and resistance among students of a medical school in Nigeria Malawi Medical Journal 31 (2): 133-137 June 2019)
15. Sanya TE, Titilayo OF, Adisa R, Segun JS. Use of antibiotics among non-medical students in a Nigerian university. Afr Health Sci. 2013;13(4):1149–55. DOI: 10.4314/ahs.v13i4.41.
16. Zafar SN, Syed R, Waqar S, et al. Self-medication amongst university students of Karachi: prevalence, knowledge, and attitudes. J Pak Med Assoc. 2008;58(4):214–7. DOI: 10.12691/ajps-1-5-5)