DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20202932

Awareness on antibiotic usage among undergraduate medical students in a teaching hospital, Guntur

Bheemesh Naidu Mattam, D. L. N. Prathyusha, Santhi S. Yedurupaka, Sai V. Yerram

Abstract


Background: Antibiotics are the mainstay treatment of most of the infectious diseases. Inappropriate and irrational use of antimicrobial agents has led to increase in the development of antimicrobial resistance. Medical students are a part of health care system and they must be aware of increasing antibiotic resistance as they are the future prescribers. The objectives of the study were to assess the awareness on antibiotic usage and its resistance among medical students and to study the perception on antibiotic medication among medical students.

Methods: This was a cross-sectional, semi-structured questionnaire-based study. Questionnaire consists of 4 parts- socio-demographic details, awareness on antibiotics and its resistance, knowledge on specific treatment of a disease, perception levels. Prior IEC approval was taken. The obtained data was statistically analyzed using Microsoft excel sheet.

Results: Among 230 participants, majority of the students have awareness on general antibiotic usage and 97.8% were having knowledge about antibiotic resistance. The main source of information on antibiotic resistance is identified as classroom teaching (67.8%). 46.9% and 25.2% students correctly identified the drug of choice for treating enteric fever and community acquired pneumonia respectively.

Conclusions: Degrees of awareness on antibiotics and its resistance is found to be good. Antibiotic usage pattern is not on par with knowledge. Knowledge on specific treatment of infectious disease is found to be less. So, antibiotic teaching should be integrated with clinical subjects.


Keywords


Antibiotic usage, Antibiotic resistance, Clinical based learning

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References


Chambers HF. General principles of antimicrobial therapy. In Goodman & Gilman's The Pharmacological Basis of Therapeutics 11th edition. Editors: Brunton L, Parker K, Blumenthal D, Buxton I. New York, USA, Mc Graw Hill. 2006: 1095-1110.

World Health Organization (WHO) (2014) Antimicrobial Resistance. Global Report on Surveillance. Geneva: World Health Organization, 2014.

Lakshminarayan R, Chaudhury RR. Antibiotic Resistance in India: Drivers and opportunities for Action. PLoS Med. 2016;13(3):e1001974.

About Antimicrobial Resistance - Antibiotic/ Antimicrobial Resistance - CDC. CDC.GOV. 2017; Available at: https://www.cdc.gov/drugresistance/ about.html/. Accessed on 3 January 2019.

World Health Organization, WHO’s first global report on antibiotic resistance reveals serious, worldwide threat to public health. 10 September 2014; Available at: http://www.who.int/mediacentre/ news/releases/2014/amr-report/en. Accessed on 3 January 2019.

World Health Organization. Prevention and Containment of Antimicrobial resistance. Available at: http://www.ino.searo.who.int/LinkFiles/Other_ Content_WHD11-Seminar_Presentation-WRpdf. Accessed on 3 March 2018.

World Health Organisation (WHO), Antimicrobial Resistance, Factsheet, November 2016. Available at: http://www.who.int/mediacentre/factsheets/fs194/en/ Accessed on 3 March 2018.

Genetic Literacy Project: Antibiotic resistance may be bigger problem than previously thought; Maryn McKenna; December 16, 2014. Available at: https://geneticliteracyproject.org/2014/12/16/antibiotic-resistance-may-be-bigger-problem-than-previously-thought/. Accessed on 3 March 2018.

Scaioli G, Gualano MR, Gili R, Masucci S,Bert F, Siliquini R. Antibiotic Use: A Cross-Sectional Survey Assessing the Knowledge, Attitudes and Practices amongst Students of a School of Medicine in Italy. PLoS ONE. 2015;10(4):e0122476.

Sharma K, Jain P, Sharma A. Knowledge, attitude and perception of medical and dental undergraduates about antimicrobial stewardship. Indian J Pharmacol. 2015;47:676-9.

Abbo LM, Cosgrove SE, Pottinger PS, Pereyra M, Sinkowitz-Cochran R, Srinivasan A. Medical students' perceptions and knowledge about antimicrobial stewardship: how are we educating our future prescribers? Clin Infect Dis. 2013;57(5):631-8.

European Commission. Special Eurobarometer 407. Antimicrobial Resistance. Report (2013) Available at: http://ec.europa.eu/health/antimicrobial_resistance /docs/ebs_407_en.pdf Accessed 10 December 2014.

Vasundara K, Kanchan P, Pundarikaksha HP, Girish K, Prassana S, Jyothi R. An imperative need to change pharmacology curriculum: A pilot survey. Indian J Pharmacol. 2010;42:420.

Kardas P, Pechère JC, Hughes DA, Cornaglia G. A global survey of antibiotic leftovers in the outpatient setting. Int J Antimicrob Agents. 2007;30(6):530-6.