DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20185160

KAP on antibiotic usage and resistance among second professional medical students

Kanika Khajuria, Sharminder Kaur, Shamiya Sadiq, Vijay Khajuria

Abstract


Background: Antibiotics are wonder drugs as they prevent and treat bacterial infections. However, their irrational use even by wrong prescribing behaviour of physician leads to antibiotic resistance medical students are future doctors and are provided knowledge and practice of antibiotics in treatment, and prevention of diseases in their study curriculum of second professional course mainly in chapters of pharmacology and microbiology. Therefore, the present study was to determine the second-year medical students’ knowledge, attitude and perception regarding antimicrobial use and resistance.

Methods: Study was conducted on second professional undergraduate medical students from Government Medical College, Jammu. 140 students participated, and informed consent was taken prior to study. A validated questionnaire comprised of 20 questions was provided to them and responses were recorded. Questionnaire was comprised of 20 questions (13 questions attributed to knowledge of antibiotics usage and resistance, six to attitude and one question regarding perception).

Results: The students showed fair knowledge about antibiotics and resistance. Percentages of fully correct answers was between 63-100% regarding knowledge of antibiotics. The attitude results revealed that self-medication by the student was observed in 67%, while 70% agreed that they had left over antibiotics at home, but only 42% committed that they take these left over antibiotics. As far as practice was concerned the maximum students consult text books as source of knowledge regarding resistance followed by Wikipedia.

Conclusions: The current study observed high score of knowledge than attitude in medical students regarding antibiotic usage and resistance and increasing influence of internet like Wikipedia. This underscores the need for more effort in updating the students regarding antibiotic usage and resistance and laying more emphasis in the core curriculum of their academics.


Keywords


Attitude, Antibiotics, Knowledge, Medical students, Practice, Resistance

Full Text:

PDF

References


Katy Askew. Antimicrobial resistance biggest threat to public-health. Available at: https://www.foodnavigator.com/.../Antimicrobial-resistance-biggest-threat-to-public-health.

WHO. World Health Assembly addresses antimicrobial resistance 25 May 2015 Geneva. Available at: www.who.int/mediacentre/news/releases/2015/wha-25-may-2015/en/.

Estimating the Economic Costs of Antimicrobial Resistance. RAND. Available at: https://www.rand.org/randeurope/research/projects/antimicrobial-resistance-costs.html.

What is superbug NDM-1? - Medical News Today. Available at: https://www.medicalnewstoday.com/articles/197616.php.

Kumar S, Little P, Britten N. Why do general practitioners prescribe antibiotics for sore throat? Grounded theory interview study. BMJ. 2003 Jan 18;326(7381):138.

World Health Organization. The evolving threat of antimicrobial resistance Options for action. Geneva: World Health Organization, 2012. Available at: http://whqlibdoc.who.int/publications/2012/9789241503181_eng.pdf.

World Health Day. Antibiotic resistance: No action today, no cure tomorrow. 2011. Available at: http://www.who.int/mediacentre/news/statements/2011/whd_20110407/en/index.html.

Chandy SJ, Thomas K, Mathai E, Antonisamy B, Holloway KA, Stalsby Lundborg C. Patterns of antibiotic use in the community and challenges of antibiotic surveillance in a lower-middle-income country setting: a repeated cross-sectional study in Vellore, South India. J Antimicrob Chemotherapy. 2012 Sep 3;68(1):229-36.

Kumari Indira KS, Chandy SJ, Jeyaseelan L, Kumar R, Suresh S. Antimicrobial prescription patterns for common acute infections in some rural & urban health facilities of India. Indian J Med Res. 2008 Aug;128(2):165-71.

Suaifan GA, Shehadeh M, Darwish DA, Al-Ije H, Yousef AM, Darwish RM. A cross-sectional study on knowledge, attitude and behavior related to antibiotic use and resistance among medical and non-medical university students in Jordan. Afr J Pharmacy Pharmacol. 2012 Mar 15;6(10):763-70.

Afzal Khan AK, Banu G, Reshma KK. Antibiotic resistance and usage-a survey on the knowledge, attitude, perceptions and practices among the medical students of a Southern Indian teaching hospital. JCDR. 2013 Aug;7(8):1613.

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 Apr 1;10(4):e0122476.

Sharma S, Jayakumar D, Palappallil DS, Kesavan KP. Knowledge, attitude and practices of antibiotic usage and resistance among the second year MBBS Students. Int J Basic Clin Pharmacol. 2016;5(3):899-903.

Labi AK, Obeng-Nkrumah N, Bjerrum S, Aryee NA, Ofori-Adjei YA, Yawson AE, et al. Physicians’ knowledge, attitudes, and perceptions concerning antibiotic resistance: a survey in a Ghanaian tertiary care hospital. BMC Health Services Res. 2018 Dec;18(1):126.

Centers for Disease Control and Prevention (CDC). Antibiotic resistance threats in the United States. 2013. Available at: http://www.cdc.gov/drugresistance/pdf/ar-threats-2013-508.pdf.

Centers for Disease Control and Prevention (CDC). Core elements of hospital antibiotic stewardship programs. 2014. Available at: http://www.cdc.gov/getsmart/healthcare/pdfs/checklist.pdf.

Chandy SJ, Michael JS, Veeraraghavan B, Abraham OC, Bachhav SS, Kshirsagar NA. ICMR programme on antibiotic stewardship, prevention of infection and control (ASPIC). Indian J Med Res. 2014 Feb;139(2):226-30.

National Centre for Disease Control. Available at: http://www.ncdc.gov.in/index1.php?lang=1&level=1&sublinkid=39&lid=74.

Hecker MT, Aron DC, Patel NP, Lehmann MK, Donskey CJ. Unnecessary use of antimicrobials in hospitalized patients: current patterns of misuse with an emphasis on the antianaerobic spectrum of activity. Arch Internal Med. 2003 Apr 28;163(8):972-8.

Owens Jr RC, Fraser GL, Stogsdill P. Antimicrobial stewardship programs as a means to optimize antimicrobial use insights from the Society of Infectious Diseases Pharmacists. Pharmacotherapy: J Human Pharmacol Drug Therapy. 2004 Jul;24(7):896-908.

Paterson DL. The role of antimicrobial management programs in optimizing antibiotic prescribing within hospitals. Clin Infectious Dis. 2006 Jan 15;42(Supplement_2):S90-5.

Rajiah K, Ren WS, Jamshed SQ. Evaluation of the understanding of antibiotic resistance among Malaysian pharmacy students at public universities: an exploratory study. J Infection Public Health. 2015 May 1;8(3):266-73.

James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP. Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students. Med Principles Pract. 2006;15(4):270-5.

Huang Y, Gu J, Zhang M, Ren Z, Yang W, Chen Y, et al. Knowledge, attitude and practice of antibiotics: a questionnaire study among 2500 Chinese students. BMC Med Education. 2013 Dec;13(1):163.

Yang K, Wu D, Tan F, Shi S, Guo X, Min Q, et al. Attitudes and perceptions regarding antimicrobial use and resistance among medical students in Central China. Springer Plus. 2016;5(1):779.