DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20190087

Knowledge, perception and attitude of under-graduate and post-graduate medical students about antimicrobial use, resistance and stewardship at a tertiary care teaching hospital in rural Telangana, India

Jayaram Chundru, Shailendra D., Rahul R. Tirumalareddy, Harsha Kumari, Vishal P. Kovilakonda

Abstract


Background: Inappropriate antimicrobial use contributes to antimicrobial resistance. Assessing knowledge, perception and attitude regarding antimicrobial use serves as a prelude to design and implement educational modules to promote rational antimicrobial use.

Methods: An online questionnaire based cross-sectional study involving 338 medical students; under-graduates, interns and post-graduates was conducted in a medical college in south India. Chi-square test or Fisher exact test were used to determine association between variables.

Results: Fifty percent of the participants (170/338) responded to the questionnaire. The responses were similar across undergraduates, interns and post-graduates. Majority of the responders had good knowledge regarding use of antimicrobials. Most of the participants (92.35%) expressed that a broad-spectrum antimicrobial should be started to treat a serious infection while awaiting culture and sensitivity reports and 88.82% did not prefer to use antimicrobial agents for common cold. Similarly, most of the respondents (93.56%) were aware of the fact that antimicrobial resistance is a global problem. However, many of them (74.71%) were not aware of antimicrobial stewardship programme in their college.

Conclusions: This study revealed that most of the students had good knowledge, fair perception and positive attitude regarding the use of, and resistance to antimicrobial agents but not about stewardship programmes. Proactive measures are required to sensitise medical students on antimicrobial stewardship programmes.

Keywords


Antimicrobial stewardship, Attitude, Knowledge, Medical students, Perception, Resistance

Full Text:

PDF

References


Seid MA, Hussen MS. Knowledge and attitude towards antimicrobial resistance among final year undergraduate paramedical students at University of Gondar, Ethiopia. BMC Infectious Dis. 2018 Dec;18(1):312.

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. J Clin Diag Res. 2013 Aug;7(8):1613-6.

M Dryden, Johnson AP, Ashiru-Oredope D, Sharland M. Using antibiotics responsibly: right drug, right time, right dose, right duration. J Antimicrob Chemotherapy. 2011 Nov; 66(11):2441-3.

Moody J, Cosgrove SE, Olmsted R, Septimus E, Aureden K, Oriola S, et al. Antimicrobial stewardship: a collaborative partnership between infection preventionists and healthcare epidemiologists. Am J Infect Control. 2012 Mar;40(2):94-5.

Alothman A, Algwizani A, Alsulaiman M, Alalwan A, Binsalih S, Bosaeed M. Knowledge and attitude of physicians toward prescribing antibiotics and the risk of resistance in two reference hospitals. Infectious Diseases. 2016 Jan;9:33-8.

Dakhale G, Pimpalkhute S, Bajait C, Raghute L. Evaluation of knowledge, attitude and practice of rational use of medicine among interns and resident doctors in a tertiary care teaching hospital. J Young Pharm. 2016; 8(2):114-7.

Sharma K, Jain P, Sharma A. Knowledge, attitude and perception of medical and dental undergraduates about antimicrobial stewardship. Indian J Pharmacol. 2015 Nov;47(6):676-9.

Kumar BVD, Kalpana L. A comparative study to assess the awareness of antibiotic resistance amongst first and second year medical undergraduate students in a medical college. Int J Basic Clin Pharmacol. 2018;7:1567-71.

Badar V, Parulekar VV, Garate P. Study of knowledge, attitude and practice amongst medical professionals about antimicrobial stewardship in tertiary care teaching hospital in India: a questionnaire based study. Int J Basic Clin Pharmacol. 2018;7:511-7.

CDC. Core Elements of Hospital Antibiotic Stewardship Programs. Atlanta, GA: US Department of Health and Human Services, CDC; 2014. Available at: http://www/cdc.gov/getsmart/healthcare/inpatient-stewardship. Accessed 25th September 2018.

Tayyab K, Shahzadi I, Mukhtar F, Shahid HA, Tahir I, Gohar H. Knowledge and Perceptions of Medical Students Regarding Antibiotic Use. PJMHS. 2017;11(1):145-9.

Yashin AN, Thakuria N,Narzary H, Satnami D, Paul N. A questionnaire based survey on the knowledge, attitude and practices about antimicrobial resistance and usage among the MBBS students and doctors of a tertiary care teaching Hospital in Silchar, Assam, India. Int J Basic Clin Pharmacol. 2018;7:1630-6.

Shubha R, Madhav K. Savkar, Manjunath GN. Self medications pattern among dentists with antibiotics. J Evolution Med Dental Sci. 2013;2(46):9037-41.

Shaik T, Meher BR. A questionnaire based study to assess the knowledge, attitude and practice (KAP) of rationale use of antibiotics among undergraduate dental students in a tertiary care dental hospital of South India. Int J Basic Clin Pharmacol. 2017;6:312-5.

Hu Y, Wang X, Tucker JD, Little P, Moore M, Fukuda K, et al. Knowledge, attitude, and practice with respect to antibiotic use among Chinese medical students: A multicentre cross-sectional study. Int J Environmental Res Public Health. 2018 Jun 4;15(6):1165.

Abbo LM, Cosgrove SE, Pottinger PS, Pereyra M, Sinkowitz-Cochran R, Srinivasan A, et al. Medical Students’ Perceptions and Knowledge About Antimicrobial Stewardship: How Are We Educating Our Future Prescribers? Clin Infectious Dis. 2013 Sep;57(5):631-8.