A cross sectional study to assess knowledge, attitude and practice of rational antibiotic prescription among resident doctors

Authors

  • Anatte Antony Department of Pharmacology, Government Medical College, Kozhikode, Kerala, India
  • Seema P. Mohamedali Department of Pharmacology, Government Medical College, Kozhikode, Kerala, India
  • Anuradha M. Department of Pharmacology, Government Medical College, Kozhikode, Kerala, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20191104

Keywords:

Antibiotic resistance, Antibiotic stewardship, Hospital antibiotic policy, Rational antibiotic prescription

Abstract

Background: Irrational prescription is a major contributor to the antimicrobial resistance. Resident doctors are the major focus of interventional programs aimed at rational prescription of antibiotics. So, their knowledge, attitude and practice regarding rational antibiotic prescription need to be assessed to plan future strategies.

Methods: A questionnaire based cross sectional study among interns and resident doctors of a Government Medical College was conducted. Questionnaire consisted of questions to assess knowledge, attitude and practice of resident doctors in rational antibiotic prescriptions and multiple-choice questions to assess practice of hospital antibiotic policy.

Results: 80 participants were enrolled in the study. All participants responded to yes or no questions and 47 answered multiple choice questions. 40% were aware of the current hospital antibiotic policy and 29% knew the term antibiotic stewardship. Only 15% were confident in their knowledge on antimicrobial resistance. 87.5% think there is no use in prescribing an antibiotic in common cold. 36.3% overprescribes antibiotics in their daily practice. Only 32.5% practiced de-escalation. 90% were educating patients regarding correct use of antibiotics. 90% send samples for culture and sensitivity but only 22.2% waited for results to start antibiotics.

Conclusions: There is a need for approaches that includes implementation of antibiotic policy and to plan for effective teaching programs regarding antibiotic resistance and importance of rational prescription of antibiotics which can improve the quality of antibiotic prescription and minimize antibiotic resistance.

References

Huttner A, Harbarth S, Carlet J, Cosgrove S, Goossens H, Holmes A, et al. Antimicrobial resistance: a global view from the 2013 World Healthcare-Associated Infections Forum. Antimicrobial resistance and infection control. 2013 Dec;2(1):31.

Center for Disease Control and Prevention. Antibiotic resistance threats in the United States, Atlanta, GA: CDC; 2013. Available at: https://www.cdc.gov/drugresistance/pdf/ar-threats-2013-508.pdf. Accessed on 7 February 2019.

Ghafur. The Chennai declaration Recommendations of A roadmap- to tackle the challenge of antimicrobial resistance - A joint meeting of medical societies of India. Ind J Cancer. October-December 2012;49(4):84-95.

Gerding, D.N. The search for good antimicrobial stewardship. Jt Comm J Qual Improv. 2001;27:403-4.

Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, et al. Why don't physicians follow clinical practice guidelines?: A framework for improvement. JAMA. 1999 Oct 20;282(15):1458-65.

Singh M, Singh AK. Knowledge, Attitude, Practice Study on Awareness of Antibiotic Stewardship among Healthcare professionals in a Tertiary Care Hospital in Delhi, IJCMAS. 2017;8(7) 238-45.

Patel P, Shah J. A Survey on Knowledge and Attitude of Rational Use of Antibiotics on Predesigned Proforma among Interns and 1st year Postgraduate Students’. Int J Pharma Scienc Res. Aug 2016;7(8),350-5.

Kashyapa H, Jadhav RB. Knowledge, attitudes and practice survey on rational use of antibiotics among prescribers in a tertiary care hospital in Solapur. IJPRBS. 2016;5(6):134-43.

Kulkarni P, Kuruvilla A, Roy R, Ravi I. An evaluation of knowledge, attitude and practice of rational antibiotic usage and antibiotic resistance among interns in a teaching tertiary care hospital: A cross-sectional questionnaire based study, Ind J Pharm Pharmacol. October-December 2017;4(4);192-7.

Holloway KA. Promoting the rational use of antibiotics. In Regional Health Forum. 2011;15(1):122-30.

Sumpradit N, Chongtrakul P, Anuwong K, Pumtong S, Kongsomboon K, Butdeemee P, et al. Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand. Bulletin of the World Health Organization. 2012;90:905-13.

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Published

2019-03-23

How to Cite

Antony, A., Mohamedali, S. P., & M., A. (2019). A cross sectional study to assess knowledge, attitude and practice of rational antibiotic prescription among resident doctors. International Journal of Basic & Clinical Pharmacology, 8(4), 704–709. https://doi.org/10.18203/2319-2003.ijbcp20191104

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Original Research Articles