A questionnaire base survey on the knowledge, attitude and practices about antimicrobial resistance and usage among the faculty and resident doctor of teaching tertiary care hospital, Chittoor, India
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20192670Keywords:
Antibiotic resistance, Irrational prescription, Rational prescriptionAbstract
Background: 10million could die every year due to antibiotic resistant infections by 2050 unless the threat is addressed. Irrational use of antibiotic use is a global phenomenon. So, 50% all anti bionics are prescribed, sold are dispensed inappropriately, while 50% of patients are not taking antibiotics correctly (WHO 2004).
Methods: This was a cross section study it was a conducted in RVS institute, tertiary care teaching hospital. Chittoor. The questionnaire was distributed along the faculty resident doctors and senior faculty of this RVS institute Where their knowledge, attitude, practice regarding antibiotic prescription and resistance was assessed by a five point likert scale, whose response ranged from strongly agree to disagree. Some questionnaire were of useful or nor useful and yes or no.
Results: Irrational prescription of antibiotics is worldwide problem and also in India was known to most of the physicians in our institute (n=95%) of participants. 80% subjects answered that prescription writing influenced by senior faculty and medical representatives. 50% subjects answered that antimicrobial resistance is a problem in daily practice.80 % subjects answered that most of the antibiotics available as over the counter drugs (OTC).
Conclusions: This study concludes, prescription writing influences by senior faculty and medical representatives. It’s important to monitor and auditing prescription writing based on WHO Antibiotic guidelines to prevent resistance. Strict vigilance of OTC sales of antibiotics to prevent resistance.
References
Who.int. 2019. Available at: https://www.who.int/antimicrobial-resistance/LSHTM-Antibiotic-Prescribing-LMIC-Prescribing-and-Dispensing-2017.pdf
Thakolkaran N, Shetty AV, D’Souza ND, Shetty AK. Antibiotic prescribing knowledge, attitudes, and practice among physicians in teaching hospitals in South India. Journal of family medicine and primary care. 2017 Jul;6(3):526-32.
Saga T, Yamaguchi K. History of antimicrobial agents and resistant bacteria. 2009;52(2):103-8.
Imtiaz F, Hafeez A, Ashraf F, Imtiaz H. Antibiotic Dispensing and Prescription Pattern in Pharmacies of Islamabad and Rawalpindi: Pakistan. Int J Collaborative Res Internal Med Public Health. 2017;9(5):683-92.
Dua V, Kunin CM, White LV. The use of antimicrobial drugs in Nagpur, India. A window on medical care in a developing country. Soc Sci Med. 1994; 38(5):717-24.
Khan S, Shehzad A, Shehzad O, Al-Suhaimi EA. Inpatient antibiotics pharmacology and physiological use in Hayatabad medical complex, Pakistan. Int J Physiol Pathophysiol Pharmacol. 2013;5(2):120.
Colgan S, Faasse K, Martin LR, Stephens MH, Grey A, Petrie KJ. Perceptions of generic medication in the general population, doctors and pharmacists: a systematic review. BMJ Open. 2015;5:e008915.
Chu E, Hamp A. Generic vs. brand drugs which is better? The cost savings of generic latanoprost may improve compliance, for example, but does the generic" equivalent" work as well as the brand-name drug? Rev Optomet. 2012;149(2):68-74.
Weir RE, Zaidi FH, Charteris DG, Bunce C, Soltani M, Lovering AM. Variability in the content of Indian generic ciprofloxacin eye drops. Br J Ophthalmol. 2005;89(9):1094-6.
García C, Llamocca LP, García K, Jiménez A, Samalvides F, Gotuzzo E. Knowledge, attitudes and practice survey about antimicrobial resistance and prescribing among physicians in a hospital setting in Lima, Peru. BMC Pharmacol Toxicol. 2011;11(1):18.
Mohan S, Dharamraj K, Dindial R, Mathur D, Parmasad V, Ramdhanie J, et al. Physician behavior for antimicrobial prescribing for paediatric upper respiratory tract infections: a survey in general practice in Trinidad, West Indies. Ann Clin Microbiol Antimicrob, 2004; 3(1):11.
Britten N, Ukoumunne O. The influence of patients' hopes of receiving a prescription on doctors' perceptions and the decision to prescribe: a questionnaire survey. BMJ. 1997;315(7121):1506-10.
Shahid A, Iftikhar F, Arshad MK, Javed Z, Sufyan M, Ghuman RS, et al. Knowledge and attitude of physicians about antimicrobial resistance and their prescribing practices in Services hospital, Lahore, Pakistan. J Pak Med Assoc. 2017;67(6):968-72.
Hameed A, Naveed S, Qamar F, Alam T, Abbas SS, Sharif N. Irrational use of antibiotics, in different age groups of Karachi: A wakeup call for antibiotic resistance and future infections. J Bioequiv Availab. 2016;8:242-5.
Escourrou B, Bouville B, Bismuth M, Durrieu G, Oustric S. Self-medication in children by parents: a real risk? A cross-sectional descriptive study. La Revue du praticien. 2010;60(6 Suppl):27-34.
Istúriz RE, Carbon C. Antibiotic use in developing countries. Infect Control Hosp Epidemiol. 2000;21(6):394-7.
Thriemer K, Katuala Y, Batoko B, Alworonga JP, Devlieger H, Van Geet C. Antibiotic prescribing in DR Congo: a knowledge, attitude and practice survey among medical doctors and students. PLoS One, 2013;8(2):e55495.
Prats G, Mirelis B, Llovet T, Muñoz C, Miró E, Navarro F. Antibiotic resistance trends in enteropathogenic bacteria isolated in 1985– 1987 and 1995–1998 in Barcelona. Antimicrob Agents Chemother. 2000;44(5):1140-5.
Workneh BD, Gebrehiwot MG, Bayo TA, Gidey MT, Belay YB, Tesfaye DM, et al. Influence of Medical Representatives on Prescribing Practices in Mekelle, Northern Ethiopia. PLoS One. 2016;11(6):e0156795.
Ali Z, Rana MLT, Mahmood A, Hanan MA, Noshina S, Nail K. Relationship between doctors' prescribing behavior and pharmaceutical promotional tools: A Pakistani case. Iran J Public Health. 2015;44(5):709-10.
Amabile-Cuevas C. Antibiotic resistance in Mexico: a brief overview of the current status and its causes. The Journal of Infection in Developing Countries. 2010;4(03):126-31.
García C, Llamocca LP, García K, Jiménez A, Samalvides F, Gotuzzo E. Knowledge, attitudes and practice survey about antimicrobial resistance and prescribing among physicians in a hospital setting in Lima, Peru. BMC Pharmacol Toxicol. 2011;11(1):18.
Srinivasan A, Song X, Richards A, Sinkowitz-Cochran R, Cardo D, Rand C. A survey of knowledge, attitudes, and beliefs of house staff physicians from various specialties concerning antimicrobial use and resistance. Arch Intern Med. 2004;164(13):1451-6.
Stille CJ, Rifas-Shiman SL, Kleinman K, Kotch JB, Finkelstein JA. Physician responses to a community-level trial promoting judicious antibiotic use. Ann Fam Med. 2008;6(3):206-12.
McNulty CA, Boyle P, Nichols T, Clappison P, Davey P. Don't wear me out-the public's knowledge of and attitudes to antibiotic use. J Antimicrob Chemother. 2007;59(4):727-38.
