Antimicrobial stewardship: knowledge, attitudes and practices regarding antimicrobial use and resistance among non-healthcare students at the University of Zambia

Mudenda, Steward; Chisha, Patience; Chabalenge, Billy; Daka, Victor; Mfune, Ruth Lindizyani; Kasanga, Maisa; Kampamba, Martin; Skosana, Phumzile; Nsofu, Eustus; Hangoma, Jimmy; Siachalinga, Linda; Hikaambo, Christabel Nang’andu; Chimombe, Tadious; Allabi, Aurel Constant; Boya, Bawa; Mufwambi, Webrod; Saleem, Zikria; Matafwali, Scott Kaba

doi:10.1093/jacamr/dlad116

Cited by 7 publications

(1 citation statement)

References 103 publications

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“…5 Survey studies offer a valuable avenue for antimicrobial research, providing insights into prescribing behaviours, attitudes towards AMR, and the effectiveness of AMS practices. 6 The field of antibiotic prescribing has encountered challenges in survey participation, which is evident at both local and national levels. 7 Recruiting healthcare professionals to respond to surveys on antibiotic prescribing presents unique challenges due to their demanding schedules, the complex nature of antibiotic prescribing and the urgent need to address AMR.…”

Section: Introductionmentioning

confidence: 99%

Novel survey distribution methods: impact on antimicrobial resistance research outcomes

Abdelsalam Elshenawy,

Umaru,

Aslanpour

2024

JAC-Antimicrobial Resistance

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Section: Introductionmentioning

confidence: 99%

Novel survey distribution methods: impact on antimicrobial resistance research outcomes

Abdelsalam Elshenawy,

Umaru,

Aslanpour

2024

JAC-Antimicrobial Resistance

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Knowledge attitude and practice of antibiotic use among medical students in Bangladesh: A cross‐sectional study

Bonna,

Mazumder,

Manna

et al. 2024

Health Science Reports

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Background and AimsAntibiotic misuse represent a significant global health challenge, with medical students positioned as key figures in promoting responsible antibiotic usage. This study investigates the knowledge, attitudes, and practices (KAP) regarding antibiotic use among medical students in Bangladesh, aiming to identify areas for targeted educational and policy interventions.MethodsThis cross‐sectional survey was conducted among 501 medical students across various years of study in Bangladesh, collecting data over a 3‐month period. The survey assessed antibiotic knowledge, usage practices, and attitudes towards misuse, employing descriptive statistics and multiple logistic regression analyses to explore associations between students’ demographic characteristics and their KAP towards antibiotics. Significance was assigned at p‐value < 0.05.ResultsIn our study involving 501 medical students from four medical colleges in Bangladesh, we achieved a 76% response rate. Among the participants, 78.24% correctly identified antibiotics’ effectiveness against bacterial infections, but 45.71% were uncertain about their efficacy against viral infections. Notably, 21.20% reported self‐prescribing antibiotics, predominantly sourced from physician prescriptions (54.89%). The most common reason for antibiotic use was fever (19.02%). Senior students were less likely to have good knowledge compared to junior students, and urban students demonstrated a higher likelihood of good knowledge and positive attitude towards antibiotic resistance.ConclusionThis study highlights the critical need for educational reforms and antimicrobial stewardship among medical students in Bangladesh to combat antibiotic misuse and mitigate antimicrobial resistance.

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Community antibiotic consumption and associated factors in Lusaka district of Zambia: findings and implications for antimicrobial resistance and stewardship

Ngoma,

Sitali,

Mudenda

et al. 2024

JAC-Antimicrobial Resistance

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Introduction Antimicrobial resistance (AMR) is a global public health crisis. This study assessed the general public’s consumption of antibiotics and associated factors in the Lusaka district of Zambia. Methods This cross-sectional study was conducted among 2038 participants between December 2022 and January 2023. Data were analysed using Stata 13.0. Multivariable regression techniques were used to determine the factors that influenced antibiotic consumption. Results Of the 2038 participants, 53.4% were female, and 51.5% had attended at least secondary school. Antibiotic use was 99.2%, of which 40.9% were appropriately used. Overall, 79.1% of antibiotics were prescribed in hospitals, while 20.9% were used from leftovers and accessed without prescriptions. This study found that the appropriate use of antibiotics was associated with being female, being aged 35 years and above, attaining secondary school or tertiary education, having a monthly expenditure of 195 USD and above, being aware that antibiotics were not the same as painkillers, and being confident that when someone was hospitalized, they would get well. Conclusions This study found that the appropriate use of antibiotics was low, and this is an urgent public health issue requiring community engagement in tackling AMR and adherence to treatment guidelines in healthcare facilities. Additionally, there is a need to implement and strengthen antimicrobial stewardship programmes in healthcare facilities to promote the rational use of antibiotics in Zambia. There is also a need to heighten community awareness campaigns and educational activities on the appropriate use of antibiotics.

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Antimicrobial stewardship: knowledge, attitudes and practices regarding antimicrobial use and resistance among non-healthcare students at the University of Zambia

Cited by 7 publications

References 103 publications

Novel survey distribution methods: impact on antimicrobial resistance research outcomes

Novel survey distribution methods: impact on antimicrobial resistance research outcomes

Knowledge attitude and practice of antibiotic use among medical students in Bangladesh: A cross‐sectional study

Community antibiotic consumption and associated factors in Lusaka district of Zambia: findings and implications for antimicrobial resistance and stewardship

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