Antimicrobial storage and antibiotic knowledge in the community: a cross-sectional pilot study in north-western Angola

Cortez, Joana; Rosário, Edite; Pires, João; Lopes, João Taborda; Francisco, Moisés; Vlieghe, Erika; Brito, Miguel

doi:10.1016/j.ijid.2017.05.011

Cited by 17 publications

(12 citation statements)

References 35 publications

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“…The limited understanding of the treatment indications of antibiotics found in this study was consistent with existing literature [6,20,47,48]. This was evidenced by the fact that the vast majority were unable to specify the type of agent that antibiotics are effective against, and also that the range of diseases mentioned to be treatable by antibiotics was beyond the scope of antibiotic indication.…”

Section: Discussionsupporting

confidence: 76%

Community knowledge and practices regarding antibiotic use in rural Mozambique: where is the starting point for prevention of antibiotic resistance?

et al. 2020

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Background: Antibiotic misuse and other types of unnecessary use of antibiotics can contribute to accelerate the process of antibiotic resistance, which is considered a global concern, mostly affecting low-and middle-income countries (LMICs). In Mozambique there is limited evidence on community knowledge and practices regarding antibiotics and antibiotic resistance. As part of the ABACUS project, this paper describes knowledge and practices of antibiotic use among the general population in the semi-rural district of Manhiça to inform evidence-based communication intervention strategies for safer antibiotic use. Methods: The study was conducted in Manhiça, a semi-rural district of Southern Mozambique. Sixteen in-depth interviews and four focus group discussions (FGDs) were conducted with community members to explore lay knowledge and practices regarding antibiotics and awareness of antibiotic resistance. The qualitative data was analysed using a combination of content and thematic analysis. The SRQR guidelines for reporting qualitative studies was performed. Results: Although participants did not hold any consistent knowledge of antibiotics, their visual recognition of amoxicillin (distinct red yellow capsule) was acceptable, but less so for different types and brands of antibiotics. The majority of participants were aware of the term 'antibiotic', yet the definition they gave was rarely backed by biomedical knowledge. Participants associated antibiotics with certain colours, shapes and health conditions. Participants reported common habits that may contribute to resistance: not buying the full course, self-medication, sharing medicines and interruption of treatment. Most had never heard of the term 'antibiotic resistance' but were familiar with the phenomenon. They often understood the term 'resistance' as treatment failure and likened 'resistance' to non-compliance, ineffective medication, disease resistance or to an inability of the physical body to respond to it.

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Section: Discussionsupporting

confidence: 76%

Community knowledge and practices regarding antibiotic use in rural Mozambique: where is the starting point for prevention of antibiotic resistance?

et al. 2020

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“…In our study, 42.8% of respondents incorrectly supported the idea that antibiotic treatment should be discontinued as soon as symptoms disappear. This proportion was comparable to those found in Angola (40%) [51] and Malaysia (41.9%) [52], but lower than those found in Kenya (83.6%; 93.4%) [40] and India (65.55%) [53]. The lack of knowledge about antibiotic use could concretely result in the arbitrary cessation of treatment.…”

Section: Discussionsupporting

confidence: 69%

Assessment of General Public’s Knowledge and Opinions towards Antibiotic Use and Bacterial Resistance: A Cross-Sectional Study in an Urban Setting, Rufisque, Senegal

et al. 2018

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Background: Bacterial resistance is a major public health problem worldwide. One solution to this scourge is to sensitize the general public on rational use of antibiotics. Our goal was to assess people’s knowledge and opinions about antibiotic use and bacterial resistance in an urban setting. Method: We performed a cross-sectional study. A convenience sampling was done. A questionnaire was administered to 400 persons during face-to-face interviews. Results: Most respondents thought that antibiotics are effective against colds/flu (69.8%), cough (72.3%) and sore throat (64.4%). At the same time, 42.8% stated that antibiotic therapy can be stopped as soon as the symptoms disappear. Only 8.8% and 41.8% of people knew that handwashing and vaccination prevented bacterial resistance. Globally, 7% of people had a good knowledge. Socio-demographic variables were not associated with the level of knowledge. The main sources of information were entourage and pharmacy staff. Regarding the opinions, 78.3% of surveyed participants the people thought that that people overuse antibiotics. Additionally, 28% said that they have no role to play against bacterial resistance. Conclusion: People living in an urban setting had a low knowledge about antibiotic use and bacterial resistance. There is a need to implement awareness campaigns. Further studies on population practices toward antibiotic use are necessary.

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“…Female students and those having at least one parent with higher education were consistently associated with a significantly higher chance of keeping antibiotics at home, both of which support previous studies. Cortez et al [ 56 ] and Ocan et al [ 57 ] reported women as being more likely to keep antibiotics at home, while Awad and colleagues found that higher education levels were associated with a higher possibility of self-medication [ 16 ]. We also found that having a parent working in the medical field promoted home antibiotic storing behaviors.…”

Section: Discussionmentioning

confidence: 99%

Keeping Antibiotics at Home Promotes Self-Medication with Antibiotics among Chinese University Students

Wang

Lin

Xuan

et al. 2018

IJERPH

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Background: Inappropriate use of antibiotics has caused antimicrobial resistance, presenting a major health challenge to the world population. Self-medication with antibiotics (SMA) is currently at an alarming level in China. Objectives: To determine the sources of antibiotics leftover at home, the risk factors of keeping antibiotics at home, and the associations between keeping antibiotics at home and SMA among Chinese university students. Methods: Six provinces were purposely selected from six regions of China, and one multi-disciplinary university was selected from each chosen province. A total of 11,192 university students were selected using cluster random sampling from the selected universities. Logistic regression was conducted to examine the relationship between keeping antibiotics at home and SMA. Results: Out of the 11,192 students surveyed, 7057 (63.1%) reported keeping antibiotics at home at the time they were surveyed. Of those who kept antibiotics in their home, 1965 (27.8%) reported that these antibiotics were left over from a previous prescription by a doctor and 4893 (69.3%), purchased antibiotics over the counter. Additionally, 29.6% (507/1711) of students self-medicated with antibiotics when ill during the month before the survey. Students keeping antibiotics at home were five times (95% CI 3.53, 7.05) more likely to engage in SMA when ill and 2.6 times (95% CI 2.34, 2.89) more likely to self-medicating with antibiotics for prophylaxis than the other students. Female students, those with a family background of higher education, and those who had a parent working in the medical field had a significantly higher chance of keeping antibiotics at home. Conclusions: The high prevalence of keeping antibiotics at home and SMA among young adults is a serious concern. Professional regulations and population-tailored health education are needed.

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Antimicrobial storage and antibiotic knowledge in the community: a cross-sectional pilot study in north-western Angola

Cited by 17 publications

References 35 publications

Community knowledge and practices regarding antibiotic use in rural Mozambique: where is the starting point for prevention of antibiotic resistance?

Community knowledge and practices regarding antibiotic use in rural Mozambique: where is the starting point for prevention of antibiotic resistance?

Assessment of General Public’s Knowledge and Opinions towards Antibiotic Use and Bacterial Resistance: A Cross-Sectional Study in an Urban Setting, Rufisque, Senegal

Keeping Antibiotics at Home Promotes Self-Medication with Antibiotics among Chinese University Students

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