Don't wear me out--the public's knowledge of and attitudes to antibiotic use

McNulty, Cliodna; Boyle, Paul; Nichols, Tom; Clappison, Peter; Davey, Peter

doi:10.1093/jac/dkl558

Cited by 199 publications

(155 citation statements)

References 25 publications

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“…[11][12][13][14][15] the questionnaires were pre-tested by administering them to 30 respondents who were not part of the sample population in order to determine the reliability of the questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Knowledge and practices in the use of antibiotics among a group of Nigerian university students

Igbeneghu

2013

Int. j. infect. control

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the study examined the knowledge and practice of antibiotic use among students in a university in south western Nigeria. A questionnaire was administered to each of 500 students drawn from all the Departments in the university excluding those from the faculty of Pharmacy, Health Sciences and Department of Microbiology. A response rate of 99.2% was obtained from the respondents. the most commonly used antibiotics were tetracycline and amoxicillin. Antibiotic use for common cold was observed in 32.3% of the respondents while 17.7% used antibiotics for sore throat. Majority of the participants (72.4%) used the same antibiotics as previously prescribed by their doctors to treat their perceived infections while 51.2% kept left over antibiotics with the intention of future use. More than half (55%) of the students stopped taking their antibiotics when they felt better or when the symptoms of their infections appeared to have stopped. the students' rating of their sources of antibiotics and prescription for antibiotics indicated that most of the students do not know the appropriate sources from where to purchase their antibiotics nor do they know the appropriate persons from whom to obtain a prescription for antibiotics. the study showed a high rate of consumption of antibiotics among university undergraduates who mostly obtain their antibiotics without a physician's prescription from unofficial sources and do not complete their course of antibiotic therapy. these students need better education on the appropriate use of antibiotics in order to improve their attitude towards antibiotics.

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Section: Methodsmentioning

confidence: 99%

Knowledge and practices in the use of antibiotics among a group of Nigerian university students

Igbeneghu

2013

Int. j. infect. control

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“…However, findings from other studies were contradictory as self-medication was common among those with negative attitudes towards antimicrobial use, and is not associated with knowledge in Kuwait, 38 unlike in the UK. 39 Physicians should be involved in public education campaigns, to strengthen them, since it has been shown that effective doctor–patient communication and patient empowerment reduced inappropriate antimicrobial use. 40 …”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, perception and practice regarding antimicrobial use in upper respiratory tract infections in Qatar: a systematic review

2018

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SummaryObjectiveTo explore the knowledge, attitude, perception and practice towards antimicrobial use in upper respiratory tract infections in patients visiting healthcare settings in Qatar.DesignSystematic review was performed using a predetermined protocol and in accordance with standardized reporting guidelines. MEDLINE, PubMed, EMBASE, Global Health and PsycINFO were searched for relevant published studies using relevant MESH terms and keywords.SettingAll healthcare settings in Qatar including both inpatient and ambulatory care.ParticipantsAll published articles exploring the antimicrobial use in upper respiratory tract infections at any health setting in Qatar were considered for inclusion in the study. No age, gender or population were excluded.Main Outcome Measure(s)The outcome of interest was antimicrobial use in upper respiratory tract infections in Qatar. We included all related studies to explore the knowledge, attitude, perception and practice for patients visiting all health care settings.ResultsThree articles were included, one in a primary care setting, one in a secondary care setting and one in the private sector. Overprescribing was noted in all settings. Our findings demonstrate low expectations to receive antibiotics, among the Qatari population, in primary care (28.1%). In fact, the majority of patients would be satisfied with reassurance rather than receiving antimicrobials. Many patients were satisfied with explanation from physicians and counselling. Private sector registered high prevalence of antimicrobial misuse for respiratory tract infections in which 85% deemed inappropriate. This finding was also noted at a medical intensive care unit which showed high antimicrobial use (76%) and respiratory tract infections accounted for 57% of prescriptions.ConclusionStudies are needed to determine factors and population-based rates of antimicrobial use in all healthcare settings. There is also a need for interventional programs for both physicians and public on appropriate use of antimicrobials to combat global antimicrobial resistance.

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“…Unfortunately, there seems to be no simple relationship between knowledge and appropriate use; in a face-to-face household survey of 10 981 randomly selected UK adults in 2003, multivariate analysis found that better knowledge in women was associated with being more likely to give an antibiotic to someone else for whom it was not prescribed. [53] This endorses the fact that behaviour change is complex and more than merely about providing information.…”

Section: Barriers To Antibiotic Stewardshipmentioning

confidence: 95%

Role of antibiotic stewardship in extending the age of modern medicine

Mendelson

2015

S Afr Med J

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Antibiotic resistance is threatening modern medicine. Overuse and misuse of antibiotics is driving resistance to such an extent that we have entered the post-antibiotic era, where some multidrug-and pandrug-resistant bacterial infections are no longer treatable. If the situation is not reversed, 10 million people will die annually of drug-resistant infections by 2050. More than just a question of mortality, such infections are causing the closure of wards, cancellation of operations, and interference with other common medical procedures that rely on antibiotics for their success. The response to this crisis requires co-ordinated international action with increased surveillance of bacterial resistance, infection prevention, and antibiotic stewardship, i.e. access to affordable, quality-assured antibiotics prescribed appropriately. This review describes antibiotic stewardship at the individual patient and programmatic level, which must be adopted by every prescriber if we are to preserve modern medicine for future generations.

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Don't wear me out--the public's knowledge of and attitudes to antibiotic use

Cited by 199 publications

References 25 publications

Knowledge and practices in the use of antibiotics among a group of Nigerian university students

Knowledge and practices in the use of antibiotics among a group of Nigerian university students

Knowledge, attitude, perception and practice regarding antimicrobial use in upper respiratory tract infections in Qatar: a systematic review

Role of antibiotic stewardship in extending the age of modern medicine

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