Knowledge and Expectations on Antibiotic Use among Older Adults in Malaysia: A Cross-Sectional Survey

Kong, Lai San; Islahudin, Farida; Muthupalaniappen, Leelavathi; Chong, Wei Wen

doi:10.3390/geriatrics4040061

Cited by 20 publications

(28 citation statements)

References 50 publications

(94 reference statements)

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“…This is consistent with data from other LMIC community settings as well as formal primary care and informal/private healthcare provider settings in both LMICs and high income countries (HICs) [13,[41][42][43][44][45][46][47][48]. Evidence from both LMICs and HICs shows how important patients' and caregivers' beliefs, expectations and demands are in determining whether healthcare providers prescribe/sell antibiotics inappropriately, which highlights that the public have a vital role to play in tackling inappropriate antibiotic use among humans [48][49][50][51][52].…”

Section: Discussionsupporting

confidence: 70%

Antibiotic practices among household members and their domestic animals within rural communities in Cumilla district, Bangladesh: a cross-sectional survey

et al. 2021

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Background Antibiotic resistance is a global threat to human health, and inappropriate use of antibiotics in humans and animals is widely considered to be a key driver of antibiotic resistant infections. Antibiotic use in humans and animals is growing rapidly in low- and, particularly, middle-income countries. However, there is little detailed understanding about practices related to the use of antibiotics in humans and animals within community settings in such countries. Here we aimed to understand the antibiotic practices of rural households across Cumilla district, Bangladesh, in relation to household members and their domestic animals. Methods In 2018 we conducted a cross-sectional survey using representative cluster sampling methods. We collected self-reported information from 682 female and 620 male household heads, with women also asked about their children’s antibiotic practices. Results Only 48% (95% CI: 40, 56%) of women and men had heard of antibiotics, and among those women and men who were aware of antibiotics and the children of those women 70% (95% CI: 64, 76%) reported having previously taken antibiotics, while among these individuals who reported previously taking antibiotics 21% (95% CI: 18, 25%) said they had done so most recently within the last month. Risky/inappropriate antibiotic practices in humans and animals were often reported. For example, among women and men who were aware of antibiotics and the children of those women 52% (95% CI: 40, 63%) reported previously taking antibiotics for a “cough/cold”, despite antibiotics being typically inappropriate for use against viral upper respiratory tract infections. Among poultry-owning respondents who were aware of antibiotics 11% (95% CI: 8, 15%) reported previously giving healthy poultry antibiotics, mainly for growth/prophylaxis, while among cattle-owning respondents who were aware of antibiotics and reported previously giving their cattle feed 20% (95% CI: 9, 37%) said the feed had contained antibiotics at least sometimes. Conclusions Our results highlight the need for context-adapted interventions at both the community level and the health systems level to reduce inappropriate antibiotic use among humans and domestic animals in rural Bangladesh. Successfully reducing inappropriate use of antibiotics among humans and animals is a required and critical step in tackling antimicrobial resistance.

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Section: Discussionsupporting

confidence: 70%

Antibiotic practices among household members and their domestic animals within rural communities in Cumilla district, Bangladesh: a cross-sectional survey

et al. 2021

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“…The overall prevalence of antibiotic consumption in older people from 2006 to 2017 in Spain was 4.94%. This percentage was lower compared to previous studies conducted among the non-institutionalized elderly population, which ranged from 11% to 45%, with a significant rise over the past decade [23,[33][34][35][36]. The variation observed may be due to multiple factors, rather than differences in health-care systems, including the number of general practitioners in a country, antibiotic dose regimens, guidelines, patients' expectations and the attitude towards taking medication, cultural and social factors, as well as the source of information available to the general practitioners [37].…”

Section: Discussioncontrasting

confidence: 70%

Prevalence and Determinants of Antibiotic Consumption in the Elderly during 2006–2017

Cruz

Cebrino

2020

IJERPH

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Elderly people are a particularly important population with regard to antibiotic overuse, using around 50% more antibiotics per capita than younger adults. The aim of this study was to analyze the prevalence, associated factors and evolution over time of antibiotic consumption among the Spanish population aged ≥ 65 years from 2006 to 2017. A descriptive cross-sectional study was conducted using data from the Spanish National Health Survey in 2006, 2011/2012 and 2017, and from the European Health Survey in Spain in 2009 and 2014. The sample consisted of 26,891 non-institutionalized individuals ≥ 65 years. Antibiotic consumption was the dependent variable, and sociodemographic variables, lifestyle habits and health status were analyzed using a logistic regression model. The prevalence of antibiotic consumption was 4.94%, with a marked increase from 2006 (4.64%) to 2017 (5.81%) (p < 0.0001). Higher antibiotic consumption was associated with poor or very poor self-perceived health status, no polypharmacy and not having been in hospital during the previous twelve months, while a lower consumption was linked to being limited but not severely due to a health problem and not being at all limited.

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“…(4) Malaysia in an upper-middle income country and research has shown that major contributing factors towards ABR in this country are also contributed by overuse and misuse of antibiotics. (5) But the situation of ABR in this country is unique compared to other LMIC. Over the years the country has manage to sustain a government-led publicly funded health care system that is committed to achieve universal health coverage (UHC).…”

Section: Introductionmentioning

confidence: 91%

“…Furthermore, previous research on antibiotic knowledge and attitude especially among the local population are congregated among hospital-based patients. (5,12,13). Therefore, the aim of this study is to (i) determine the community's attitude towards antibiotic usage, (ii) their antibiotic knowledge, (iii) the correlation between antibiotic knowledge and their attitude towards antibiotic and (iv) factors associated with inappropriate attitude towards antibiotic usage among patients attending a public primary care clinic.…”

Section: Introductionmentioning

confidence: 99%

“…(7,10,11) The inappropriate attitude towards expectation of antibiotics may have derived from poor understanding about antibiotics. (5) The WHO has recently developed a global action plan to unitedly combat ABR and urges all nations to increase public knowledge of antibiotics through effective education. (3) But issues pertaining to the usage of antibiotics is distinctive among each countries due to the differences in health care systems and public awareness.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with inappropriate attitude towards antibiotic usage among outpatients of a large public primary care center in Malaysia: A cross sectional study.

Zubaidi¹,

Malek²,

Ismail³

2020

Preprint

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Background: Antibiotic resistance is one of the biggest global threat in modern medicine. The situation is even more consequential in lower-and middle-income countries (LMIC) as financial limitations and political instability may become barriers to an impactful health policy. Therefore, The World Health organization has urge all nations to increase public awareness on antibiotic through effective educational interventions. In order for interventions to be successful, it is important to acknowledge that each country is unique in its problems as the demographic in LMIC are diverse. This study aims to identify the community’s attitude appropriateness towards antibiotic usage and their knowledge gaps, the relationship between antibiotic knowledge and their attitude as well as factors associated with inappropriate attitude towards antibiotic among outpatients attending an established primary care specialist center in Malaysia.Methodology : This cross-sectional study was conducted among 256 respondents attending a public primary care specialist clinic center. Those who fulfilled the inclusion and exclusion criteria from June to August 2017 were given a self-administered, validated and translated questionnaire. Pearson correlation was used to deduce the relationship between knowledge and attitude. Chi square test, independent t-test and multiple logistic regression were used to determine factors associated with inappropriate attitude towards antibiotic.Results: It was found that the respondents’ mean attitude and knowledge score were 29.5 ± 4.19 and 5.94 ± 2.4 respectively. The highest inappropriate attitude response was expecting antibiotic from the doctor for common colds and the most frequent incorrect knowledge response was on the domain of role of antibiotics. There is a weak positive relationship between antibiotic knowledge and attitude (r=0.315, n=256, p=0.0001). Respondents with low education level and poor antibiotic knowledge were at least 2.5 times more likely to have inappropriate attitude when handling antibiotics.Conclusion: Our study demonstrated the common inappropriate attitude towards antibiotic and areas of knowledge gap among the population. Antibiotic education should be incorporated in non-pharmacological measures of viral illnesses that is targeted among those with low education and poor antibiotic knowledge. The weak relationship between antibiotic knowledge and attitude suggest that health campaign should focus on behavioral change rather than a theoretical approach.

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Knowledge and Expectations on Antibiotic Use among Older Adults in Malaysia: A Cross-Sectional Survey

Cited by 20 publications

References 50 publications

Antibiotic practices among household members and their domestic animals within rural communities in Cumilla district, Bangladesh: a cross-sectional survey

Antibiotic practices among household members and their domestic animals within rural communities in Cumilla district, Bangladesh: a cross-sectional survey

Prevalence and Determinants of Antibiotic Consumption in the Elderly during 2006–2017

Factors associated with inappropriate attitude towards antibiotic usage among outpatients of a large public primary care center in Malaysia: A cross sectional study.

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