Knowledge, attitude and practices among consumers toward antibiotics use and antibiotic resistance in Swat, Khyber-Pakhtunkhwa, Pakistan

Khan, Faiz Ullah; Khan, Farman Ullah; Hayat, Khezar; Chang, Jie; Saeed, Amna; Khan, Zakir; Ashraf, Muhammad Waqar; Rasheed, Usman; Atif, Naveel; Ji, Wenjing; Aziz, Muhammad Majid; Fang, Yu

doi:10.1080/14787210.2020.1769477

Cited by 21 publications

(31 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussioncontrasting

confidence: 53%

“…ABR is not only an issue in LMICs but also in developed countries, making it a global issue [67]. Although our findings are may represent that in LMICs, it is not very different from that of Poland, UK, Germany, Sweden, Italy, Lithuania, Cyprus, Siberia, and Hong Kong [67]. Evidence on operative and achievable stewardship interventions in LMICs remains inadequate with numerous challenges for interventions.…”

Section: Discussionmentioning

confidence: 51%

“…Alarmingly, our study indicated that the majority of CPs hardly collaborated with other healthcare professionals in ABR and ASPs. Similarly, Hayat et.al & Khan reported the same [66,67] indicating that there is room for inter-professional education. Educational interventions must therefore be put in place to improve the rational dispensing and prescribing of antibiotics which can help reduce ABR [68].…”

Section: Discussionmentioning

confidence: 71%

“…Due to this fact, patient counseling for antibiotics is an important area for CPs, on top of patient education [69]. One of the important issues is awareness on antibiotics misuse during the antibiotics week that was celebrated in October all around Pakistan to curb inappropriate antibiotics use [67].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Knowledge, Attitude and Practice on Antibiotics and Its Resistance: Two Phases Mixed-Methods Online Study Among Pakistani Community Pharmacists to Promote Rational Antibiotics Use

Khan¹,

Khan²,

Hayat³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Antibiotic resistance (ABR) is an emerging global threat to public health. Substantial evidence has indicated that community pharmacists (CPs) can play a critical role in managing the ever-increasing threat of antibiotic resistance. The study aimed to determine the knowledge, attitude, and practices of CPs (n=180) towards antibiotics and antibiotic resistance as well as to improve the rational use of antibiotics. Two phases of mixed methods (quantitative and qualitative) online study were conducted in Pakistan from August 2019 to March 2020 by using validated questionnaires and semi-structured interview data. Different statistical methods were used to tabulate the quantitative data whereas inductive thematic analysis was conducted to categorize themes from the qualitative data and draw conclusions. Approximately 64.4% were male (mean: 29-33 years old). Overall, CPs had good knowledge of and were familiar with superbugs and their roles in ABR (65.6%, Median=1, IQR=1) although they were poor in differentiating some antibiotic groups with their respective ABR patterns (31.1%, Median=1, IQR=1). Most CPs have a positive attitude towards antibiotics with most (90.0%) having identified ABR as a critical issue in public health (Median=1, IQR=0). Overall, CPs' practices towards antibiotics were reasonable where they tend to educate patients about the rational use of antibiotics (52.8%, Median=1, IQR=1). Two main themes (antibiotics and counseling of patients) were related to self-medication with while educational interventions are the sub-theme. ABR is multifactorial where the subthemes related to budget, time constraints incompetent staff, the absence of CPs, the lack of training, enforcement of laws and regulations are the need of the hour in Pakistan. Effective antibiotic stewardship programs, patient education, and awareness campaigns about antibiotics and ABR along with training of the CPs are important factors that have to be addressed in a timely manner.

show abstract

Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Knowledge, Attitude and Practice on Antibiotics and Its Resistance: Two Phases Mixed-Methods Online Study Among Pakistani Community Pharmacists to Promote Rational Antibiotics Use

Khan¹,

Khan²,

Hayat³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…The socioeconomics values were adjusted into USD as reported previously; In approximately USD: VL = very low (>$60.0), and upper class = (>$500). 27 (Table 1). Table 2).…”

Section: Patients Demographicsmentioning

confidence: 99%

Occurrence, associated risk factors, and treatment of surgical site infections in Pakistan

et al. 2020

Self Cite

View full text Add to dashboard Cite

Globally, surgical site infections are one of the common infections which lead to a large amount of mortality and morbidity in postsurgical care. The risk for surgical site infection is multidimensional which includes mainly; patient, surgery, and hospital-related factors. This study is aimed to determine the burden of SSIs along with contributed risk factors. A prospective observational cross-sectional study was conducted in one of the largest public-sector hospitals in Pakistan. A total of 412 patients were recruited in the study with full consent and monitored for 30 days after surgery with direct and indirect surveillance. Overall, in seven different surgical procedures the incidence (29.8%) rate of SSI was observed; in appendectomy ( n = 17, 4.1%), exploratory laparotomy ( n = 51, 12.6%), laparoscopic cholecystectomy ( n = 12, 2.90%), mesh repair ( n = 17, 4.01%), thyroidectomy (5, 1.2%), transurethral resection of the prostate ( n = 11, 2.6%), and transurethral resection of the bladder (10, 2.4%). The average SSI rate in every single procedure was about 18 (4.27%) per surgical procedure out of 123 (29.85%) SSI cases. Types of SSI identified were superficial, deep incisional and organ/space ( n = 76, 18.4%, n = 23, 5.5%, and n = 24, 5.7%). Incidence of SSIs during admission, at readmission, and post-surveillance cases were ( n = 50, 12.1%, n = 25, 6.0% and n = 48, 11.6%). Associated risk factors found contributed to the incidence of SSI ( p < 0.05). Pre-operative ( n = 348, 84.5%) and 6 (1.5%) surgical patients did not received the post-operative antibiotics. The P. aeruginosa ( n = 15, 12.1%) and S. aureus (13, 10.5%). Cefoperazone and sulbactam were the most prescribed antibiotics. Associated risk factors and treatment outcomes of surgical patients have a direct association with the incidence of SSI. Hospital-based antimicrobial stewardship, implementation of surgical guidelines, patient care, and education are needed to develop at wards level in hospitals.

show abstract

Antibiotics safety case studies: Hospitals

Khan

Shah

Abbas

et al. 2023

Clinical Case Studies on Medication Safety

View full text Add to dashboard Cite

Knowledge, attitude and practices among consumers toward antibiotics use and antibiotic resistance in Swat, Khyber-Pakhtunkhwa, Pakistan

Cited by 21 publications

References 50 publications

Knowledge, Attitude and Practice on Antibiotics and Its Resistance: Two Phases Mixed-Methods Online Study Among Pakistani Community Pharmacists to Promote Rational Antibiotics Use

Knowledge, Attitude and Practice on Antibiotics and Its Resistance: Two Phases Mixed-Methods Online Study Among Pakistani Community Pharmacists to Promote Rational Antibiotics Use

Occurrence, associated risk factors, and treatment of surgical site infections in Pakistan

Antibiotics safety case studies: Hospitals

Contact Info

Product

Resources

About