Knowledge, attitudes, and practices of Egypt’s future physicians towards antimicrobial resistance (KAP-AMR study): a multicenter cross-sectional study

Assar, Ahmed; Abdelraoof, Mohamed Ibrahim; Abdel-Maboud, Mohamed; Shaker, Kerollos; Menshawy, Amr; Swelam, Asia Hamdy; Eid, Muhammad; Khalid, Radwa; Mogahed, Mohamed; Abushouk, Abdelrahman Ibrahim; Aleya, Lotfi; Abdel-Daim, Mohamed M.

doi:10.1007/s11356-020-08534-5

Cited by 26 publications

(31 citation statements)

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“…However, there were still some misconceptions and malpractices reported among medical students/professionals. [36][37][38] Regarding self-medication with antibiotics, 62.2%, 36 65.9% 39 and 77.7% 37 of medical students reported such practice. These rates are higher than that observed among nonmedical students in the current study (39.9%).…”

Section: Discussionmentioning

confidence: 99%

Is health literacy associated with antibiotic use, knowledge and awareness of antimicrobial resistance among non-medical university students in Egypt? A cross-sectional study

et al. 2021

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ObjectivesAntibiotic resistance is a global public health concern, especially in developing countries, where antibiotic misuse is widespread. However, studies investigating relevant factors, particularly in youth, are limited. This study examined the levels of health literacy (HL) and their association with antibiotic use, knowledge of antibiotics and awareness of antibiotic resistance among university students in Egypt.DesignA cross-sectional study was conducted using self-administered questionnaires during 2018. The Health Literacy Survey (HLS-EU-Q16) and the WHO Antibiotic resistance: Multi-Country Public Awareness Survey were used. Bivariate and multivariable analyses were used to compare responses on use and knowledge of antibiotics, and awareness of antibiotic resistance between the three levels of students’ HL.SettingUniversity, Cairo, Egypt.Participants508 non-medical university students.OutcomesStudents’ HL scores were categorised into sufficient, problematic and inadequate. Students’ knowledge of antibiotics was categorised into good and poor. Students’ awareness of antibiotic resistance was categorised into high, average and poor.Results35.1% of students had sufficient HL. 79.7% of students had poor knowledge of antibiotics. 39.9% of students reported having used antibiotics in the past month without a prescription. 92.2% had limited awareness of antibiotic resistance and 30.6% of students heard about the term ‘antimicrobial resistance’. Background characteristics did not significantly differ by HL levels or knowledge scores, except for students’ year of study. Sufficient HL was independently associated with students’ high awareness of antibiotic resistance (adjusted OR=2.8; 95% CI: 1.3 to 5.9).ConclusionsHL was insufficient in this sample of non-medical Egyptian university students. Across all levels of HL, knowledge of antibiotics and awareness of antibiotic resistance were limited, reflecting deficiency in relevant education programmes. Findings suggest that sufficient HL supports high awareness of antibiotic resistance. Incorporating HL and rational antibiotic use awareness raising programmes in university curricula is an urgent necessity to curb antibiotic resistance.

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Section: Discussionmentioning

confidence: 99%

Is health literacy associated with antibiotic use, knowledge and awareness of antimicrobial resistance among non-medical university students in Egypt? A cross-sectional study

et al. 2021

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“…7 Few scattered studies have been conducted in Egypt on antibiotic use among physicians in a single facility 8,9 and undergraduate medical students. 10 It is therefore important to resolve the issues of antibiotic usage among a wide range of prescribers to explore their possible position in the battle against irrational antibiotic use. To the best of our knowledge, this is the first national study that identifies knowledge, characterizes practices and describes the attitude of Egyptian prescribers towards antibiotic use.…”

Section: Introductionmentioning

confidence: 99%

Antibiotic Use and Resistance Among Prescribers: Current Status of Knowledge, Attitude, and Practice in Egypt

El-Sokkary

Kishk

Eldin

et al. 2021

IDR

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Introduction The problem of antimicrobial resistance (AMR) is rising worldwide. One of the most significant factors influencing antimicrobial resistance in low- and middle-income countries is the lack of the skills and knowledge of health care providers for proper antimicrobial use. Aim To identify knowledge, characterize practices and describe the attitude of Egyptian prescribers towards antibiotic use. Methods A self-administered validated questionnaire was distributed among Egyptian prescribers. Results Five hundred Egyptian physicians responded to the questionnaire, 113 (22.6%) reported having Antibiotic Stewardship Program (ASP) at their workplace, 99 (19.8%) use international antibiotic guidelines as the main source for prescribing activity, 358 (71.6%) recorded adequate knowledge. Elder prescribers and those who work in private or university hospitals were significantly more knowledgeable (p=0.031 and 0.001, respectively). Forty-seven (9.4%) showed a positive attitude towards proper antibiotic prescription. The type of work institution; primary health clinics and private, or university hospital and the specialty are significantly associated with a positive attitude (p=0.009 and 0.015, respectively). Seventy-eight (15.6%) expressed a proper antibiotic prescription practice. Elder age, more experienced and trained prescribers showed more proper practice. The implementation of ASP and using proper sources of information were significantly associated with proper practice (p=0.012 and 0.008, respectively). Conclusion Egyptian prescribers have a good level of knowledge about antibiotics. However, low rates of positive attitude and proper practice towards the problem of AMR and ASP are recorded.

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“…14 More than half (60.3%) of the study subjects usually take antibiotics for a cold or sore throat, which is consistent with the study conducted in Egypt (62%). 25 Concerning knowledge, 68% of the study subjects were knowledgeable about antibiotics and antibiotic resistance, which is higher than the study findings from Amman, Jordan (23%), and Kuwait (47%), 17,27 while it is lower than the study finding from the University of Zambia (87.3%). 28 The discrepancy might be due to the reason that the study subjects of Zambia University were only medical students.…”

Section: Discussionmentioning

confidence: 54%

“…On the other hand, it is high compared to the study done in Egypt (52%) and a systematic review done worldwide where 53% of subjects agreed about taking antibiotics despite feeling better and 45.6% of subjects agreed that antibiotic misuse leads to antibiotic resistance according to the review done worldwide. 19,25,26 Although respondents have average knowledge of antibiotic use, side effects, and resistance, their attitude/behavior towards antibiotic consumption is not good. This study revealed that 65.9% of respondents took a full course of antibiotic treatment.…”

Section: Discussionmentioning

confidence: 99%

<p>Knowledge and Attitude Towards Antimicrobial Resistance of Graduating Health Science Students of Wollega University</p>

Fetensa¹,

Tolossa²,

Fekadu³

et al. 2020

IDR

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Background: Antimicrobial resistance is a worldwide concern due to the inappropriate and irrational use of antibiotics. Thus, this study was aimed at determining the knowledge and attitude of graduating health science students of Wollega University towards antimicrobial resistance. Methods: An institution-based cross-sectional study design was employed from June to July 2019. Epi-data version 3.1 was used to receive data and exported to SPSS version 25 for further analysis. Both bivariable and multivariable logistic regression analysis were done to find factors associated with attitudes of students towards antibiotic consumption and resistance at a 95% confidence level. The strength of association was measured with the odds ratio. Variables with a p-value of <0.05 at multivariable analysis were considered to be a significant variable. Finally, texts and simple frequency tables were used to present the findings. Results: Out of 249, 232 students were included in this survey yielding a response rate of 93.6%. Hundred fifty-eight (68.1%) of them had adequate knowledge about antibiotic identification, role, side effects, and resistance. Students with a family member who works in health and related professions had a lower probability of stopping antibiotics when they feel better (AOR = 0.50, 95% CI: 0.28-0.90) and using leftover antibiotics (AOR = 0.51, 95% CI: 0.28-0.92) compared to their counterparts. Conclusion: Students' knowledge on antibiotic identification, role, side effects, and resistance was suboptimal, and the attitude of students towards antibiotic consumption was unfavorable. Respondents having a family member in a health-related field showed a good attitude. Respondents with three years of study also had a good attitude, female gender showed good attitude, and urban residence were independent predictors of attitude toward antibiotic consumption. Training on antimicrobial resistance should be arranged for graduating class nursing and medical students, as they are the future prescribers.

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Knowledge, attitudes, and practices of Egypt’s future physicians towards antimicrobial resistance (KAP-AMR study): a multicenter cross-sectional study

Cited by 26 publications

References 26 publications

Is health literacy associated with antibiotic use, knowledge and awareness of antimicrobial resistance among non-medical university students in Egypt? A cross-sectional study

Is health literacy associated with antibiotic use, knowledge and awareness of antimicrobial resistance among non-medical university students in Egypt? A cross-sectional study

Antibiotic Use and Resistance Among Prescribers: Current Status of Knowledge, Attitude, and Practice in Egypt

<p>Knowledge and Attitude Towards Antimicrobial Resistance of Graduating Health Science Students of Wollega University</p>

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