Parental Knowledge and Awareness Linked to Antibiotic Use and Resistance: Comparison of Urban and Rural Population in Croatia

Farkaš, Maja; Ivče, Daniela Glažar; Stojanovic, S; Mavrinac, Martina; Mičović, Vladimir; Andrašević, Arjana Tambić

doi:10.1089/mdr.2018.0424

Cited by 10 publications

(10 citation statements)

References 21 publications

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“…The current finding that almost 3-in-10 of those being prescribed an antibiotic did not follow the established regimen and discontinue treatment prematurely mainly due to relief of symptoms is of concern. Similar results were obtained in studies conducted in other countries, including the UK (11.3%) [ 35 ], Portugal (55.7%) [ 36 ], Croatia (29.9%) [ 37 ] and Romania (31.9%) [ 23 ]. This misconception in antibiotic use may put the patient at risk of relapse with multidrug-resistant bacteria.…”

Section: Discussionsupporting

confidence: 87%

Knowledge and practices regarding antibiotics use

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Zucco

et al. 2020

Evolution, Medicine, and Public Health

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Background and objectives This study aimed to assess the knowledge of antibiotics and antimicrobial resistance (AMR) and the antibiotic use among the general public in Southern Italy and to analyze whether socio-demographic characteristics could be associated with poor knowledge and improper practices. Methodology From March to November 2019, a face to face interview was conducted with adult subjects attending the waiting room of 27 randomly selected general practitioners (GPs) in Southern Italy. The questionnaire covered socio-demographic characteristics, knowledge of antibiotics and AMR and practices regarding the consumption of and self-medication with antibiotics. Results The response rate was 89.7%. In the sample, 29.2% thought that antibiotics are effective for viral infections and 49.5% correctly recognized the definition of AMR. Predictors of good knowledge about antibiotics and AMR were female gender and a higher education level. Almost half of the respondents had used antibiotics in the previous year and 23.6% took antibiotics to treat a common cold and/or fever. Among participants, 25.5% reported to have bought antibiotics without a prescription, and 30.6% were classified as antibiotic self-medication users. Use of antibiotics in the previous 12 months and having taken an antibiotic after a phone consultation with the GP were positively associated with both antibiotic use for a common cold and/or fever and self-medication with antibiotics. Conclusions and implication The findings of this study highlighted a considerable antibiotic consumption in the adult population of Southern Italy together with misconceptions regarding the correct indication for antibiotic use that could foster indiscriminate antibiotic use. Lay summary The findings of this study highlighted a considerable antibiotic consumption in the adult Italian population together with misconceptions regarding the correct indication for antibiotic use that could foster indiscriminate antibiotic use. Almost a quarter of the respondents took antibiotics to treat a common cold and/or fever, and reported to have bought antibiotics without a prescription.

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Section: Discussionsupporting

confidence: 87%

Knowledge and practices regarding antibiotics use

Bianco

Licata

Zucco

et al. 2020

Evolution, Medicine, and Public Health

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“…Nonetheless, Riyadh PPS had better knowledge about the completion of the antibiotic course. This could be attributed to the notion that big cities’ population dwellings are more aware of such issues [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Effects of Basic Medical Science Courses on the Knowledge and Attitude towards Antibiotic Usage among Pre-Professional Students in Saudi Arabia

et al. 2021

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The curriculum of medical schools includes courses on antibiotics. Therefore, it is worth exploring information related to the knowledge and attitudes about antibiotics. In this cross-sectional study the questionnaire was administered to the undergraduates in two phases, before and after attending the basic medical science courses. The data were collected on demographic variables, source of antibiotics, level of knowledge, and changes in attitude statements. Data analysis was implemented using SPSS. The mean age of participants was 19.87 and 20.15 in phases I and II, respectively. Most of the participants’ parents had education at the university level and a monthly income above 15,000 SAR. Generally, students had good knowledge and attitude about antibiotics. A significant improvement in students’ knowledge in phase-II was noticed in “level of knowledge” (p-value = 0.044), “paracetamol is considered an antibiotic” (p-value < 0.001) and “overuse of antibiotics can cause antibiotics resistance” (p-value = 0.003). The overall knowledge and attitude of pre-professional students were good in both phases, but their attitude did not improve at a significant level in phase-II. There is a need to put more focus on antimicrobial therapy in their training.

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“…A study conducted by Wushouer and colleagues in China reported that the higher the knowledge of the practitioners, the lower the rate of antibiotic prescribing [26]. This was also reported in a German study that assessed the effect of knowledge about antibiotic resistance on the prescribing pattern among practitioners; awareness about antimicrobial resistance highly influenced the practitioners' pattern in prescribing antibiotics to their patients, and this was confirmed in additional studies in Iran and Croatia [27][28][29]. Conversely, two studies in Cambodia and Nigeria found that physicians were alert about the challenge related to the misuse of antibiotics, but this did not influence their practice in managing antibiotic prescribing [30,31].…”

Section: Discussionmentioning

confidence: 69%

Prescribers’ Knowledge, Attitudes and Behaviors on Antibiotics, Antibiotic Use and Antibiotic Resistance in Jordan

et al. 2021

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More research is needed on the drivers of irrational antibiotic prescribing among healthcare professionals and to ensure effective prescribing and an adequate understanding of the issue of antibiotic resistance. This study aimed at evaluating prescribers’ knowledge, attitudes and behaviors about antibiotic use and antibiotic resistance. A cross-sectional study was conducted utilizing an online questionnaire and included physicians and dentists from all sectors in Jordan. A total of 613 prescribers were included (physicians n = 409, dentists n = 204). Respondents’ knowledge on effective use, unnecessary use or associated side effects of antibiotics was high (>90%), compared with their knowledge on the spread of antibiotic resistance (62.2%). For ease of access to the required guidelines on managing infections, and to materials that advise on prudent antibiotic use and antibiotic resistance, prescribers agreed in 62% and 46.1% of cases, respectively. 28.4% of respondents had prescribed antibiotics when they would have preferred not to do so more than once a day or more than once a week. Among respondents who prescribed antibiotics, 63.4% would never or rarely give out resources on prudent use of antibiotics for infections. The findings are of importance to inform antibiotic stewardships about relevant interventions aimed at changing prescribers’ behaviors and improving antibiotic prescribing practices.

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Parental Knowledge and Awareness Linked to Antibiotic Use and Resistance: Comparison of Urban and Rural Population in Croatia

Cited by 10 publications

References 21 publications

Knowledge and practices regarding antibiotics use

Knowledge and practices regarding antibiotics use

Assessing the Effects of Basic Medical Science Courses on the Knowledge and Attitude towards Antibiotic Usage among Pre-Professional Students in Saudi Arabia

Prescribers’ Knowledge, Attitudes and Behaviors on Antibiotics, Antibiotic Use and Antibiotic Resistance in Jordan

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