Knowledge, awareness, and attitudes toward antibiotic use and antimicrobial resistance among Saudi population
Knowledge, awareness, and attitudes toward antibiotic use and antimicrobial resistance among Saudi population
复制标题
DOI：
10.1007/s11096-016-0362-x
复制
发表时间：
2016-10-01
影响因子：
2.4
通讯作者：
Vlcek, Jiri
中科院分区：
文献类型：
--
作者：
El Zowalaty, Mohamed E.;Belkina, Tatiana;Vlcek, Jiri
背景抗生素的不适当使用是一个备受关注的公共卫生问题。目的探讨抗生素知识、种族、性别和年龄对自我药疗的影响。设置来自沙特阿拉伯不同地区的居民和人口。方法采用横断面调查的方法。数据收集于2014年6月至2015年5月期间，来自1310名参与者，数据以匿名方式记录。调查问卷通过访谈随机分发，内容包括社会人口学特征、抗生素知识、态度和行为。采用单变量logistic回归分析问题和数据的总体得分，以评估变量对抗生素自我处方的影响。结果有效率为87.7%。累积63.6%的参与者报告说，他们在没有处方的情况下从药店购买了抗生素; 71.1%的人报告说，他们没有完成抗生素疗程，因为他们感觉更好。无处方抗生素的可用性与自我用药呈正相关（OR 0.238，95%CI 0.17-0.33）。在使用处方或非处方抗生素的患者中，44.7%的人报告说，他们保留了未完成治疗过程中剩余的抗生素以备将来使用。有趣的是，62%未经处方使用药物的受访者同意抗生素应由医生处方的访问控制声明。我们还发现存储，知识/态度和教育之间的显着关联。结论沙特阿拉伯居民对抗生素使用的总体认识水平较低。这要求对抗生素的使用实施公共卫生意识干预计划。
Background Inappropriate use of antibiotics is a public health problem of great concern. Objective To evaluate knowledge of antibiotics, race, gender and age as independent risk factors for self-medication. Setting Residents and population from different regions of Saudi Arabia. Methods We conducted a cross sectional survey study among residents. Data were collected between June 2014 to May, 2015 from 1310 participants and data were recorded anonymously. The questionnaire was randomly distributed by interview of participants and included sociodemographic characteristics, antibiotics knowledge, attitudes and behavior with respect to antibiotics usage. Main outcome measure Population aggregate scores on questions and data were analyzed using univariate logistic regression to evaluate the influence of variables on self-prescription of antibiotics. Results The response rate was 87.7 %. A cumulative 63.6 % of participants reported to have purchased antibiotics without a prescription from pharmacies; 71.1 % reported that they did not finish the antibiotic course as they felt better. The availability of antibiotics without prescription was found to be positively associated with self-medication (OR 0.238, 95 % CI 0.17-0.33). Of those who used prescribed or non-prescribed antibiotics, 44.7 % reported that they kept left-over antibiotics from the incomplete course of treatment for future need. Interestingly, 62 % of respondents who used drugs without prescription agreed with the statement that antibiotics should be access-controlled prescribed by a physician. We also found significant association between storage, knowledge/attitudes and education. Conclusions The overall level of awareness on antibiotics use among residents in Saudi Arabia is low. This mandates public health awareness intervention programs to be implemented on the use of antibiotics.