Antibiotic Resistance and Usage- A Survey on the Knowledge, Attitude, Perceptions and Practices among the Medical Students of a Southern Indian Teaching Hospital
Antibiotic Resistance and Usage- A Survey on the Knowledge, Attitude, Perceptions and Practices among the Medical Students of a Southern Indian Teaching Hospital
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DOI：
10.7860/jcdr/2013/6290.3230
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发表时间：
2013-08-01
影响因子：
0.2
通讯作者：
Reshma, K. K.
中科院分区：
文献类型：
--
作者：
Khan, Afzal A. K.;Banu, Gausia;Reshma, K. K.
背景资料：通过调查医学生对抗生素耐药性（ABR）和抗生素使用的知识、态度、认知和实践（KAP），可以帮助我们根据医学生早期的知识、信念、能力和经验，为他们设计合适的教育干预措施。方法：本研究采用横断面问卷调查法，对某教学医院二年级医学生进行调查，其中，通过使用五点Likert量表评估他们关于抗生素使用和耐药性的KAP，其反应范围从“非常同意”到“非常不同意”，“总是”到“从不”和“非常重要”到“不重要”。通过使用简单的描述性统计分析数据。如果相关，则使用卡方检验来确定任何显著差异。回应率为100%。同意ABR是我们教学医院重要和严重的公共卫生问题的受访者人数（n = 66，68%），显著低于（p < 0.001）与同意ABR是一个重要和严重的问题的受访者人数相比，（n = 86，88.65%）和世界（n = 88，90.7%）面临的问题。只有77.3%（n = 75）的受访者知道细菌不是引起感冒和流感的原因，而其余22.7%（n = 22）的受访者对此不了解。超过80%的人认为抗生素的不良反应和双重感染的风险是值得考虑的重要因素。只有56.7%（n= 55）的参与者认为抗生素的成本是值得考虑的重要因素。结论：我们的调查显示，大多数学生都知道抗菌药物耐药性及其后果。唯一令人担忧的是他们对抗生素使用的随意态度。需要进一步的教育干预，以提高他们对抗生素耐药性的理解和认识，以及他们对抗生素使用的态度。
Background: Examining the knowledge, attitude, perceptions and practices (KAP) of the medical students regarding antibiotic resistance (ABR) and use can help us in devising suitable educational interventions for them, tailored according to their earlier held knowledge, beliefs, capabilities and experience.Methods: A cross sectional, questionnaire based survey was conducted among the second year medical students of a teaching hospital, whereby their KAP regarding antibiotic use and resistance was assessed by using a five point Likert scale, whose responses ranged from 'strongly agree' to 'strongly disagree,' 'always' to 'never and 'very important' to 'unimportant'. The data was analysed by using simple descriptive statistics. Wherever it was relevant, the Chi-square test was used to determine any significant difference.Results: The response rate was 100 per cent. The number of respondents who agreed that ABR was an important and a serious public health issue in our teaching hospital (n = 66, 68 per cent), was significantly less (p < 0.001) as compared to the number of respondents who agreed that ABR was an important and a serious issue which the country (n = 86, 88.65 per cent) and the world (n = 88, 90.7 per cent) were facing. Only 77.3 per cent (n = 75) of the respondents were aware that bacteria were not responsible for causing colds and flu, while the remaining 22.7 per cent (n = 22) were not knowledgeable about this fact. More than 80 per cent rated the adverse effect profile of the antibiotic and the risk of a superinfection as the important factors which deserved consideration. Cost of the antibiotic was considered to be an important factor deserving consideration by only 56.7 percent (n= 55) of the participants.Conclusions: Our survey revealed that most of the students were aware of the antimicrobial resistance and its consequences. The only concern was their casual attitude regarding the antibiotic use. Further educational interventions are necessary to improve their understanding and perceptions on antibiotic resistance, as well as their attitude towards antibiotic use.