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Published in: BMC Infectious Diseases 1/2018

Open Access 01-12-2018 | Research article

Knowledge and attitude towards antimicrobial resistance among final year undergraduate paramedical students at University of Gondar, Ethiopia

Authors: Mohammed Assen Seid, Mohammed Seid Hussen

Published in: BMC Infectious Diseases | Issue 1/2018

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Abstract

Background

Globally, antimicrobial resistance (AMR) is a complex public problem, which is mainly fuelled by inappropriate use of antimicrobials. Rational use of antimicrobials is the main strategy for the prevention of AMR, which can be achieved by changing the prescribers’ behavior and knowledge. Hence, this study aimed to assess knowledge and attitude of paramedical students regarding antimicrobial resistance, which helps to rationalize the use of antimicrobials.

Methods

An institutional based cross-sectional study was performed on 323 graduates paramedical students at the University of Gondar, Ethiopia. Participants were invited to complete a self-reported structured questionnaire on hard copy. The data were summarized using summary statistics such as the median. Furthermore, Kruskal Wallis test, at the level of significance of 0.05, was conducted to compare group difference.

Results

Among 360 eligible paramedical students, 323 (90%) of them participated and most of them were males 202 (62.5%). Nearly 96% of the participants perceived that antimicrobial resistance is a catastrophic and preventable public problem but about half of the participants (55%) had a poor level of knowledge. It was also found that there was a statistically significant knowledge and attitude difference across the department (p-value< 0.0001) and (p = 0.002), respectively. Furthermore, those participants who had a good level of knowledge had greater attitude rank as compared to those who had a moderate and poor level of knowledge (p-value< 0.0001).

Conclusion

Majority of the participants viewed antimicrobial resistance as a preventable public problem if appropriate strategies are formulated. Nonetheless, most of them had a poor knowledge regarding antimicrobial resistance, and their knowledge and attitude significantly vary across their field of study. This result implicates that improving the students’ level of knowledge about antimicrobial resistance might be an approach to flourish their attitude and to rationalize their antimicrobial use.
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Literature
2.
go back to reference Vila J, Pal T. Update on antibacterial resistance in low-income countries: factors favoring the emergence of resistance. Open Infect Dis J. 2010;4(1):38–54.CrossRef Vila J, Pal T. Update on antibacterial resistance in low-income countries: factors favoring the emergence of resistance. Open Infect Dis J. 2010;4(1):38–54.CrossRef
4.
go back to reference Gelband H, Molly MP, Pant S, Gandra S, Levinson J, Barter D, White A, Laxminarayan R. The state of the world's antibiotics 2015. Wound healing Southern Africa. 2015;8(2):30–4. Gelband H, Molly MP, Pant S, Gandra S, Levinson J, Barter D, White A, Laxminarayan R. The state of the world's antibiotics 2015. Wound healing Southern Africa. 2015;8(2):30–4.
5.
go back to reference García C, Llamocca LP, García K, Jiménez A, Samalvides F, Gotuzzo E, Jacobs J. Knowledge, attitudes, and practice survey about antimicrobial resistance and prescribing among physicians in a hospital setting in Lima. Peru BMC Clin Pharmacol. 2011;11(1):18.CrossRefPubMed García C, Llamocca LP, García K, Jiménez A, Samalvides F, Gotuzzo E, Jacobs J. Knowledge, attitudes, and practice survey about antimicrobial resistance and prescribing among physicians in a hospital setting in Lima. Peru BMC Clin Pharmacol. 2011;11(1):18.CrossRefPubMed
7.
go back to reference Charani E, Cooke J, Holmes A. Antibiotic stewardship programs—what's missing? J Antimicrob Chemother. 2010;65(11):2275–7.CrossRefPubMed Charani E, Cooke J, Holmes A. Antibiotic stewardship programs—what's missing? J Antimicrob Chemother. 2010;65(11):2275–7.CrossRefPubMed
8.
go back to reference Khan AK, Banu G, Reshma KK. Antibiotic resistance and usage a survey on the knowledge, attitude, perceptions, and practices among the medical students of a southern Indian teaching hospital. J Clini and Diagnos Res: JCDR. 2013;7(8):1613. Khan AK, Banu G, Reshma KK. Antibiotic resistance and usage a survey on the knowledge, attitude, perceptions, and practices among the medical students of a southern Indian teaching hospital. J Clini and Diagnos Res: JCDR. 2013;7(8):1613.
9.
go back to reference Patel H, Patel P, Dikshit R, Gandhi A. Knowledge, attitude and practice about antimicrobial use and their resistance in healthcare professionals at the civil hospital, Ahmedabad. Int J Basic & Clin Pharmacols. 2016;5(1):70–3.CrossRef Patel H, Patel P, Dikshit R, Gandhi A. Knowledge, attitude and practice about antimicrobial use and their resistance in healthcare professionals at the civil hospital, Ahmedabad. Int J Basic & Clin Pharmacols. 2016;5(1):70–3.CrossRef
10.
go back to reference Ghosh A, Deb T, Ghosh S. Knowledge, attitudes, and practice survey about antimicrobial resistance and prescribing among physicians in a tertiary care teaching hospital in eastern India. Int J Basic & Clini Pharmacols. 2016;5(1):180–7.CrossRef Ghosh A, Deb T, Ghosh S. Knowledge, attitudes, and practice survey about antimicrobial resistance and prescribing among physicians in a tertiary care teaching hospital in eastern India. Int J Basic & Clini Pharmacols. 2016;5(1):180–7.CrossRef
11.
go back to reference Sadasivam K, Chinnasami B, Ramraj B, Karthick N, Knowledge SA. Attitude and practice of paramedical staff towards antibiotic usage and its resistance. Biomedical and Pharmacol J. 2016;9(1):337–43.CrossRef Sadasivam K, Chinnasami B, Ramraj B, Karthick N, Knowledge SA. Attitude and practice of paramedical staff towards antibiotic usage and its resistance. Biomedical and Pharmacol J. 2016;9(1):337–43.CrossRef
12.
go back to reference Simpson SA, Wood F, Butler CC. General Practitioners' perceptions of antimicrobial resistance: a qualitative study. J Antimicrob Chemother. 2007;59(2):292–6.CrossRefPubMed Simpson SA, Wood F, Butler CC. General Practitioners' perceptions of antimicrobial resistance: a qualitative study. J Antimicrob Chemother. 2007;59(2):292–6.CrossRefPubMed
15.
go back to reference Ohl CA, Luther VP. Health care provider education as a tool to enhance antibiotic stewardship practices. Infect Dis Clin N Am. 2014;28(2):177–93.CrossRef Ohl CA, Luther VP. Health care provider education as a tool to enhance antibiotic stewardship practices. Infect Dis Clin N Am. 2014;28(2):177–93.CrossRef
16.
go back to reference Burger M, Fourie J, Loots D, Mnisi T, Schellack N, Bezuidenhout S, et al. Knowledge and perceptions of antimicrobial stewardship concepts among final year pharmacy students in pharmacy schools across South Africa. South Afr J Infect Dis. 2016;31(3):84–90. Burger M, Fourie J, Loots D, Mnisi T, Schellack N, Bezuidenhout S, et al. Knowledge and perceptions of antimicrobial stewardship concepts among final year pharmacy students in pharmacy schools across South Africa. South Afr J Infect Dis. 2016;31(3):84–90.
17.
go back to reference Scaioli G, Gualano MR, Gili R, Masucci S, Bert F, Siliquini R. Antibiotic use: a cross-sectional survey assessing the knowledge, attitudes, and practices amongst students of a School of Medicine in Italy. PLoS One. 2015;10(4):e0122476.CrossRefPubMedPubMedCentral Scaioli G, Gualano MR, Gili R, Masucci S, Bert F, Siliquini R. Antibiotic use: a cross-sectional survey assessing the knowledge, attitudes, and practices amongst students of a School of Medicine in Italy. PLoS One. 2015;10(4):e0122476.CrossRefPubMedPubMedCentral
18.
go back to reference Aggarwal S, Mathew J, Singh H, Sharma V. Attitude and perception of junior resident doctors' regarding antibiotic resistance–a pilot study. J Acute Dis. 2014;3(1):6–9.CrossRef Aggarwal S, Mathew J, Singh H, Sharma V. Attitude and perception of junior resident doctors' regarding antibiotic resistance–a pilot study. J Acute Dis. 2014;3(1):6–9.CrossRef
20.
go back to reference Baadani AM, Baig K, Alfahad WA, Aldalbahi S, Omrani AS. Physicians’ knowledge, perceptions, and attitudes toward antimicrobial prescribing in Riyadh, Saudi Arabia. Saudi Med J. 2015;36(5):613.CrossRefPubMedPubMedCentral Baadani AM, Baig K, Alfahad WA, Aldalbahi S, Omrani AS. Physicians’ knowledge, perceptions, and attitudes toward antimicrobial prescribing in Riyadh, Saudi Arabia. Saudi Med J. 2015;36(5):613.CrossRefPubMedPubMedCentral
22.
go back to reference Tamboli TJ, Pundarikaksha H, Ramaiah M, Bhatt KA, Prasad SR. Impact of an educational session on knowledge and attitude towards antimicrobial prescribing and awareness about antimicrobial resistance among undergraduate medical, dental and nursing students: a comparative study. Int J Basic & Clin Pharmacol. 2016;5(4):1544–50.CrossRef Tamboli TJ, Pundarikaksha H, Ramaiah M, Bhatt KA, Prasad SR. Impact of an educational session on knowledge and attitude towards antimicrobial prescribing and awareness about antimicrobial resistance among undergraduate medical, dental and nursing students: a comparative study. Int J Basic & Clin Pharmacol. 2016;5(4):1544–50.CrossRef
23.
go back to reference Yang K, Wu D, Tan F, Shi S, Guo X, Min Q, et al. Attitudes and perceptions regarding antimicrobial use and resistance among medical students in Central China. Springerplus. 2016;5(1):1779.CrossRefPubMedPubMedCentral Yang K, Wu D, Tan F, Shi S, Guo X, Min Q, et al. Attitudes and perceptions regarding antimicrobial use and resistance among medical students in Central China. Springerplus. 2016;5(1):1779.CrossRefPubMedPubMedCentral
24.
go back to reference Jamshed SQ, Elkalmi R, Rajiah K, Al-Shami AK, Shamsudin SH, Siddiqui MJA, et al. Understanding of antibiotic use and resistance among final-year pharmacy and medical students: a pilot study. J Infect Develop Countries. 2014;8(06):780–5. Jamshed SQ, Elkalmi R, Rajiah K, Al-Shami AK, Shamsudin SH, Siddiqui MJA, et al. Understanding of antibiotic use and resistance among final-year pharmacy and medical students: a pilot study. J Infect Develop Countries. 2014;8(06):780–5.
25.
go back to reference Azevedo MM, Pinheiro C, Yaphe J, Baltazar F. Portuguese students' knowledge of antibiotics: a cross-sectional study of secondary school and university students in Braga. BMC Public Health. 2009;9(1):359.CrossRefPubMedPubMedCentral Azevedo MM, Pinheiro C, Yaphe J, Baltazar F. Portuguese students' knowledge of antibiotics: a cross-sectional study of secondary school and university students in Braga. BMC Public Health. 2009;9(1):359.CrossRefPubMedPubMedCentral
26.
go back to reference Ahmad A, Khan MU, Patel I, Maharaj S, Pandey S, Dhingra S. Knowledge, attitude and practice of BSc. Pharmacy students about antibiotics in Trinidad and Tobago. J Res Pharmacy Prac. 2015;4(1):37.CrossRef Ahmad A, Khan MU, Patel I, Maharaj S, Pandey S, Dhingra S. Knowledge, attitude and practice of BSc. Pharmacy students about antibiotics in Trinidad and Tobago. J Res Pharmacy Prac. 2015;4(1):37.CrossRef
27.
go back to reference Abbo LM, Cosgrove SE, Pottinger PS, Pereyra M, Sinkowitz-Cochran R, Srinivasan A, et al. Medical students’ perceptions and knowledge about antimicrobial stewardship: how are we educating our future prescribers? Clin Infect Dis. 2013;57(5):631–8.CrossRefPubMed Abbo LM, Cosgrove SE, Pottinger PS, Pereyra M, Sinkowitz-Cochran R, Srinivasan A, et al. Medical students’ perceptions and knowledge about antimicrobial stewardship: how are we educating our future prescribers? Clin Infect Dis. 2013;57(5):631–8.CrossRefPubMed
28.
go back to reference Minen MT, Duquaine D, Marx MA, Weiss D. A survey of knowledge, attitudes, and beliefs of medical students concerning antimicrobial use and resistance. Microb Drug Resist. 2010;16(4):285–9.CrossRefPubMed Minen MT, Duquaine D, Marx MA, Weiss D. A survey of knowledge, attitudes, and beliefs of medical students concerning antimicrobial use and resistance. Microb Drug Resist. 2010;16(4):285–9.CrossRefPubMed
29.
go back to reference Dyar OJ, Pulcini C, Howard P, Nathwani D. European medical students: a first multicentre study of knowledge, attitudes, and perceptions of antibiotic prescribing and antibiotic resistance. J Antimicrob Chemother. 2014;69(3):842–6.CrossRefPubMed Dyar OJ, Pulcini C, Howard P, Nathwani D. European medical students: a first multicentre study of knowledge, attitudes, and perceptions of antibiotic prescribing and antibiotic resistance. J Antimicrob Chemother. 2014;69(3):842–6.CrossRefPubMed
30.
go back to reference Lim KK. Teh CC. A cross-sectional study of public knowledge and attitude towards antibiotics in Putrajaya, Malaysia. Southern Med Rev. 2012;5(2):26. Lim KK. Teh CC. A cross-sectional study of public knowledge and attitude towards antibiotics in Putrajaya, Malaysia. Southern Med Rev. 2012;5(2):26.
Metadata
Title
Knowledge and attitude towards antimicrobial resistance among final year undergraduate paramedical students at University of Gondar, Ethiopia
Authors
Mohammed Assen Seid
Mohammed Seid Hussen
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2018
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-018-3199-1

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