Antibiotic Use: Knowledge and Practice of Medical Undergraduate Students in Kolkata

Main Article Content

Maumita De
Diptanshu Mukherjee

Abstract

Introduction


Excessive use and misuse of antibiotics worldwide, both in human medicine and in agriculture has led to increased occurrence of bacterial resistance. Medical students should be aware of the judicious use of antibiotics, so that they can help the general population in future. Present study assesses knowledge of antibiotic use among first year undergraduate medical students and their practice in own life.


Materials and Methods


An observational, cross sectional study was conducted during a three-month period among first year undergraduate medical students of a teaching hospital in Kolkata. A validated self- administered questionnaire was used to collect the data. The data were analyzed by using simple descriptive statistics. Wherever it was relevant, the Chi-square test was carried out to determine any significant difference.


Results


About 85% of the participants were aware of the indication of antibiotic for treating bacterial infections only. Around 44% of the students had an average knowledge score compared to 28% having good knowledge score. Majority (76%) of the medical students obtained last antibiotics by a doctor’s prescription, but 54% completed the course as advised by doctor and purpose of taking antibiotic was fever mainly (41%). Statistically significant (P< 0.05) difference on pattern of their antibiotic use was found according to their socioeconomic status and knowledge score.


Conclusion


Changing the prescribing behaviour and knowledge of the healthcare professionals can help a lot to achieve rational use of antibiotic. It is also suggested that giving a comprehensive training of antibiotic use to the medical students and creating their awareness about frequent antimicrobial resistance could be a successful and encouraging approach.

Article Details

How to Cite
1.
De M, Mukherjee D. Antibiotic Use: Knowledge and Practice of Medical Undergraduate Students in Kolkata. BJOHNS [Internet]. 2020Apr.30 [cited 2024Nov.23];28(1):1-9. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/19
Section
Main article
Author Biographies

Maumita De, NRS Medical College, Kolkata

Department of Community Medicine, Assistant Professor

Diptanshu Mukherjee, Medical College, Kolkata

Department of ENT, Assistant Professor

References

Piddock LJV. The crisis of no new antibiotics - what is the way forward? The Lancet Infectious Diseases 2012; 12(3): 249-53

Antibiotic Resistance: Multi-country Public Awareness Survey. Geneva, Switzerland: WHO;2015. Available from: http://www.who.int/about/licensing/copyright_form/en/index.html [Last accessed on 2019 July 15]

Spellberg B, Bartlett JG, Gilbert DN. The future of antibiotics and resistance. The New England J Med. 2013; 368(4): 299-302

Franco BE, Mart´ınez MA, S´anchezRodr´ıguez MA, Wertheimer AI. The determinants of the antibiotic resistance process. Infection and Drug Resistance 2009; 2(1): 1-11

Gard R. Tackling Antimicrobial Resistance: Optimizing Use of an Older Antibiotic-Amoxicillin. Indian J of Cli Pract. 2014; 24(9): 843-5

Shah SJ, Ahmad H, Rehan RB et al. Self-medication with antibiotics among non-medical university students of Karachi: A cross-sectional study. BMC Pharmacology & Toxicology 2014; 15: 74

Lv B, Zhou Z, Xu G et al. Knowledge, attitudes and practices concerning self-medication with antibiotics among university students in Western China. Tropical Medicine & International Health 2014; 19 (7): 769-79

Prevention and containment of antimicrobial resistance. World health organization. Available at http://www.ino.searo.who.int/LinkFiles/Other_Content_WHD11-Seminar_Presentation-WRpdf. [Last accessed 2019 July 15]

The evolving threat of antimicrobial resistance. Options for action. World Health Organization. Available at: http://www.who.int/patientsafety/ implementation/amr/publication/en/index.html. [Last accessed on 2019 July 15]

Vickers H. International antibiotic resistance crisis. Better training needed to maintain therapeutic arsenal. Student BMJ 2011; 19: 3207

Roumie CL, Halasa NB, Edwards KM, Zhu Y et al.. Differences in antibiotic prescribing among physicians, residents, and nonphysician clinicians. Am J Med. 2005; 118: 641-8

Running A, Kipp C, Mercer V. Prescriptive patterns of nurse practitioners and physicians. J Am Acad Nurse Pract. 2006; 18: 228-33

Edgar T, Boyd SD, Palame MJ. Sustainability for behaviour change in the fight against antibiotic resistance: a social marketing framework. J Antimicrob Chemother. 2009; 63:230-7

Pandey VK, Aggarwal P, Kakkar R. Modified B. G. Prasad Socio-economic Classification, update – 2019. IJCM 2019; 31(01): 123-5

Jayabalan N, Selvaraj N, Ganesan S et al. A questionnaire based survey on knowledge, attitude and behaviour of antibiotic usage and resistance among undergraduates in South Indian teaching hospital. International Journal of Basic & Clinical Pharmacology 2018 October; 7 (10): 1991-7

Nayak S, Rana M, Mayya SS et al. Antibiotics to cure or harm: Concept of antibiotic resistance among health professional students in Nepal. International Journal of Medical Science and Public Health 2016; 5 (12): 2512-7

Hu Y, Wang X, Tucker JD et al. Knowledge, Attitude, and Practice with Respect to Antibiotic Use among Chinese Medical Students: A Multicentre Cross-Sectional Study. Int. J. Environ. Res. Public Health 2018; 15: 1-14

Rajiaha K, Rena WS, Jamshed SQ. Evaluation of the understanding of antibiotic resistance among Malaysian pharmacy students at public universities: An exploratory study. Journal of Infection and Public Health 2015; 8: 266-73

Padmanabha TS, Nandini T, Manu G et al. Knowledge, attitude and practices of antibiotic usage among the medical undergraduates of a tertiary care teaching hospital: an observational cross-sectional study. International Journal of Basic & Clinical Pharmacology 2016; 5 (6): 2432-7

Patil SB, Nagaiah BH, Raikar SR, Rao V. Self-medication practices among 2nd year medical students in a rural medical college of Telangana state. Natl J Physiol Pharm Pharmacol 2018; 8: 5016

Bharath Kumar VD, Kalpana L. A comparative study to assess the awareness of antibiotic resistance amongst first and second year medical undergraduate students in a medical college. International Journal of Basic & Clinical Pharmacology 2018 August; 7 (8): 1567-71

Hulscher ME, Van der Meer JW, Grol RP. Antibiotic Use: How to Improve It? Int. J. Med. Microbiol. 2010 Aug; 300 (6): 351-6

Pan X, Slater M, Beacco A, Navarro X, Bellido Rivas AI, Swapp D et al. The Responses of Medical General Practitioners to Unreasonable Patient Demand for Antibiotics—A Study of Medical Ethics Using Immersive Virtual Reality. PLoS One 2016 Feb 18; 11(2): e0146837. [CrossRef] [PubMed]

Ostrowsky B, Nori P, Munjal I, Garcia MDC, Seo SK. Pooling New York City Resources to Educate Fellows About Antimicrobial Stewardship and Infection Prevention and Control. Open Forum Infect. Dis. 2015, 2.

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