1887
5 - The 12th international scientific conference of Al-Nahrain University
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Self-medication puts the benefits of antibiotics at risk. This has resulted in underdeveloped countries facing an increased economic burden, treatment failures, growth of bacteria that are resistant to antibiotics, and a higher population risk of exposure to and infection by such pathogens. The aim of this study was to assess knowledge, attitudes, and practices regarding antimicrobial use and resistance among a group of final-year pharmacy students and medical students at universities in Baghdad, Iraq.

This was a descriptive cross-sectional and institution-based study conducted between September and November 2023. Knowledge, attitudes and practices regarding antibiotic use were assessed using a self-administered questionnaire.. In addition, the students were assessed on how they felt that their medical education had prepared them to become pharmacists and physicians after graduation.

The total number of students was 642 (328 medicine and 314 pharmacy). The survey shows that although 94.7% of the students had good knowledge, only 65.4% of them actually practiced it. There was a significant ( < 0.05) difference in the total attitude score according to the gender of the participant. In other words, female participants had significantly higher positive attitudes than male participants. There was a significant ( < 0.05) difference in the total attitude, behavior, and practice scores according to the college type of the participants. In other words, pharmacy students had significantly higher total attitude, behavior, and practice scores than medical students.

The students’ level of knowledge was more than sufficient, but they need more education to improve their practice. Significant work still needs to be done to focus on improvements.

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2024-11-07
2025-01-10
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References

  1. Min S, Zhou Y, Sun Y, Ye J, Dong Y, Wang X, et al. Knowledge, attitude, and practice associated with antimicrobial resistance among medical students between 2017 and 2022: A survey in East China. Front Public Health. 2022 Oct 24;10:1010582. doi: 10.3389/fpubh.2022.1010582.
    [Google Scholar]
  2. Faizi N, Kazmi S. Universal health coverage - There is more to it than meets the eye. J Family Med Prim Care. 2017 Jan–Mar;6(1):169–70. doi: 10.4103/jfmpc.jfmpc_13_17.
    [Google Scholar]
  3. Wang Y, Lu D, Jin Y, Wang H, Lyu B, Zhang X, et al. Extensively drug-resistant (XDR) Salmonella Typhi outbreak by waterborne infection — Beijing Municipality, China, January–February 2022. China CDC Wkly. 2022 Mar 25;4(12):254–8. doi: 10.46234/ccdcw2022.062.
    [Google Scholar]
  4. Zhang T, Lambert H, Zhao L, Liu R, Shen X, Wang D, et al. Antibiotic Stewardship in retail pharmacies and the accessexcess challenge in China: A policy review. Antibiotics (Basel). 2022 Jan 21;11(2):141. doi: 10.3390/antibiotics11020141.
    [Google Scholar]
  5. Vazquez-Lago J, Gonzalez-Gonzalez C, Zapata-Cachafeiro M, Lopez-Vazquez P, Taracido M, López A, et al. Knowledge, attitudes, perceptions and habits towards antibiotics dispensed without medical prescription: A qualitative study of Spanish pharmacists. BMJ Open. 2017 Oct 8;7(10):e015674. doi: 10.1136/bmjopen-2016-015674.
    [Google Scholar]
  6. Al-Faham Z, Habboub G, Takriti F. The sale of antibiotics without prescription in pharmacies in Damascus, Syria. J Infect Dev Ctries. 2011 May 28;5(5):396–9. doi: 10.3855/jidc.1248.
    [Google Scholar]
  7. Abbas JK, Al-Metwali BZ. The impact of pharmacist behavioral intervention on antibiotics prescribing in pediatric wards. F1000Research. 2023;12(May):458.
    [Google Scholar]
  8. Mikhael1 EM, Hasan MK, Abdulridha SZ. Assessment of antibiotic knowledge among final year pharmacy students at University of Baghdad. The Open Public Health J. 2019 Sep 30;12:379–83. doi: 10.2174/1874944501912010379.
    [Google Scholar]
  9. Organization WH. The evolving threat of antimicrobial resistance: Options for action. WHO Publ. 2012;1–119.
    [Google Scholar]
  10. Cornaglia G, Giamarellou H, Rossolini GM. Metallo-β-lactamases: A last frontier for β-lactams? Lancet Infect Dis. 2011 May;11(5):381–93. doi: 10.1016/S1473-3099(11)70056-1.
    [Google Scholar]
  11. Charani E, Cooke J, Holmes A. Antibiotic stewardship programmes — what's missing? J Antimicrob Chemother. 2010 Nov;65(11):2275–7. doi: 10.1093/jac/dkq357.
    [Google Scholar]
  12. Hadi MA, Karami NA, Al-Muwalid AS, Al-Otabi A, Al-Subahi E, Bamomen A, et al. Community pharmacists’ knowledge, attitude, and practices towards dispensing antibiotics without prescription (DAwP): A cross-sectional survey in Makkah Province, Saudi Arabia. Int J Infect Dis. 2016 Jun;47:95–100. doi: 10.1016/j.ijid.2016.06.003.
    [Google Scholar]
  13. Justo JA, Gauthier TP, Scheetz MH, Chahine EB, Bookstaver PB, Gallagher JC, et al. Knowledge and attitudes of doctor of pharmacy students regarding the appropriate use of antimicrobials. Clin Infect Dis. 2014 Oct 15;59(Suppl 3):S162–9. doi: 10.1093/cid/ciu537.
    [Google Scholar]
  14. Higuita-Gutiérrez LF, Roncancio Villamil GE, Jiménez Quiceno JN. Knowledge, attitude, and practice regarding antibiotic use and resistance among medical students in Colombia: A cross-sectional descriptive study. BMC Public Health. 2020 Dec 4;20(1):1861. doi: 10.1186/s12889-020-09971-0.
    [Google Scholar]
  15. 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 Oct;31(3):84–90. doi: 10.4102/sajid.v31i3.83.
    [Google Scholar]
  16. Abdu-Aguye SN, Barde KG, Yusuf H, Lawal BK, Shehu A, Mohammed E. Investigating knowledge of antibiotics, antimicrobial resistance and antimicrobial Stewardship concepts among final year undergraduate pharmacy students in Northern Nigeria. Integr Pharm Res Pract. 2022 Dec 23;11:187–95. doi: 10.2147/IPRP.S385692.
    [Google Scholar]
  17. Jairoun A, Hassan N, Ali A, Jairoun O, Shahwan M. Knowledge, attitude and practice of antibiotic use among university students: A cross sectional study in UAE. BMC Public Health. 2019 May 6;19(1):518. doi: 10.1186/s12889-019-6878-y.
    [Google Scholar]
  18. Haque M, Rahman NAA, McKimm J, Sartelli M, Kibria GM, Islam MZ, et al. Antibiotic use: A cross-sectional study evaluating the understanding, usage and perspectives of medical students and pathfinders of a public defence university in Malaysia. Antibiotics (Basel). 2019 Sep 19;8(3):154. doi: 10.3390/antibiotics8030154.
    [Google Scholar]
  19. 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 Dev Ctries. 2014 Jun 11;8(6):780–5. doi: 10.3855/jidc.3833.
    [Google Scholar]
  20. Ahmad A, Khan MU, Patel I, Maharaj S, Pandey S, Dhingra S. Knowledge, attitude and practice of B.Sc. Pharmacy students about antibiotics in Trinidad and Tobago. J Res Pharm Pract. 2015 Jan-Mar;4(1):37–41. doi: 10.4103/2279-042X.150057.
    [Google Scholar]
  21. Ghaffoori Kanaan MH, Tarek AM, Abdullah SS. Knowledge and attitude among samples from community members, pharmacists and health care providers about antibiotic resistance in Al-Suwaria city/Wassit province/Iraq. IOP Conf Ser Earth Environ Sci. 2021;790:012059. doi: 10.1088/1755-1315/790/1/012059.
    [Google Scholar]
  22. Thriemer K, Katuala Y, Batoko B, Alworonga J-P, Devlieger H, Van Geet C, et al. Antibiotic prescribing in DR Congo: A knowledge, attitude and practice survey among medical doctors and students. PLoS One. 2013 Feb 18;8(2):e55495. doi: 10.1371/journal.pone.0055495.
    [Google Scholar]
  23. Al-Tukmagi H, Al-Qazaz H, Shanshal S, Al-Kaisey M. Self-medication towards antibiotic use among non-medical university staff (conference paper). Iraqi J Pharm Sci. 2022 Feb 16;31(Suppl.):9–17. doi: 10.31351/vol31issSuppl.pp9-17.
    [Google Scholar]
  24. Mohammed HK, Maatook MA, Mahmoud RA. Public knowledge and beliefs on antibiotics use and self-medication in Basra. Univ Thi-Qar J Sci. 2023;10(1(SI)):106–9. doi: 10.32792/utq/utjsci/v10i1(SI).984.
    [Google Scholar]
  25. Al-Mohamadi A, Badr A, Bin Mahfouz L, Samargandi D, Al Ahdal A. Dispensing medications without prescription at Saudi community pharmacy: Extent and perception. Saudi Pharm J. 2013 Jan;21(1):13–8. doi: 10.1016/j.jsps.2011.11.003.
    [Google Scholar]
  26. Al-Jumaili AA, Ahmed KK, Mawla ES, Majeed IM, Al-Rekabi MD. Irrational use of antibiotics in Iraqi Public Hospitals. Lat Am J Pharm. 2023;42(special issue):178–83.
    [Google Scholar]
  27. Mohammed SI, Dawood EB, Abaas IS. Perceptions and attitudes of community pharmacists towards patient counseling and continuing pharmacy education programs in Iraq. Iraqi J Pharm Sci. 2019 Dec;28(2):30–6. doi: 10.31351/vol28iss2pp30-36.
    [Google Scholar]
  28. Khan AKA, 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 Clin Diagnostic Res. 2013 Aug;7(8):1613–6. doi: 10.7860/JCDR/2013/6290.3230.
    [Google Scholar]
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