Knowledge, Attitude, and Practice Regarding Antibiotic Use and Resistance for Upper Respiratory Tract Infections among the Population Attending a Mass Gathering in Central India: A Cross-Sectional Study
Abstract
:1. Introduction
2. Methods
2.1. Study Design and Population
2.2. Data Collection Tools and Methods
2.3. Outcome Assessment
2.4. Statistical Analysis
3. Results
3.1. Socio-Demographic Characteristics
3.2. Participants’ History and Knowledge of URTI
3.3. Knowledge about Antibiotic Use and ABR
3.4. Attitude towards Antibiotic Use
3.5. Practice Regarding Antibiotic Use and ABR
3.6. Factors Associated with KAP about Antibiotic Use and ABR
4. Discussion
5. Strengths and Limitations
6. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
ANOVA | Analysis of Variance |
IEC | Institutional Ethics Committee |
KAP | Knowledge, Attitude, and Practice |
LMIC | Low- and middle-income countries |
OTC | Over-the-counter (without prescription) |
RDGMC | R.D. Gardi Medical College |
URTI | Upper respiratory tract infection |
WHO | World Health Organization |
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Characteristics | n (%) |
---|---|
Age (mean ± SD) | 39.0 ± 15.3 |
Age group (in years) | |
18–40 | 1059 (65) |
41–64 | 420 (26) |
≥65 | 140 (9) |
Sex | |
Male | 950 (59) |
Female | 669 (41) |
Place of residence | |
City | 937 (58) |
Village | 682 (42) |
Type of family | |
Extended | 1501 (93) |
Unit | 118 (7) |
Education attainment | |
Below high school | 993 (61) |
High school | 430 (27) |
Above high school | 196 (12) |
Occupation | |
Have a job | 1142 (71) |
Do not have a job | 477 (29) |
Family’s decision-maker | |
Father | 1597 (99) |
Mother | 19 (1) |
Grandparent | 3 (0) |
Question (Correct Responses) | Response | n (%) |
---|---|---|
1. What are the most typical symptoms of URTI? (Running nose, sore throat, cough, fever) | Correct | 103 (6) |
Incorrect | 1765 (94) | |
2. Is URTI a communicable disease? (Yes) | Correct | 929 (50) |
Incorrect | 939 (50) | |
3. What do you think are the main causes of URTI? (Organisms or germs or contact with a sick person) | Correct | 439 (24) |
Incorrect | 1429 (76) | |
4. Do you know what the causative organism of URTI is? (Bacteria or virus) | Correct | 575 (31) |
Incorrect | 1293 (69) | |
Total score | Median (IQR) | 1 (0–2) |
0 | 611 (33) | |
1 | 697 (37) | |
2 | 354 (19) | |
3 | 183 (10) | |
4 | 23 (1) | |
Level of knowledge | Poor | 1662 (89) |
Good | 206 (11) |
Question (Correct answer) | Response | n (%) |
---|---|---|
1. What are antibiotics? (Medicines that kill bacteria or prevent the growth of bacteria or prevent infection) | Correct | 122 (7) |
Incorrect | 1646 (93) | |
2. Do antibiotics have side effects or adverse reactions? (Yes) | Correct | 212 (12) |
Incorrect | 1556 (88) | |
3. What can be the consequences of the irrational use of antibiotics? (Antibiotic resistance, severe disease, problems in treatment in the future) | Correct | 192 (11) |
Incorrect | 1576 (89) | |
4. Do you think that antibiotics are losing their efficacy? (Yes) | Correct | 388 (22) |
Incorrect | 1380 (78) | |
Knowledge score | Median (IQR) | 0 (0–1) |
0 | 1124 (63) | |
1 | 436 (25) | |
2 | 159 (9) | |
3 | 36 (2) | |
4 | 13 (1) | |
Knowledge Group | Poor | 1719 (97) |
Good | 49 (3) |
Question (Correct Answer) | Response | n (%) |
---|---|---|
1. Do you think that antibiotics should be kept as preserved medicines for the future? (Yes) | Appropriate | 230 (14) |
Inappropriate | 1432 (86) | |
2. If a doctor does not prescribe antibiotics, will you pressurize him/her to prescribe an antibiotic (s)? (No) | Appropriate | 1611 (97) |
Inappropriate | 51 (3) | |
3. If a doctor does not prescribe antibiotics, will you go to another doctor who might prescribe an antibiotic (s)? (No) | Appropriate | 1544 (93) |
Inappropriate | 118 (7) | |
4. Who is responsible for the irrational use of antibiotics? (Allopathic doctors, local non-allopathic practitioners, patients, medical shops/pharmacies, pharmaceutical companies, unlicensed doctors) | Appropriate | 606 (37) |
Inappropriate | 1056 (63) | |
Attitude score | Median (IQR) | 2 (2–3) |
0 | 6 (1) | |
1 | 129 (8) | |
2 | 870 (52) | |
3 | 506 (30) | |
4 | 151 (9) | |
Attitude Group | Inappropriate | 1005 (60) |
Appropriate | 657 (40) |
Question | Response | n (%) |
---|---|---|
1. Have you ever purchased and administered an antibiotic without a doctor’s prescription? (No) | Appropriate | 369 (19) |
Inappropriate | 1542 (81) | |
2. Have you noticed a Redline on some medicine strips? (Yes) | Appropriate | 48 (3) |
Inappropriate | 1863 (97) | |
3. Would you use any leftover antibiotics or the same prescription to purchase the antibiotics whenever you have similar symptoms with previous infections? (No) | Appropriate | 1869 (98) |
Inappropriate | 42 (2) | |
4. Do you purchase the complete antibiotic(s) course written in the prescription by the doctor? (Yes) | Appropriate | 909 (48) |
Inappropriate | 1002 (52) | |
5. Do you comply to the entire course of the prescribed antibiotics (compliance to administer prescribed antibiotic(s) for complete duration)? (Yes) | Appropriate | 247 (13) |
Inappropriate | 1664 (87) | |
Practice score | Median (IQR) | 2 (1–2) |
0 | 15 (1) | |
1 | 583 (30) | |
2 | 1091 (57) | |
3 | 208 (11) | |
4 | 13 (1) | |
5 | 0 (0.0) | |
Practice Group | Inappropriate | 1690 (89) |
Appropriate | 221 (11) |
Factors | Adjusted OR (95%CI) | ||
---|---|---|---|
Knowledge | Attitude | Practice | |
Sex (female vs. male) | 2.26 (1.05–4.85) | 0.65 (0.49–0.86) | 1.26 (0.86–1.87) |
Age group (vs. 18–40 years old) | |||
41–64 years old | 0.97 (0.41–2.27) | 0.72 (0.55–0.95) | 0.99 (0.67–1.48) |
≥65 years old | NA | 0.54 (0.35–0.86) | 1.23 (0.65–2.32) |
Education (vs. below high school) | |||
High school | 2.18 (0.74–6.40) | 1.12 (0.85–1.47) | 1.16 (0.79–1.69) |
Above high school | 24.16 (9.77–59.73) | 1.17 (0.80–1.71) | 1.92 (1.22–3.02) |
Occupation (having vs. not having a job) | 1.35 (0.62–2.95) | 1.12 (0.81–1.50) | 1.80 (1.17–2.78) |
Family type (extended vs. unit) | 0.32 (0.14–0.72) | 0.51 (0.32–0.83) | 0.86 (0.50–1.51) |
Place of residence (city vs. village) | 1.07 (0.52–2.21) | 1.28 (1.01–1.63) | 1.56 (1.11–2.20) |
Knowledge about URTI (good vs. poor) | 2.90 (1.35–6.22) | 5.85 (3.94–8.68) | 3.56 (2.40–5.28) |
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Nguyen, N.V.; Marothi, Y.; Sharma, M. Knowledge, Attitude, and Practice Regarding Antibiotic Use and Resistance for Upper Respiratory Tract Infections among the Population Attending a Mass Gathering in Central India: A Cross-Sectional Study. Antibiotics 2022, 11, 1473. https://doi.org/10.3390/antibiotics11111473
Nguyen NV, Marothi Y, Sharma M. Knowledge, Attitude, and Practice Regarding Antibiotic Use and Resistance for Upper Respiratory Tract Infections among the Population Attending a Mass Gathering in Central India: A Cross-Sectional Study. Antibiotics. 2022; 11(11):1473. https://doi.org/10.3390/antibiotics11111473
Chicago/Turabian StyleNguyen, Ngoc V., Yogyata Marothi, and Megha Sharma. 2022. "Knowledge, Attitude, and Practice Regarding Antibiotic Use and Resistance for Upper Respiratory Tract Infections among the Population Attending a Mass Gathering in Central India: A Cross-Sectional Study" Antibiotics 11, no. 11: 1473. https://doi.org/10.3390/antibiotics11111473