- Visibility 99 Views
- Downloads 35 Downloads
An evaluation of knowledge, attitude and practice of rational antibiotic usage and antibiotic resistance among interns in a teaching tertiary care hospital: A cross-sectional questionnaire/ based stud
- Author Details:
-
Pallavi Kulkarni
-
Alice Kuruvilla
-
Regina Roy
-
Indla Ravi
Introduction: To assess the knowledge, attitude and practice of the interns about rational antibiotic use and antibiotic resistance in a teaching tertiary care hospital.
Materials and methods: A cross-sectional questionnaire based study was conducted involving a total of 100 interns. The data was collected in excel sheet and analyzed with descriptive statistics and results expressed as mean and standard deviation, frequencies and percentages.
Results: Mean age of the participants was 24±0.71 years, with mean duration of internship 6.9±2.3 months. Sixty percent (n=60) had moderate and 39% (n=39) had good knowledge about rational antibiotic use. Fifty-six percent (n=56) knew the components of rationality, 41% (n=41) had confusion between definitive and empirical therapy. The attitude of the interns was good and positive, 96% (n=96) of them agreed that antibiotic resistance is a serious global health issue, 92% (n=92) were aware of the factors contributing to antibiotics resistance and 82% (n=82) strongly felt the need of a hospital antibiotic policy. Seventy-two percent (n=72) of the interns chose antibiotic based on senior clinicians’ opinion. Seventy-four percent (n-=74) interns opined that Internal medicine postings followed by surgery postings would have a significant role and impact on their prescribing practices.
Conclusion: Interns had moderate knowledge and favorable positive attitude, improvisation in the internship curriculum involving multi-modal approach with inclusion of tailored educational interventions like case-based scenarios, group discussions, workshops, continued medical education programmes, sensitization programmes particularly during their major clinical postings, in addition active involvement of the clinicians would ensure more effective training of the future prescribers.
Keywords: Interns, Antimicrobial resistance, Rational use, Antibiotics
References
- Vadivoo NS, Usha B, Padmavathi BK. Assessment of clinician’s knowledge and perception on antimicrobial resistance a primary strategy for antimicrobial resistance control. Global Journal of Medical Research 2015;15(4):9-14
- Shehadeh M, Suaifan G, Darwish RM, Zaru L et al. Knowledge, attitudes and behavior regarding antibiotic use and misuse among adults in the community of Jordan. A pilot study. Sau di Pharmaceutical journal2012;20(2):125-133.
- Johnson AP, Ashiru-Oredope D, Beech E. Antibiotic stewardship initiatives as part of UK-5- year antimicrobial resistance strategy. Antibiotics2015;4:467-
- Leong TW, Mohammed NS, Ishak S, Ali Z. Knowledge, attitude and practice of antibiotics prescribing among medical officers of public health care facilities in the state of Kedah, Malaysia, Med J Malaysia2015;70(5):307-311.
- Banerjee I, Bhadury T. Prescribing pattern of interns in a primary health care centre in India. Journal of Basic and Clinical Pharmacy2014;5(2):40-43.
- Khan Afzal AK, Banu G, KK Reshma. Antibiotic resistance and usage- A survey on the Knowledge, attitude, perception and practices among medical students of a Southern Indian teaching hospital. Journal of Clinical and Diagnostic Research2013;7(8):1613-1616.
- Suaifan GARY, Shehadeh M, Darwish DA et al. A cross- sectional study on knowledge, attitude and behavior related to antibiotic use and resistance among medical and non-medical university students in Jordan. Afr J Pharm Pharmacol 2012;6(10):763-70
- Singh M, Singh AK. Knowledge, attitude and practice study on awareness of antibiotic stewardship among health care professionals in a tertiary care hospital in Delhi. Int J Curr Microbiol App Sci2017; 6(7):238-45.
- Chandan NG, Nagabushan H. Assessment of Knowledge, attitude and practice of interns towards antibiotic resistance and its prescription in a teaching hospital: A cross-sectional study. International Journal of Basic and Clinical Pharmacology2016;5(2):442-46.
- Awad AI, Aboud EA. Knowledge, attitude and practice towards antibiotic use among the public in Kuwait. PLoS ONE 2015;10(2):1-15.
- Sampath S, Venoukichenane V. Knowledge, attitude and practice of antibiotic usage among health care personnel in a tertiary care hospital. Sch J App Med Sci2016;4(9):3294-3298.
- Sh Afrasiabian, Hajibagheri K, D Roshani et al. Investigation of the knowledge, attitude and performance of the physician in regard to rational antibiotic prescription. Scientific journal of Kurdistan university of medical sciences2017;34.
- Shahid A, Iftikhar F, Arshad MK et al. Knowledge and attitude of physicians about antimicrobial resistance and their prescribing practices in services hospital, Lahore, Pakistan. J Pak Med Assoc2017;67(6):968-72.
- Srinivasan A, Song X, Richards BS et al. A survey of knowledge, attitude and beliefs of house staff physicians from various specialties concerning antimicrobial use and resistance. (Reprinted) Arch Intern Med2004;164 :1452-
- Dhakhale G, Pimpalkhute S, Bajait c, Raghute L. Evaluation of knowledge, attitude and practice of rational use of medicine among interns and resident doctors in a tertiary care teaching hospital. J young Pharm2016;8(2): 114-17.
- Tevatea S, Chaudhry S, Rath R et al. A questionnaire based survey on knowledge, attitude and practice of antibiotics among dental and paramedical students – A cross sectional survey. World Journal of Pharmacy and Pharmaceutical Sciences2016;5(5):1205-1216.
- Sharma S, Jayakumar D, Palapallil DS, Kesavan KP. Knowledge, attitude and practices of antibiotic usage and resistance among the second year MBBS students. International Journal of Basic and Clinical Pharmacology2016;5(3):899-903.
- Jorak A, Keihanian F, Saeidinia A et al. A cross-sectional study on knowledge, attitude and practice of medical students towards antibiotic resistance and its prescription. Adv Environ biol 2014; 8 (17) :675-681. Pallavi Kulkarni et al. An evaluation of knowledge, attitude and practice of rational antibiotic… Indian Journal of Pharmacy and Pharmacology, October-December 2017;4(4);192-197 197
- Jain A, Dhir KS, Batta M, Singh G. Knowledge and practices in community regarding antibiotic usage. Int J Res Med Sci 2016;4(2):610-614.
- Desai AJ, Gayathri GV, Mehta DS. Public’s perception, knowledge, attitude and behavior on antibiotic resistance – A survey in Davangere city, India. Journal of Preventive Medicine and holistic health 2016;2(1): 17-23.
How to Cite This Article
Vancouver
Kulkarni P, Kuruvilla A, Roy R, Ravi I. An evaluation of knowledge, attitude and practice of rational antibiotic usage and antibiotic resistance among interns in a teaching tertiary care hospital: A cross-sectional questionnaire/ based stud [Internet]. Indian J Pharm Pharmacol. 2017 [cited 2025 Oct 24];4(4):192-197. Available from: https://doi.org/
APA
Kulkarni, P., Kuruvilla, A., Roy, R., Ravi, I. (2017). An evaluation of knowledge, attitude and practice of rational antibiotic usage and antibiotic resistance among interns in a teaching tertiary care hospital: A cross-sectional questionnaire/ based stud. Indian J Pharm Pharmacol, 4(4), 192-197. https://doi.org/
MLA
Kulkarni, Pallavi, Kuruvilla, Alice, Roy, Regina, Ravi, Indla. "An evaluation of knowledge, attitude and practice of rational antibiotic usage and antibiotic resistance among interns in a teaching tertiary care hospital: A cross-sectional questionnaire/ based stud." Indian J Pharm Pharmacol, vol. 4, no. 4, 2017, pp. 192-197. https://doi.org/
Chicago
Kulkarni, P., Kuruvilla, A., Roy, R., Ravi, I.. "An evaluation of knowledge, attitude and practice of rational antibiotic usage and antibiotic resistance among interns in a teaching tertiary care hospital: A cross-sectional questionnaire/ based stud." Indian J Pharm Pharmacol 4, no. 4 (2017): 192-197. https://doi.org/