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Knowledge, attitude and practices of antibiotic usage among the medical undergraduates of a tertiary care teaching hospital: an observational cross-sectional study

Padmanabha T. S., Nandini T., Manu G., Madhav K. Savkar, Ravi Shankar M..

Abstract
Background: Social aspect of antibiotic management forms a significant way to overcome the rapidly intensifying problem of antibiotic resistance. Medical students should not only be made aware of the current emerging health issues but also be directed towards rational antibiotics prescribing behavior as future medical practitioners. Aims and objective of the study was to assess the knowledge, attitude and practices (KAP) related to antibiotic usage in second year medical undergraduate students.
Methods: The study design was cross sectional, questionnaire based survey. The questionnaire was distributed to a 3rd term and 4th term medical students in their second year of MBBS, to know the KAP regarding antibiotic usage and was assessed by a five point Likert scale and few questions were of true and false type. The data was analyzed by using SPSS.
Results: Out of 162 students, 138 (85.19%) participated in the study; 63 (45.65%) were males and 75 (54.35%) were females. 84.06% of the participants known that irrational and indiscriminate antimicrobial use leads to the emergence of resistance. 96.38% agreed that Antibacterial resistance(ABR) was an important and a serious global public health issue and national problem. 71.01% of the respondents were aware that bacteria were not responsible for causing colds and flu. 86.23% said it can lead to more adverse drug reaction.
Conclusions: The present survey on antibiotic usage gives useful information about the knowledge, attitudes and practices of second year medical undergraduates, which may be utilized to plan suitable educational interventions that aim at improving the antimicrobial prescribing and use to maximize their effective and efficient use and minimize the development of resistance.

Key words: Antibiotic use, Antimicrobial resistance, Attitude, Knowledge, Practice, Questionnaire


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