Knowledge, attitudes, and perceptions about antibiotic use and antimicrobial resistance among final year undergraduate medical and pharmacy students at three universities in East Africa

Autor: Obedi Daniel, Margaret Lubwama, Kirabo Tess Ayazika, Martha F. Mushi, Jackson Onyuka, Joseph Siboko, Leoson Junior Ssetaba
Rok vydání: 2021
Předmět:
Male
0301 basic medicine
Health Knowledge
Attitudes
Practice
Students
Medical
Health Care Providers
Social Sciences
Pharmacists
0302 clinical medicine
Antibiotics
Psychological Attitudes
Medicine and Health Sciences
Psychology
Antimicrobial stewardship
Medical Personnel
030212 general & internal medicine
Multidisciplinary
biology
Antimicrobials
Drugs
Drug Resistance
Microbial
Africa
Eastern
Antimicrobial
Anti-Bacterial Agents
Professions
Students
Pharmacy
Medicine
Female
Research Article
Adult
medicine.medical_specialty
Science
education
030106 microbiology
MEDLINE
Pharmacy
Microbiology
Likert scale
Young Adult
03 medical and health sciences
Antibiotic resistance
Microbial Control
Physicians
medicine
Humans
Pharmacology
business.industry
Biology and Life Sciences
biology.organism_classification
Health Care
Regimen
Tanzania
Antibiotic Resistance
Family medicine
People and Places
Population Groupings
Antimicrobial Resistance
business
Zdroj: PLoS ONE, Vol 16, Iss 5, p e0251301 (2021)
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0251301
Popis: Introduction Proper measures to combat antimicrobial resistance development and spread in Sub Saharan Africa are very crucial bearing in mind the projected burden of antimicrobial resistance which is expected to be increase by 2050. Training of medical doctor and pharmacy students in antimicrobial stewardship is vital to combat antimicrobial resistance. This study was designed to evaluate the knowledge, attitude, and perception of final year medical and pharmacy students on antimicrobial use and antimicrobial resistance at three universities in Uganda, Kenya, and Tanzania. Methodology A cross-sectional survey was carried out among final year undergraduate medical and pharmacy students at three universities in East Africa. A Self-administered questionnaire was developed which included dichotomous questions and questions using a 4-point Likert scale. The questions were based on knowledge and attitude about antibiotics, and preparedness to use antibiotics in clinical scenarios. Data were analyzed using STATA version 16 following the objective of the study. Results Three hundred and twenty-eight final year students participated in the survey from MUK 75, MKU 75 and CUHAS 178. Slightly majority of participants were male 192(58.5%) and their median age was 25 [23 – 27] years. In general, 36.6% (120/328) of students had good overall total knowledge. More students at MUK had good knowledge compared to MKU, and CUHAS (72% vs, 40% vs. 20.2%; p Conclusion Final year students have low scores in knowledge about antimicrobial resistance and antibiotic use in clinical scenarios. This has exposed gaps in practical training of students, while they may feel confident, are not fully prepared to prescribe antibiotics in a hospital setting. A multidisciplinary and practical approach involving medical schools across the East African region should be undertaken to train final year undergraduate students in antimicrobial resistance and antimicrobial stewardship programs. Antimicrobial resistance and antimicrobial stewardship courses should be introduced into the curriculum of final year medicine and pharmacy programs.
Databáze: OpenAIRE
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