Use of antimicrobials and antimicrobial resistance in Nepal: a nationwide survey
| Autor: | Kedar Gautam, Dev Ram Sunuwar, Nabaraj Adhikari, Upendra Thapa Shrestha, Komal Raj Rijal, Prabina Ghimire, Binod Dhungel, Samarpan Kafle, Megha Raj Banjara, Bipin Adhikari, Bindu Ghimire, Prakash Ghimire, Samriddh Dhungel |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male 0301 basic medicine Health Knowledge Attitudes Practice medicine.medical_specialty Secondary education Adolescent Patients medicine.drug_class Science Health Personnel 030106 microbiology Antibiotics Nationwide survey Policy and public health in microbiology Microbiology Article Young Adult 03 medical and health sciences Drug Utilization Review 0302 clinical medicine Antibiotic resistance Anti-Infective Agents Nepal Surveys and Questionnaires Health care medicine Humans 030212 general & internal medicine Child Farmers Multidisciplinary Antimicrobials business.industry Public health Infant Drug Resistance Microbial Middle Aged Antimicrobial Cross-Sectional Studies Child Preschool Family medicine Medicine Female Over-the-counter business |
| Zdroj: | Scientific Reports Scientific Reports, Vol 11, Iss 1, Pp 1-14 (2021) |
| ISSN: | 2045-2322 |
| DOI: | 10.1038/s41598-021-90812-4 |
| Popis: | Nepal suffers from high burden of antimicrobial resistance (AMR) due to inappropriate use of antibiotics. The main objective of this study was to explore knowledge, attitude and practices of antibiotics uses among patients, healthcare workers, laboratories, drug sellers and farmers in eight districts of Nepal. A cross-sectional survey was conducted between April and July 2017. A total of 516 individuals participated in a face-to-face interview that included clinicians, private drug dispensers, patients, laboratories, public health centers/hospitals and, livestock and poultry farmers. Out of 516 respondents, 62.8% (324/516) were patients, 16.9% (87/516) were clinicians, 6.4% (33/516) were private drug dispensers. A significant proportion of patients (42.9%; 139/324) thought that fever could be treated with antibiotics. Majority (79%; 256/324) of the patients purchased antibiotics over the counter. The knowledge of antibiotics used among patients increased proportionately with the level of education: literate only [AOR = 1.4 (95% Cl = 0.6–4.4)], versus secondary education (8–10 grade) [AOR = 1.8 (95% Cl = 1.0–3.4)]. Adult patients were more aware of antibiotic resistance. Use of antibiotics over the counter was found high in this study. Knowledge, attitude and practice related to antibiotic among respondents showed significant gaps and need an urgent effort to mitigate such practice. |
| Databáze: | OpenAIRE |
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