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. 2023 Sep 28;16(1):107.
doi: 10.1186/s40545-023-00619-z.

Assessment of public knowledge and attitude toward antibiotics use and resistance: a community pharmacy-based survey

Abdulmuminu Isah  1 , Azeez Babatunde Aina  2 , Kenechukwu C Ben-Umeh  3 , Chinyere A Onyekwum  4 , Cynthia C Egbuemike  4 , Cheleolisa V Ezechukwu  4 , Daniel O Umoru  5 , Regina N Nechi  6
Affiliations

Assessment of public knowledge and attitude toward antibiotics use and resistance: a community pharmacy-based survey

Abdulmuminu Isah et al. J Pharm Policy Pract. .

Abstract

Background: Antimicrobial resistance is a public health challenge affecting all aspects of healthcare systems. Policies to reduce antimicrobial resistance should be implemented and monitored in community pharmacies, because they are patients' first point of care. Public awareness of relevant knowledge and attitudes on antimicrobials is a feasible strategy to mitigate the spread of antimicrobial resistance by exploiting the relationship between pharmacists and patients in the community pharmacy setting. The study evaluated and determined predictors of antibiotic knowledge and attitudes toward antibiotic use and resistance in community pharmacy patients.

Methods: A cross-sectional design was used to retrieve data in five randomly selected community pharmacies in Lagos and Abuja using a self-administered questionnaire. Descriptive and inferential statistics were utilized for characterizing and determining the associations between predictors and outcomes at p < 0.05. Logistic regression was used to identify predictors of patients' knowledge and attitude to antibiotic use.

Results: A total of 964 clients participated in the study: 526(54.7%) were females, and 358(37.3%) were aged 25-34. chlorpheniramine-maleate and levonorgestrel were wrongly identified as antibiotics by 621 (64%) and 490 (50%) respondents, respectively. Many respondents, 448(46.5%), strongly agree that antibiotic creams should be mixed with body creams. The result of the multivariable logistic regression showed secondary education [Odds Ratio (OR): 0.31, 95% CI 0.10-0.97, p value: 0.044], urban residence (OR: 1.45, 95% CI 1.01-2.08, p value: 0.043) and age 34 (OR: 1.55, 95% CI 1.01-2.37, p value: 0.045) were strong predictors of knowledge on antibiotics, while community pharmacy location (OR: 5.48, 95% CI 3.45-8.70, p value: ≤ 0.001), urban residence (OR: 2.57, 95% CI 1.67-3.96, p value: ≤ 0.001), and antibiotic recommender (OR: 0.55, 95% CI 0.35-0.85, p value: 0.008) were predictors of respondents' attitude to antibiotic use.

Conclusions: The study established that sociodemographic factors could impact community pharmacy clients' knowledge and attitude toward antibiotic use and resistance and should be considered when developing policies to curb the spread of resistant microbes. Community pharmacies should educate community pharmacy clients on the dangers associated with the misuse of antibiotics with stringent antibiotic stewardship programs and restrict access to antibiotics over-the-counter.

Keywords: Antibiotics; Attitude; Community pharmacy; Knowledge; Resistance.

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Conflict of interest statement

The authors declare that there is no conflict of interest as regard this research.

Figures

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Fig. 1
Respondents’ overall knowledge
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Respondents’ overall attitude
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Predictors of respondents’ knowledge
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Fig. 4
Predictors of respondents’ attitudes
See this image and copyright information in PMC

References

    1. Tabish S, Syed N. The future of humanity and microbes: impact of emerging infectious diseases on global health and economies. Int J Sci Res. 2015;4:2427–2442.
    1. Muley D, Shahin M, Dias C, et al. Role of transport during outbreak of infectious diseases: evidence from the past. Sustainability. 2020;12:7367. doi: 10.3390/su12187367. - DOI
    1. World Health Organization. Infections and infectious diseases: A manual for nurses and midwives in the WHO European Region. 2001; 271.
    1. Ling OhA, Hassali MA, Al-Haddad MS, et al. Public knowledge and attitudes towards antibiotic usage: a cross-sectional study among the general public in the state of Penang, Malaysia. J Infect Dev Ctries. 2010;5:338–347. doi: 10.3855/jidc.1502. - DOI - PubMed
    1. World Health Organization . World Health Statististics 2019: monitoring health for the SDGs. Geneva: Sustainable Development Goals; 2019.