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. 2024 Mar 19:17:1085-1098.
doi: 10.2147/IDR.S454489. eCollection 2024.

Knowledge, Attitude, and Practice About Antibiotic Use and Antimicrobial Resistance Among Nursing Students in China: A Cross Sectional Study

Chaoping Yang #  1 , Jing Xie #  2 , Qianjun Chen  2 , Qiongyin Yuan  3 , Jianping Shang  4 , Haibo Wu  5 , Youhua Yang  6 , Mingfang Wang  7 , Xiaolan Shu  8 , Jing Yue  9 , Danna Tu  10 , Ying Lin #  1 , Ronghao Zheng #  4 , Xiaolin Wu  4
Affiliations

Knowledge, Attitude, and Practice About Antibiotic Use and Antimicrobial Resistance Among Nursing Students in China: A Cross Sectional Study

Chaoping Yang et al. Infect Drug Resist. .

Abstract

Purpose: The knowledge, attitude, and practices (KAP) concerning antibiotics by healthcare students have the potential impact on controlling antibiotic abuse and antimicrobial resistance (AMR) growth. This study aims to evaluate the levels and explore the associated factors with KAP on antibiotic use and AMR in Chinese nursing students.

Methods: A cross-sectional survey using a self-administered questionnaire consisting of demographics and selected features and KAP on antibiotic use and AMR was conducted to measure KAP levels among nursing students at various universities in Hubei Province, China. The logistic regression analyses were performed to analyze the potential factors associated with the KAP.

Results: The survey eventually included a total of 1959 nursing students. The mean scores for KAP were 57.89 ±26.32, 55.00 ±12.50, and 71.88 ±15.63, respectively. Regarding knowledge, 54.3% of participants were unaware that antibiotic was ineffective against viral infections. Regarding attitude, 36% of participants agreed that current antibiotic abuse existed; 96.2% of participants thought it necessary to set up a special course on antibiotics. Regarding practice, only 48.4% of participants usually purchased antibiotics with a prescription. Multivariable analyses indicated that lack of discussion on AMR in school courses was an independent risk factor against KAP, respectively. The main knowledge sources of antibiotic being outside the classroom was an independent risk factor related to knowledge and practice. The average score >80 points was an independent protective factor related to knowledge and practice.

Conclusion: The KAP level on antibiotic use and AMR among Hubei nursing students was general and required further strengthening. Nursing students with risk factors should be prioritized in educational interventions. The findings of our study pointed out some directions for tailored interventions to improve the training on antibiotics.

Keywords: antibiotic use; antimicrobial resistance; attitude; knowledge; nursing students; practice.

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Conflict of interest statement

The authors declare there are no conflicts of interest regarding the publication of this paper.

Figures

Figure 1
Figure 1
Distribution of attitudes on antibiotic use and AMR among nursing students.
Figure 2
Figure 2
Frequency distribution of antibiotic practice among nursing students.
See this image and copyright information in PMC

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