Choo Shea Jiun, Chang Chee Tao, Lee Jason Choong Yin, Munisamy Valli, Tan Chin Khai, Raj Jasmine Daryl, Mat Taib Rosma Izzaty, Thong Kah Shuen, Shafie Asrul A
Hospital Taiping, Taiping, Malaysia.
Hospital Raja Permaisuri Bainun, Ipoh, Malaysia.
J Infect Dev Ctries. 2018 Nov 30;12(11):960-969. doi: 10.3855/jidc.10723.
Inappropriate use of antibiotics has led to antimicrobial resistance, a major public health challenge worldwide. This study aimed to explore beliefs, knowledge, and practice on antibiotic use among general public.
Cross-sectional study was conducted at 13 hospitals and 44 primary health clinics in Perak from May to July 2017. Adults above 18 years, literate, and had experience in antibiotics consumption were selected through sequential sampling method. Data was collected using a self-administered questionnaire which included the three study domains i.e. belief, knowledge and practice. The questionnaire was pilot on 30 subjects.
Out of 2850 distributed questionnaires, 2773 returned and 2632 were included for analysis. Mean age of the respondents was 39.7 ± 14.5 years old. Most respondents were female (58.6%), Malay (74.7%) and underwent upper secondary school (45.6%). Mean score were generated for each domain with belief: 5.87 ± 3.00 (total score: 12), knowledge: 15.82 ± 3.85 (total score: 24), practice: 6.91 ± 2.07 (total score: 12). In the belief domain, 63.2% of respondents believed that antibiotics would help them to recover faster. In the knowledge domain, 52.7% of respondents inappropriately thought that antibiotics could work on viral infections. In the practice domain, 70% of respondents expected doctors to prescribe antibiotics if suffered from symptoms.
Majority of the respondents expect doctors to prescribe antibiotics for their illness, and most believes that antibiotics can speed up recovery of illness. Lack of awareness on antibiotic resistance was found to be a significant factor associated with inappropriate antibiotic use.
抗生素的不当使用导致了抗菌药物耐药性，这是全球范围内一项重大的公共卫生挑战。本研究旨在探讨普通公众对抗生素使用的看法、知识和行为。
2017年5月至7月在霹雳州的13家医院和44家初级卫生诊所进行了横断面研究。通过序贯抽样法选取18岁以上、识字且有抗生素使用经历的成年人。使用自填式问卷收集数据，问卷包括信念、知识和行为三个研究领域。该问卷在30名受试者中进行了预试验。
在分发的2850份问卷中，回收2773份，其中2632份纳入分析。受访者的平均年龄为39.7±14.5岁。大多数受访者为女性（58.6%）、马来人（74.7%），接受过高中教育（45.6%）。每个领域均生成了平均分，信念领域：5.87±3.00（总分：12分），知识领域：15.82±3.85（总分：24分），行为领域：6.91±2.07（总分：12分）。在信念领域，63.2%的受访者认为抗生素能帮助他们更快康复。在知识领域，52.7%的受访者错误地认为抗生素对病毒感染有效。在行为领域，70%的受访者期望医生在他们出现症状时开具抗生素。
大多数受访者期望医生为其疾病开具抗生素，且大多数人认为抗生素能加速疾病康复。对抗菌药物耐药性缺乏认识被发现是与抗生素不当使用相关的一个重要因素。
