Paul Gowranga Kumar, Swapon Md Shalauddin, Kaderi Kibria K M
Department of Statistics, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh.
Department of Biotechnology and Genetic Engineering, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh.
J Educ Health Promot. 2022 Apr 28;11:115. doi: 10.4103/jehp.jehp_602_21. eCollection 2022.
The prevalence of self-medication is high in Bangladesh due to easy access and poor regulatory controls over these drugs. Our study aimed to assess the attitude of university students in Bangladesh toward antibiotic usage, especially their knowledge and awareness about antibiotics and their resistance. We also evaluated the determinants behind their attempts at drug intake without prescription.
A cross-sectional study was conducted in Mawlana Bhashani Science and Technology University that included information from randomly selected 200 students from 15 departments using a structured questionnaire. The statistical analyses were performed by using SPSS software (version 21) and R programming.
The study revealed that 61.0% of the students use self-medication at different times or always; 32.5% of the respondents keep antibiotics for future use, and 38% of the students think it is right to stop antibiotics when symptoms are improving. Half of the participants (47.5%) use antibiotics based on their previous experience. The criteria of antibiotic selection have a significant relationship with knowledge about antibiotic resistance ( = 0.017) and altered prescribed medicine without doctor's advice ( < 0.001). The multivariate analysis indicates that respondents who know about antibiotic resistance select antibiotics from the community pharmacists with respect to their own experience 5.102 times higher than those who do not know about antibiotic resistance.
The study mainly explored the knowledge gaps of the students on the options that are responsible for antibiotic resistance in the community and found that students have mid-level knowledge (66%) about antibiotic resistance.
由于这些药物容易获取且监管不力，孟加拉国自我药疗的发生率很高。我们的研究旨在评估孟加拉国大学生对抗生素使用的态度，尤其是他们对抗生素及其耐药性的知识和认识。我们还评估了他们在无处方情况下尝试用药背后的决定因素。
在毛拉纳·巴沙尼科技大学进行了一项横断面研究，使用结构化问卷从15个系中随机抽取200名学生收集信息。使用SPSS软件（版本21）和R编程进行统计分析。
研究显示，61.0%的学生在不同时间或总是进行自我药疗；32.5%的受访者储备抗生素以备将来使用，38%的学生认为症状改善时停止使用抗生素是正确的。一半的参与者（47.5%）根据他们以前的经验使用抗生素。抗生素选择标准与抗生素耐药性知识（P = 0.017）以及未经医生建议更改处方药（P < 0.001）有显著关系。多变量分析表明，了解抗生素耐药性的受访者根据自身经验从社区药剂师处选择抗生素的可能性比不了解抗生素耐药性的受访者高5.102倍。
该研究主要探讨了学生在社区中导致抗生素耐药性的因素方面的知识差距，发现学生对抗生素耐药性有中等水平的了解（66%）。
