Bonna Atia Sharmin, Mazumder Sinthia, Manna Ridwana Maher, Pavel Shahed Rafi, Nahin Sabrina, Ahmad Istiak, Nabilah Nujhat, Ali Mohammad, Amin Mohammad Ashraful
Department of Public Health North South University Dhaka Bangladesh.
Division of Public Health Public Health Promotion and Development Society (PPDS) Dhaka Bangladesh.
Health Sci Rep. 2024 Aug 30;7(9):e70030. doi: 10.1002/hsr2.70030. eCollection 2024 Sep.
Antibiotic misuse represent a significant global health challenge, with medical students positioned as key figures in promoting responsible antibiotic usage. This study investigates the knowledge, attitudes, and practices (KAP) regarding antibiotic use among medical students in Bangladesh, aiming to identify areas for targeted educational and policy interventions.
This cross-sectional survey was conducted among 501 medical students across various years of study in Bangladesh, collecting data over a 3-month period. The survey assessed antibiotic knowledge, usage practices, and attitudes towards misuse, employing descriptive statistics and multiple logistic regression analyses to explore associations between students' demographic characteristics and their KAP towards antibiotics. Significance was assigned at -value < 0.05.
In our study involving 501 medical students from four medical colleges in Bangladesh, we achieved a 76% response rate. Among the participants, 78.24% correctly identified antibiotics' effectiveness against bacterial infections, but 45.71% were uncertain about their efficacy against viral infections. Notably, 21.20% reported self-prescribing antibiotics, predominantly sourced from physician prescriptions (54.89%). The most common reason for antibiotic use was fever (19.02%). Senior students were less likely to have good knowledge compared to junior students, and urban students demonstrated a higher likelihood of good knowledge and positive attitude towards antibiotic resistance.
This study highlights the critical need for educational reforms and antimicrobial stewardship among medical students in Bangladesh to combat antibiotic misuse and mitigate antimicrobial resistance.
抗生素的滥用是一项重大的全球健康挑战，医学生是促进抗生素合理使用的关键群体。本研究调查了孟加拉国医学生在抗生素使用方面的知识、态度和行为，旨在确定有针对性的教育和政策干预领域。
本横断面调查在孟加拉国不同年级的501名医学生中进行，为期3个月收集数据。该调查评估了抗生素知识、使用行为以及对滥用的态度，采用描述性统计和多元逻辑回归分析来探讨学生人口统计学特征与他们对抗生素的知识、态度和行为之间的关联。显著性设定为P值<0.05。
在我们对孟加拉国四所医学院501名医学生的研究中，应答率为76%。在参与者中，78.24%正确识别了抗生素对细菌感染的有效性，但45.71%不确定其对病毒感染的疗效。值得注意的是，21.20%报告自行开具抗生素，主要来源是医生处方（54.89%）。使用抗生素最常见的原因是发烧（19.02%）。与低年级学生相比，高年级学生具备良好知识的可能性较小，城市学生表现出对抗生素耐药性有更好的知识和更积极态度的可能性更高。
本研究强调了孟加拉国医学生进行教育改革和抗菌药物管理的迫切需求，以对抗抗生素滥用并减轻抗菌药物耐药性。
