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Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia

Mainul Haque, Nor Azlina A. Rahman, Judy McKimm, Massimo Sartelli, Golam Mohammad Kibria, Md Zakirul Islam, Siti Nur Najihah Binti Lutfi, Nur Syamirah Aishah Binti Othman, Shahidah Leong Binti Abdullah

Antibiotics, Volume: 8, Issue: 3, Start page: 154

Swansea University Author: Judy McKimm

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DOI (Published version): 10.3390/antibiotics8030154

Abstract

Antimicrobial prescribing behaviors are often influenced by the local culture and prescribing appropriateness of medical doctors and other health care professionals. Globally, antimicrobial utilization practices have a profound impact on antimicrobial resistance and are a tremendous public health co...

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Published in: Antibiotics
ISSN: 2079-6382
Published: 2019
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URI: https://cronfa.swan.ac.uk/Record/cronfa51927
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The aim of this survey was to explore the knowledge and attitudes of medical students from the National Defense University of Malaysia about antimicrobial usage and antimicrobial resistance. Research design and methods: This was a cross-sectional study. The study population was undergraduate medical students in each year group from the National Defence University of Malaysia. Students receive limited formal training on the use of antibiotics in their curriculum and most of this learning is opportunistic whilst on clinical placement. Universal sampling was used as the study population was small. Data were collected utilizing a validated instrument regarding antibiotic use. Simple descriptive statistics were used to generate frequencies and percentages with SPSS V21. This research was approved by the Centre for Research and Innovation Management, National Defence University of Malaysia. Results: 206 questionnaires were distributed with a response rate of 99.03%, 54% (110) male, and 46% (94) female. 65% (132) of respondents had used antibiotics in the last year. Respondents displayed a moderate level of knowledge about antibiotics. Conclusions: This study revealed that the older the student was, or when the year of study and total knowledge score was higher, the students were less likely to stop antimicrobials when they felt better or use leftover antibiotics without consulting a doctor. Therefore, the nearer the students were to graduation, the better their knowledge and skills were, and this translated into their own behaviors regarding use of antimicrobials. This finding has clear implications for curriculum design and the inclusion of formal teaching throughout the medical program on antimicrobial use and AMR. However, more research is needed on this topic, including the prescribing habits and antibiotic use of practicing doctors.</abstract><type>Journal Article</type><journal>Antibiotics</journal><volume>8</volume><journalNumber>3</journalNumber><paginationStart>154</paginationStart><publisher/><issnElectronic>2079-6382</issnElectronic><keywords>Antimicrobial; Antibiotic; Use; Knowledge; Attitude; Practice; Medical Students; Malaysia; Antimicrobial resistance; Antibiotic resistance</keywords><publishedDay>19</publishedDay><publishedMonth>9</publishedMonth><publishedYear>2019</publishedYear><publishedDate>2019-09-19</publishedDate><doi>10.3390/antibiotics8030154</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School - School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>SGMED</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2019-09-20T16:55:55.9934673</lastEdited><Created>2019-09-17T09:31:40.4636031</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Mainul</firstname><surname>Haque</surname><order>1</order></author><author><firstname>Nor Azlina A.</firstname><surname>Rahman</surname><order>2</order></author><author><firstname>Judy</firstname><surname>McKimm</surname><order>3</order></author><author><firstname>Massimo</firstname><surname>Sartelli</surname><order>4</order></author><author><firstname>Golam Mohammad</firstname><surname>Kibria</surname><order>5</order></author><author><firstname>Md Zakirul</firstname><surname>Islam</surname><order>6</order></author><author><firstname>Siti Nur Najihah</firstname><surname>Binti Lutfi</surname><order>7</order></author><author><firstname>Nur Syamirah Aishah</firstname><surname>Binti Othman</surname><order>8</order></author><author><firstname>Shahidah Leong</firstname><surname>Binti Abdullah</surname><order>9</order></author></authors><documents><document><filename>0051927-19092019094305.pdf</filename><originalFilename>51927v2.pdf</originalFilename><uploaded>2019-09-19T09:43:05.1400000</uploaded><type>Output</type><contentLength>731911</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><embargoDate>2019-09-19T00:00:00.0000000</embargoDate><documentNotes>Released under the terms of a Creative Commons Attribution License (CC-BY).</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807>
spelling 2019-09-20T16:55:55.9934673 v2 51927 2019-09-17 Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia 0aa805562973e8a2727548a041ec4e37 Judy McKimm Judy McKimm true false 2019-09-17 SGMED Antimicrobial prescribing behaviors are often influenced by the local culture and prescribing appropriateness of medical doctors and other health care professionals. Globally, antimicrobial utilization practices have a profound impact on antimicrobial resistance and are a tremendous public health concern. The aim of this survey was to explore the knowledge and attitudes of medical students from the National Defense University of Malaysia about antimicrobial usage and antimicrobial resistance. Research design and methods: This was a cross-sectional study. The study population was undergraduate medical students in each year group from the National Defence University of Malaysia. Students receive limited formal training on the use of antibiotics in their curriculum and most of this learning is opportunistic whilst on clinical placement. Universal sampling was used as the study population was small. Data were collected utilizing a validated instrument regarding antibiotic use. Simple descriptive statistics were used to generate frequencies and percentages with SPSS V21. This research was approved by the Centre for Research and Innovation Management, National Defence University of Malaysia. Results: 206 questionnaires were distributed with a response rate of 99.03%, 54% (110) male, and 46% (94) female. 65% (132) of respondents had used antibiotics in the last year. Respondents displayed a moderate level of knowledge about antibiotics. Conclusions: This study revealed that the older the student was, or when the year of study and total knowledge score was higher, the students were less likely to stop antimicrobials when they felt better or use leftover antibiotics without consulting a doctor. Therefore, the nearer the students were to graduation, the better their knowledge and skills were, and this translated into their own behaviors regarding use of antimicrobials. This finding has clear implications for curriculum design and the inclusion of formal teaching throughout the medical program on antimicrobial use and AMR. However, more research is needed on this topic, including the prescribing habits and antibiotic use of practicing doctors. Journal Article Antibiotics 8 3 154 2079-6382 Antimicrobial; Antibiotic; Use; Knowledge; Attitude; Practice; Medical Students; Malaysia; Antimicrobial resistance; Antibiotic resistance 19 9 2019 2019-09-19 10.3390/antibiotics8030154 COLLEGE NANME Medical School - School COLLEGE CODE SGMED Swansea University 2019-09-20T16:55:55.9934673 2019-09-17T09:31:40.4636031 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Mainul Haque 1 Nor Azlina A. Rahman 2 Judy McKimm 3 Massimo Sartelli 4 Golam Mohammad Kibria 5 Md Zakirul Islam 6 Siti Nur Najihah Binti Lutfi 7 Nur Syamirah Aishah Binti Othman 8 Shahidah Leong Binti Abdullah 9 0051927-19092019094305.pdf 51927v2.pdf 2019-09-19T09:43:05.1400000 Output 731911 application/pdf Version of Record true 2019-09-19T00:00:00.0000000 Released under the terms of a Creative Commons Attribution License (CC-BY). true eng
title Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia
spellingShingle Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia
Judy McKimm
title_short Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia
title_full Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia
title_fullStr Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia
title_full_unstemmed Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia
title_sort Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia
author_id_str_mv 0aa805562973e8a2727548a041ec4e37
author_id_fullname_str_mv 0aa805562973e8a2727548a041ec4e37_***_Judy McKimm
author Judy McKimm
author2 Mainul Haque
Nor Azlina A. Rahman
Judy McKimm
Massimo Sartelli
Golam Mohammad Kibria
Md Zakirul Islam
Siti Nur Najihah Binti Lutfi
Nur Syamirah Aishah Binti Othman
Shahidah Leong Binti Abdullah
format Journal article
container_title Antibiotics
container_volume 8
container_issue 3
container_start_page 154
publishDate 2019
institution Swansea University
issn 2079-6382
doi_str_mv 10.3390/antibiotics8030154
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description Antimicrobial prescribing behaviors are often influenced by the local culture and prescribing appropriateness of medical doctors and other health care professionals. Globally, antimicrobial utilization practices have a profound impact on antimicrobial resistance and are a tremendous public health concern. The aim of this survey was to explore the knowledge and attitudes of medical students from the National Defense University of Malaysia about antimicrobial usage and antimicrobial resistance. Research design and methods: This was a cross-sectional study. The study population was undergraduate medical students in each year group from the National Defence University of Malaysia. Students receive limited formal training on the use of antibiotics in their curriculum and most of this learning is opportunistic whilst on clinical placement. Universal sampling was used as the study population was small. Data were collected utilizing a validated instrument regarding antibiotic use. Simple descriptive statistics were used to generate frequencies and percentages with SPSS V21. This research was approved by the Centre for Research and Innovation Management, National Defence University of Malaysia. Results: 206 questionnaires were distributed with a response rate of 99.03%, 54% (110) male, and 46% (94) female. 65% (132) of respondents had used antibiotics in the last year. Respondents displayed a moderate level of knowledge about antibiotics. Conclusions: This study revealed that the older the student was, or when the year of study and total knowledge score was higher, the students were less likely to stop antimicrobials when they felt better or use leftover antibiotics without consulting a doctor. Therefore, the nearer the students were to graduation, the better their knowledge and skills were, and this translated into their own behaviors regarding use of antimicrobials. This finding has clear implications for curriculum design and the inclusion of formal teaching throughout the medical program on antimicrobial use and AMR. However, more research is needed on this topic, including the prescribing habits and antibiotic use of practicing doctors.
published_date 2019-09-19T04:04:00Z
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