Assessment of attitudes and practices of young Malaysian adults about antibiotics use: a cross-sectional study
Objective: The present study was aimed to evaluate the practices and attitudes of young Malaysian adults towards the use of antibiotics, and to determine the socioeconomic factors associated with the antibiotic use.
Methods: A survey was carried in Cheras community by approaching a conveniently selected sample of 480 participants. A pre-tested questionnaire was used for data collection.
Result: Of 480 participants approached, 400 agreed to participate in this study, giving a response rate of 83.3%. The study results showed that 42.75% of the participants exhibited poor attitudes towards antibiotic usage. Chinese race and high income were significantly associated with the positive attitudes towards antibiotic usage. It is shown that the practice of the participants towards antibiotics was relatively poor. The majority of participants agreed that they do not consult a doctor for minor illnesses (64%). The main reason for not consulting a doctor was the high fees of consultation (34.25%) and the inconvenience of visit (29.25%). However, a large proportion of respondents (77.5%) agreed that there is a need to enhance antibiotic education among public.
Conclusion: The study results identified some crucial gaps in the attitudes and practices of Cheras community about the use of antibiotics. Thus, improving the public knowledge and changing their attitude towards antibiotic use along with proper interventions to regulate the ease of their availability would play a significant role for the effective use of antibiotics in the community.
2. Franco BE, Altagracia Martinez M, Sanchez Rodriguez MA, Wertheimer AI. The determinants of the antibiotic resistance process. Infect Drug Resist. 2009;2:1-11.
3. World Health Organization. The world health report 2007. Switzerland: World Health Organization; 2007. Available at: http://www.who.int/whr/2007/en/ (accessed on 14-Nov-2016).
4. Seppälä H, Klaukka T, Vuopio-Varkila J, Muotiala A, Helenius H, Lager K, Huovinen P. The effect of changes in the consumption of macrolide antibiotics on erythromycin resistance in group A streptococci in Finland. N Engl J Med. 1997;337(7):441-446. doi: 10.1056/NEJM199708143370701
5. Austin DJ, Kristinsson KG, Anderson RM. The relationship between the volume of antimicrobial consumption in human communities and the frequency of resistance. Proc Natl Acad Sci U S A. 1999;96(3):1152-1156.
6. Felmingham D, Grüneberg RN. The Alexander Project 1996–1997: latest susceptibility data from this international study of bacterial pathogens from community-acquired lower respiratory tract infections. J Antimicrob Chemother. 2000;45(2):191-203.
7. Pradier C, Dunais B, Carsenti-Etesse H, Dellamonica P. Pneumococcal resistance patterns in Europe. Eur J Clin Microbiol Infect Dis. 1997;16(9):644-647.
8. Cars H, Håkansson A. To prescribe-or not to prescribe-antibiotics: District physicians’ habits vary greatly, and are difficult to change. Scand J Prim Health Care. 1995;13(1):3-7.
9. Bjerrum L, Boada A, Cots JM, Llor C, Forés Garcia D, Gahrn-Hansen B, Munck A. Respiratory tract infections in general practice: considerable differences in prescribing habits between general practitioners in Denmark and Spain. Eur J Clin Pharmacol. 2004;60(1):23-28. doi: 10.1007/s00228-003-0706-z
10. Al-Azzam S, Al-Husein B, Alzoubi F, Masadeh M. Self-medication with antibiotics in Jordanian population. Int J Occup Med Environ Health. 2007;20(4):373-380. doi: 10.2478/v10001-007-0038-9
11. Väänänen MH, Pietilä K, Airaksinen M. Self-medication with antibiotics—Does it really happen in Europe? Health Policy. 2006;77(2):166-171. doi: 10.1016/j.healthpol.2005.07.001
12. Ministry of Health Malaysia: Pharmaceutical Service Division. Malaysian Statistic on Medicines 2009-2010. Malaysia: 2010. Available from: http://www.pharmacy.gov.my/v2/en/documents/malaysian-statistics-medicines.html (accessed on 25-Nov-2016).
13. Ling Oh A, Hassali MA, Al-Haddad MS, Syed Sulaiman SA, Shafie AA, Awaisu A. Public knowledge and attitudes towards antibiotic usage: a cross-sectional study among the general public in the state of Penang, Malaysia. J Infect Dev Ctries. 2011;5(5):338-347.
14. Fatokun O. Exploring antibiotic use and practices in Malaysian community. Int J Clin Pharm. 2014;36(3):564-569. doi: 10.1007/s11096-014-9937-6
15. Qamar M, Sheikh Abdullah NH, Khan J, Mahmud A, Ahmad A. Knowledge and attitude towards antibiotic usage among general public in Shah Alam, Malaysia. UK J Pharm Biosci. 2014;2(6):60-66. doi: 10.20510/ukjpb/2/i6/91175
16. The Hague: International Pharmaceutical Federation. FIP Statement of Policy Control of Antimicrobial Medicines Resistance (AMR). Available from : http://apps.who.int/medicinedocs/en/d/Js19755en/ (accessed 20-Oct-2016).
17. Shehadeh M, Suaifan G, Darwish RM, Wazaify M, Zaru L, Alja’fari S. Knowledge, attitudes and behavior regarding antibiotics use and misuse among adults in the community of Jordan. A pilot study. Saudi Pharm J. 2012;20(2):125-133. doi: 10.1016/j.jsps.2011.11.005
18. Kajang Municipal Council. Population Census [online]. 2016 Apr 19 [cited 2016 Apr 21]. Available at: URL:http://www.mpkj.gov.my/en/web/guest/taburan-penduduk (accessed on 5-Nov-2016).
19. Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Measur. 1970; 30(3):607-610. doi: 10.1177/001316447003000308
20. Abasaeed A, Vlcek J, Abuelkhair M, Kubena A. Self-medication with antibiotics by the community of Abu Dhabi Emirate, United Arab Emirates. J Infect Dev Ctries. 2009;3(7):491-497.
21. Azhar MI, Gunasekaran K, Kadirvelu A, Gurtu S, Sadasivan S, Kshatriya BM. Self-medication: awareness and attitude among Malaysian urban population. Int J Collab Res Intern Med Public Health. 2013;5(6):436.
22. Lim KK, Teh CC. A cross-sectional study of public knowledge and attitude towards antibiotics in Putrajaya, Malaysia. South Med Rev. 2012;5(2):26-33.
23. Morgan DJ, Okeke IN, Laxminarayan R, Perencevich EN, Weisenberg S. Non-prescription antimicrobial use worldwide: a systematic review. Lancet Infect Dis. 2011;11(9):692-701. doi: 10.1016/S1473-3099(11)70054-8
24. Reynolds L, McKee M. Factors influencing antibiotic prescribing in China: an exploratory analysis. Health Policy. 2009;90(1):32-36. doi: 10.1016/j.healthpol.2008.09.002
25. Islahudin F, Tamezi AM, Shah NM. Knowledge, attitudes and practices about antibiotic use among the general public in Malaysia. Southeast Asian J Trop Med Public Health. 2014;45(6):1474-1482.
26. Quick JD, Laing RO, Ross-Degnan DG. Intervention research to promote clinically effective and economically efficient use of pharmaceuticals: the International Network for Rational Use of Drugs. J Clin Epidemiol. 1991;44(Suppl 2):57S-65S.
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