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Perception and determinants leading to antimicrobial (mis)use: A knowledge, attitude, and practices study in the

Matrujyoti Pattnaik1, Ashish Kumar Nayak1, Sonam Karna1

  • 1Department of Microbiology, ICMR-Regional Medical Research Centre (Department of Health Research, Ministry of Health and Family Welfare, Government of India), Bhubaneswar, Odisha, India.

Frontiers in Public Health
|January 30, 2023
PubMed
Abstract

Insights

Antimicrobial resistance (AMR) is a global health threat. This study found significant gaps in knowledge, attitudes, and practices regarding antimicrobial use in rural India, highlighting the need for public awareness programs.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Global Health

Background:

  • Antimicrobial resistance (AMR) poses a significant global public health challenge.
  • Understanding community knowledge, attitudes, and practices (KAP) is crucial for effective interventions.

Purpose of the Study:

  • To determine KAP regarding antimicrobial use and AMR in rural Indian communities.
  • To identify specific areas of concern for targeted educational programs.

Main Methods:

  • A cross-sectional study involving 1,003 participants from 25 villages in Tigiria, Odisha, India.
  • Data collected via semi-structured questionnaires on electronic devices, covering demographics, antibiotic use, AMR awareness, healthcare utilization, and quality of life.
  • Statistical analysis included descriptive statistics, independent t-tests, and ANOVA.

Main Results:

  • Only 44.47% of participants had heard of antimicrobial medicines.
  • 14.75% purchased antibiotics over-the-counter without a prescription, and 20.14% did not complete their antibiotic course.
  • Quality of life scores were significantly impacted, particularly in the physical domain, with variations across demographic factors.

Conclusions:

  • The study revealed significant deficiencies in KAP concerning antimicrobial (mis)use.
  • There is an urgent need to implement antimicrobial stewardship programs and educational initiatives to enhance public awareness of AMR.
Keywords:
antibioticsantimicrobial resistanceattitudeknowledgepractices

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