Assessment of knowledge and attitude trends towards antimicrobial resistance (AMR) among the community members, pharmacists/pharmacy owners and physicians in district Sialkot, Pakistan
Abstract Background Antimicrobial resistance (AMR) is an emerging threat to public health worldwide. A significant evidence has suggested that the knowledge and attitude trends among the community, pharmacists and physicians can play a critical role in managing the ever increasing threat of AMR. Met...
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doaj-219a4ca898f4417a81db22e7bc5489662020-11-25T03:03:23ZengBMCAntimicrobial Resistance and Infection Control2047-29942019-04-01811710.1186/s13756-019-0517-3Assessment of knowledge and attitude trends towards antimicrobial resistance (AMR) among the community members, pharmacists/pharmacy owners and physicians in district Sialkot, PakistanHassan Waseem0Jafar Ali1Fiza Sarwar2Aroosa Khan3Hamza Saleem Ur Rehman4Mishal Choudri5Nooh Arif6Muhammad Subhan7Aansa Rukya Saleem8Asif Jamal9Muhammad Ishtiaq Ali10Department of Biotechnology, University of SialkotKey Laboratory of Environmental Nanotechnology and Health Effects, Research Center for Eco-Environmental Sciences, Chinese Academy of SciencesDepartment of Earth and Environmental Sciences, Bahria UniversityDepartment of Biotechnology, University of SialkotDepartment of Biotechnology, University of SialkotDepartment of Statistics, University of SialkotDepartment of Biotechnology, University of SialkotDepartment of Biotechnology, University of SialkotDepartment of Earth and Environmental Sciences, Bahria UniversityEnvironmental Microbiology Laboratory, Department of Microbiology, Quaid-i-Azam UniversityEnvironmental Microbiology Laboratory, Department of Microbiology, Quaid-i-Azam UniversityAbstract Background Antimicrobial resistance (AMR) is an emerging threat to public health worldwide. A significant evidence has suggested that the knowledge and attitude trends among the community, pharmacists and physicians can play a critical role in managing the ever increasing threat of AMR. Methods A cross-sectional survey was performed using three specific self-administered questionnaires for community members, pharmacists/pharmacy owners and physicians on a randomly selected sample population of 473, 424 and 308 respectively. Bivariate and multivariate logistic regression and Pearson chi-square tests were performed during data analysis. Result A response rate of 81.2% (n = 385), 37.7% (n = 160) and 53.9% (n = 166) was achieved for general community, pharmacists/pharmacy owners and physicians respectively. More than half of the community participants (55.6%; n = 214) possess poor knowledge of AMR. Furthermore, knowledge and attitude of the community participants were also found to be significantly correlated (r2 = 0.02) with each other. In 90.6% (n = 145) of the pharmacies included in the survey, a qualified pharmacist was not present at the time of the operations. Only 36.9% physicians (n = 60) knew about the environmental route of dissemination of AMR. Majority of the physicians agreed that AMR is a global problem and also recognize the need for initiating AMR stewardship programs. Conclusion Our study will provide effective assessment and potential insights in designing tri-faceted interventions for rationalizing antibiotics consumption thus controlling the development and dissemination of AMR.http://link.springer.com/article/10.1186/s13756-019-0517-3AMRAntimicrobial stewardshipOne healthResistance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hassan Waseem Jafar Ali Fiza Sarwar Aroosa Khan Hamza Saleem Ur Rehman Mishal Choudri Nooh Arif Muhammad Subhan Aansa Rukya Saleem Asif Jamal Muhammad Ishtiaq Ali |
spellingShingle |
Hassan Waseem Jafar Ali Fiza Sarwar Aroosa Khan Hamza Saleem Ur Rehman Mishal Choudri Nooh Arif Muhammad Subhan Aansa Rukya Saleem Asif Jamal Muhammad Ishtiaq Ali Assessment of knowledge and attitude trends towards antimicrobial resistance (AMR) among the community members, pharmacists/pharmacy owners and physicians in district Sialkot, Pakistan Antimicrobial Resistance and Infection Control AMR Antimicrobial stewardship One health Resistance |
author_facet |
Hassan Waseem Jafar Ali Fiza Sarwar Aroosa Khan Hamza Saleem Ur Rehman Mishal Choudri Nooh Arif Muhammad Subhan Aansa Rukya Saleem Asif Jamal Muhammad Ishtiaq Ali |
author_sort |
Hassan Waseem |
title |
Assessment of knowledge and attitude trends towards antimicrobial resistance (AMR) among the community members, pharmacists/pharmacy owners and physicians in district Sialkot, Pakistan |
title_short |
Assessment of knowledge and attitude trends towards antimicrobial resistance (AMR) among the community members, pharmacists/pharmacy owners and physicians in district Sialkot, Pakistan |
title_full |
Assessment of knowledge and attitude trends towards antimicrobial resistance (AMR) among the community members, pharmacists/pharmacy owners and physicians in district Sialkot, Pakistan |
title_fullStr |
Assessment of knowledge and attitude trends towards antimicrobial resistance (AMR) among the community members, pharmacists/pharmacy owners and physicians in district Sialkot, Pakistan |
title_full_unstemmed |
Assessment of knowledge and attitude trends towards antimicrobial resistance (AMR) among the community members, pharmacists/pharmacy owners and physicians in district Sialkot, Pakistan |
title_sort |
assessment of knowledge and attitude trends towards antimicrobial resistance (amr) among the community members, pharmacists/pharmacy owners and physicians in district sialkot, pakistan |
publisher |
BMC |
series |
Antimicrobial Resistance and Infection Control |
issn |
2047-2994 |
publishDate |
2019-04-01 |
description |
Abstract Background Antimicrobial resistance (AMR) is an emerging threat to public health worldwide. A significant evidence has suggested that the knowledge and attitude trends among the community, pharmacists and physicians can play a critical role in managing the ever increasing threat of AMR. Methods A cross-sectional survey was performed using three specific self-administered questionnaires for community members, pharmacists/pharmacy owners and physicians on a randomly selected sample population of 473, 424 and 308 respectively. Bivariate and multivariate logistic regression and Pearson chi-square tests were performed during data analysis. Result A response rate of 81.2% (n = 385), 37.7% (n = 160) and 53.9% (n = 166) was achieved for general community, pharmacists/pharmacy owners and physicians respectively. More than half of the community participants (55.6%; n = 214) possess poor knowledge of AMR. Furthermore, knowledge and attitude of the community participants were also found to be significantly correlated (r2 = 0.02) with each other. In 90.6% (n = 145) of the pharmacies included in the survey, a qualified pharmacist was not present at the time of the operations. Only 36.9% physicians (n = 60) knew about the environmental route of dissemination of AMR. Majority of the physicians agreed that AMR is a global problem and also recognize the need for initiating AMR stewardship programs. Conclusion Our study will provide effective assessment and potential insights in designing tri-faceted interventions for rationalizing antibiotics consumption thus controlling the development and dissemination of AMR. |
topic |
AMR Antimicrobial stewardship One health Resistance |
url |
http://link.springer.com/article/10.1186/s13756-019-0517-3 |
work_keys_str_mv |
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