studying the knowledge, attitude an practice of antibiotic abuse among alexandria population
TRANSCRIPT
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Studying the knowledge, attitude and practice of antibiotic abuse among
Alexandria population
Menna M. Kamal2nd Year Student, Faculty of Pharmacy
Alexandria University, Egypt
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Introduction
Aim
Method
Results
Conclusion
Future Recommendation
Outlines
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Introduction Aim
Method
Results
Conclusion
Future Recommendation
Outlines
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Antibiotics Drugs used to treat
bacterial infections Mechanism of action
Killing
Introduction
Inhibition of growth
Inhibition of action
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Antibiotic abuse It’s the misuse of antibiotics by :
self- medication
therapy non-compliance
Introduction
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Cairo Saudi Arabia
Jordon UAE Ghana
53.70%
77.60%
23.00%
56.30%
71.50%
antib
iotic
abu
se p
erce
nt
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Introduction
“is the resistance of a microorganism to an antimicrobial drug that was originally effective for treatment of infections caused by it “
WHO Fact Sheets, April 2014
Antibiotic resistance :
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Alexandria
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Innovation
Introduction
Aim Method
Results
Conclusion
Future Recommendation
Outlines
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Aim
of antibiotic self-medication among Alexandrian population
Knowledge Attitude Practice
To assess
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Innovation
Introduction
Aim
Method Results
Conclusion
Future Recommendation
Outlines
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Methodology
Study design and sampling
Data Collection
Data Analysis
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Methodology
Descriptive cross-sectional study Development of semi-constructed
questionnaire The questionnaire was validated ethical and institutional approvals
Study design and sampling
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First Section
Second Section
Fourth Section
Third Section
QUESTIONNAIRE
MethodologyStudy design
and sampling
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First Section9 questions Demographics ●
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QUESTIONNAIRE
MethodologyStudy design
and sampling
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20 questions attitude
●
●
QUESTIONNAIRE
MethodologyStudy design
and sampling
Second Section
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5 questions medical background
●
●
QUESTIONNAIRE
MethodologyStudy design
and sampling
Third Section
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5 questions to examine the attitude of children caregivers
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●
QUESTIONNAIRE
MethodologyStudy design
and sampling
fourth Section
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Methodology
Data Collection
Convenient sample (400) (pharmacies, clubs, cafes, streets and at Alexandria University )
Two months (August , October 2014)
Questionnaire was printed and
self-administrated by subjects
Data Collection
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Methodology
Data were coded and descriptive and quantitative analysis were performed using SPSS version 20.0, … with Chi-square test
Data Analysis
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Innovation
Introduction
Aim
Method
Results Conclusion
Future Recommendation
Outlines
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Results
male38%fe-
male
62%
Gender
I. Demographics 355 participants
(89%)
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Non educated Basic middle over middle university postgradute0%
20%
40%
60%
80%
100%
1.40% 0.80%
15.90%3.30%
68.20%
10.00%
Education
%
I. Demographics social economic status
Results
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un-em-
ployed
skilled worker
manual worker
house wife
student other0%
20%
40%
60%
80%
100%
8.70%
26.10%
1.40% 6.20%
47.90%
9.80%
Profession
%I. Demographics social economic status
Results
26i don`t have
one500-1000 LE 1000-300E >3000 LE prefer not to
answer
0%10%20%30%40%50%60%70%80%90%
100%
57%
4% 9% 9%21%
Monthly Income
I. Demographics social economic status
Results
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chronic diseases
Liver 8%
Kidney8%
Diabetes8%
Asthma13%
Hypertension & Heart Diseases
32%
Others32%
I. Demographics Results
Only 16%
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II. Knowledge Results
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Self-medication 64%, Amoxicillin–Clavulanic acid
%47%39
%11%3 saving time & effort
not preferring doctor visitscost savingother reasons
III. Attitude Results
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%28
%4
%27
%1
%21
%1
Selection of antibiotic based on recommendation of pharmacist
family opinion
friend opinion
experience
webesites
previous dr prescription
advirtisment
24%
Results III. Attitude
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0%
20%
40%
60%
80%
100%
35.20%42.10% 46.10%
10.70%0.30% 1.70%
19.30%
2.60%
Dose Calculation
Results III. Attitude
3277%
17%
0%3% 3%
Source of antibiotic
pharmacy
leftovers
online shopping
Free samples
others
Results III. Attitude
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26%
23%25%
10%
16%disappearance of symptoms
finished quant of antibiotic
complete dose
consult doctor
others
Time to stop antibiotic
Results III. Attitude
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Results
- 26% out of 115 (claiming MB) answered section 3 correctly - 79% of which perform antibiotic misuse.
IV. Testing medical background
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Results V. Children Caregivers attitude
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Innovation
Introduction
Aim
Method
Results
Conclusion Future Recommendation
Outlines
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Conclusion The first study to measure :
-knowledge - attitude -practice of antibiotic abuse in Alexandria
The antibiotic abuse pattern was comparable to other studies ( Jordon & Cairo).
The population with medical background had similar attitude towards antibiotic self-medication in Alexandria.
The caregivers performed antibiotic abuse in the pediatric population however with a lesser extent (only 21%)
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Innovation
Introduction
Aim
Method
Results
Conclusion
Future Recommendation
Outlines
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Future recommendations Antibiotic should be prescribed only by :
- physician -pharmacist Awareness campaigns : - medical population (TOT) -general population
Proper national drug disposal system.
Dispensation of exact drug quantities prescribed to patients.
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Acknowledgments
Dalia A. Hamdy, PhD, RPh.Marwa I. Mahmoud, MD.
Mohamed I . Ashmawy Raghda Mohamed Naglaa Mohamed Mohamed Akram Gehad Ibrahim Mayar Hussam Yosra Hesham
Research team Supervisors
Funding
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%24
%8
%6
%41
%18
%4
Consideration of selecting antibiotic
type
brand
price
inducation
contra iduction
others
Results Attitude
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Results Attitude
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Results Attitude