Knowledge, attitudes and perceptions of antibiotic use and resistance among patients in South Africa: A cross-sectional study

被引:11
作者
Farley, Elise [1 ]
van den Bergh, Dena [2 ]
Coetzee, Renier [3 ]
Stewart, Annemie [4 ]
Boyles, Tom [5 ]
机构
[1] Univ Cape Town, Fac Hlth Sci, Publ Hlth & Family Med Dept, Cape Town, South Africa
[2] Univ Cape Town, Dept Med, Div Infect Dis & HIV Med, Groote Schuur Hosp, Cape Town, South Africa
[3] Univ Western Cape, Fac Nat Sci, Sch Pharm, Cape Town, South Africa
[4] Univ Cape Town, Fac Hlth Sci, UCT Clin Res Ctr, Cape Town, South Africa
[5] Univ Witwatersrand, Dept Med, Johannesburg, South Africa
关键词
Antimicrobial resistance; Antibiotic resistance; South Africa; Knowledge; Attitudes; Perceptions; Patient; RESPIRATORY-TRACT INFECTION; PRIMARY-CARE; HEALTH-CARE; BACTERIAL-RESISTANCE; PUBLICS KNOWLEDGE; BELIEFS;
D O I
10.4102/sajid.v34i1.118
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Antibiotic resistance (ABR) is a global health crisis. We conducted a crosssectional survey to describe South African patients' (n = 782) ABR knowledge, attitudes and perceptions (KAP), differences in KAP between public (n = 379, 48%) and private (n = 403, 52%) practice respondents and associations between attitudes, perceptions and knowledge scores. Methods: Knowledge scores (15 questions) were placed into low (0% - 53%) and high (> 54%) categories (below and above overall mean). Comparisons were conducted using chi-squared and t-tests. Results: Of all respondents, 72% believed it was the human body that becomes resistant to antibiotics, 66% stated that antibiotics are good for treating viruses and 25% of patients believed that people should be given antibiotics on demand. Mean knowledge scores were lower in public sector respondents (public 45%, s.d. 15%; private 60%, s.d. 30%; p <= 0.001). Public practice patients with high knowledge scores were more likely to report both negative KAP (antibiotic prescriptions justify doctors' visits, scientists will discover new antibiotics) and protective KAP (finishing a course of antibiotics, antibiotics do not treat all illnesses). Private practice patients with high knowledge scores were marginally less likely to report negative KAP (wanting antibiotics after long illnesses or when very sick) and more likely to report protective KAP (antibiotics have side effects and are a strong treatment). Conclusion: Our study shows differences in KAP by practice type and that greater knowledge increases the likelihood of protective attitudes, perceptions and behaviours.
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页数:9
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共 48 条
[1]   Knowledge and beliefs on antimicrobial resistance among physicians and nurses in hospitals in Amhara Region, Ethiopia [J].
Abera, Bayeh ;
Kibret, Mulugeta ;
Mulu, Wondemagegn .
BMC PHARMACOLOGY & TOXICOLOGY, 2014, 15
[2]  
[Anonymous], 2012, Wkly Epidemiol Rec, V87, P1
[3]  
[Anonymous], 2015, Interfaces for personal identity verification - Part 1: PIV card application namespace, data model and representation, P1, DOI [10.1136/bmj.328.7440, DOI 10.1136/BMJ.328.7440]
[4]  
[Anonymous], 2013, TUBERCULOSIS H UNPUB, V16, P1, DOI [10.5588/ijtld.10.0791.a, DOI 10.5588/IJTLD.10.0791.A]
[5]   Interventions to improve antibiotic prescribing practices in ambulatory care [J].
Arnold, S. R. ;
Straus, S. E. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2005, (04)
[6]  
Arroll B, 2002, J FAM PRACTICE, V51, P954
[7]  
Azeem Mohammad, 2014, Infectious Disorders - Drug Targets, V14, P125
[8]  
Barua A., 2013, Journal of Asian Scientific Research, V3, P35
[9]   Health care reform and the crisis of HIV and AIDS in South Africa [J].
Benatar, SR .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (01) :81-92
[10]   Towards a better understanding of patients' perspectives of antibiotic resistance and MRSA: a qualitative study [J].
Brooks, Lauren ;
Shaw, Alison ;
Sharp, Debbie ;
Hay, Alastair D. .
FAMILY PRACTICE, 2008, 25 (05) :341-348