Public knowledge, attitude and practice towards antibiotics use and antimicrobial resistance in Saudi Arabia: A web-based cross-sectional survey

Background: Antimicrobial resistance is a global issue that causes significant morbidity and mortality. Therefore, this study aims to assess knowledge, attitudes, and practices (KAP) of the general Saudi populations toward antibiotics use. Design and methods: A cross-sectional, anonymous online surv...

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Main Authors: Ali Hassan A. Alnasser, Jaffar A. Al-Tawfiq, Hana Ahmed A. Ahmed, Sarah Mohammed H. Alqithami, Zahrah Mohammed A. Alhaddad, Ahoud Said M. Rabiah, Maryam Ali A. Albrahim, Mohammed Sheker H. Al Kalif, Mazin Barry, Mohamad-Hani Temsah, Zahra Shaker H. Al-Kalaif, Rubayyi Faris B. Shahadah, Khulud Khalid S. Alharbi, Aqeela Ali H. Alnasser
Format: Article
Language:English
Published: SAGE Publishing 2021-07-01
Series:Journal of Public Health Research
Subjects:
Online Access:https://www.jphres.org/index.php/jphres/article/view/2276
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author Ali Hassan A. Alnasser
Jaffar A. Al-Tawfiq
Hana Ahmed A. Ahmed
Sarah Mohammed H. Alqithami
Zahrah Mohammed A. Alhaddad
Ahoud Said M. Rabiah
Maryam Ali A. Albrahim
Mohammed Sheker H. Al Kalif
Mazin Barry
Mohamad-Hani Temsah
Zahra Shaker H. Al-Kalaif
Rubayyi Faris B. Shahadah
Khulud Khalid S. Alharbi
Aqeela Ali H. Alnasser
author_facet Ali Hassan A. Alnasser
Jaffar A. Al-Tawfiq
Hana Ahmed A. Ahmed
Sarah Mohammed H. Alqithami
Zahrah Mohammed A. Alhaddad
Ahoud Said M. Rabiah
Maryam Ali A. Albrahim
Mohammed Sheker H. Al Kalif
Mazin Barry
Mohamad-Hani Temsah
Zahra Shaker H. Al-Kalaif
Rubayyi Faris B. Shahadah
Khulud Khalid S. Alharbi
Aqeela Ali H. Alnasser
author_sort Ali Hassan A. Alnasser
collection DOAJ
description Background: Antimicrobial resistance is a global issue that causes significant morbidity and mortality. Therefore, this study aims to assess knowledge, attitudes, and practices (KAP) of the general Saudi populations toward antibiotics use. Design and methods: A cross-sectional, anonymous online survey was conducted from January 1 to May 11, 2020, across five major regions of Saudi Arabia. Participants (aged ≥18 years) were invited through social media to complete an online self-structured questionnaire. All data were analyzed by Statistical Package (SPSS v.25). Descriptive statistics, Pearson's Chi-squared, t-tests, one-way analysis of variance (ANOVA), and Pearson correlation analyses were conducted. Results: Out of 443 participants, the majority (n=309, 69.8%) were females, 294 (64.4%) were married, 176 (39.7%) were 25-34 years of age, 338 (76.3%) were living in the Eastern Province, 313 (70.7%) had college or higher education, 139 (31.4%) were not working, and 163 (36.8%) had a monthly income of USD 800-1330. Overall, most participants demonstrated good knowledge and practice (88% and 85.6%, respectively).  However, 76.8%had inadequate attitude score levels towards antibiotics use. Of all the respondents, 74.9% knew that not completing a full course of antibiotics may cause antibiotics resistance, 91.33% did not agree that antibiotics should be accessed without a prescription, and 94.04% will not hand over leftover antibiotics to family members. Factors associated with adequate knowledge were female, medical jobs, and higher income (p<0.05). Conclusions: Our findings revealed that while most participants were aware of antibiotics use and demonstrated good knowledge, good practices, they had negative attitudes towards antibiotics use.
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spelling doaj.art-2b42085d92f94eb0a8fae696fb6625572023-01-02T03:07:09ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362021-07-0110.4081/jphr.2021.2276Public knowledge, attitude and practice towards antibiotics use and antimicrobial resistance in Saudi Arabia: A web-based cross-sectional surveyAli Hassan A. Alnasser0Jaffar A. Al-Tawfiq 1Hana Ahmed A. Ahmed2Sarah Mohammed H. Alqithami3Zahrah Mohammed A. Alhaddad4Ahoud Said M. Rabiah5Maryam Ali A. Albrahim6Mohammed Sheker H. Al Kalif7Mazin Barry8Mohamad-Hani Temsah9Zahra Shaker H. Al-Kalaif10Rubayyi Faris B. Shahadah11Khulud Khalid S. Alharbi12Aqeela Ali H. Alnasser13Department of Laboratory, Dhahran Eye Specialist Hospital, Ministry of Health, Dhahran 31942, Saudi ArabiaInfectious Disease Unit, Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USADepartment of Internal Medicine, Military Hospital, Khartoum, SudanPharmacology & Toxicology Department, College of Pharmacy, Taif University, Taif, Saudi ArabiaPrimary Health Centers, First Health Cluster in Eastern Province, Ministry of Health, Saudi ArabiaDepartment of Medicine, Arabian Gulf University, Manama, BahrainDepartment of Dentistry, Dammam Medical Complex, Ministry of Health, Dammam, Saudi ArabiaDepartment of Public Health, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia, Technical and Vocational Training Corporation, Riyadh, Saudi ArabiaDivision of Infectious Diseases, Department of Internal Medicine, College of Medicine, King Saud University and King Saud University Medical City, Riyadh, Saudi ArabiaPediatric Department, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Ophthalmology, Dammam Medical Complex, Dammam, Saudi ArabiaCollege of Dentistry, Taibah University, Madinah, Saudi ArabiaCollege of Applied Medical Science, Umm Al-Qura University, Makkah, Saudi Arabia, The Panuska College of Professional Studies, The University of Scranton, Scranton, PA, USAAl-Awjam First Secondary School for Girls, Al-Qatif Girls Education Office, General Administration of Education in the Eastern Region, Ministry of Education, Qatif, Saudi ArabiaBackground: Antimicrobial resistance is a global issue that causes significant morbidity and mortality. Therefore, this study aims to assess knowledge, attitudes, and practices (KAP) of the general Saudi populations toward antibiotics use. Design and methods: A cross-sectional, anonymous online survey was conducted from January 1 to May 11, 2020, across five major regions of Saudi Arabia. Participants (aged ≥18 years) were invited through social media to complete an online self-structured questionnaire. All data were analyzed by Statistical Package (SPSS v.25). Descriptive statistics, Pearson's Chi-squared, t-tests, one-way analysis of variance (ANOVA), and Pearson correlation analyses were conducted. Results: Out of 443 participants, the majority (n=309, 69.8%) were females, 294 (64.4%) were married, 176 (39.7%) were 25-34 years of age, 338 (76.3%) were living in the Eastern Province, 313 (70.7%) had college or higher education, 139 (31.4%) were not working, and 163 (36.8%) had a monthly income of USD 800-1330. Overall, most participants demonstrated good knowledge and practice (88% and 85.6%, respectively).  However, 76.8%had inadequate attitude score levels towards antibiotics use. Of all the respondents, 74.9% knew that not completing a full course of antibiotics may cause antibiotics resistance, 91.33% did not agree that antibiotics should be accessed without a prescription, and 94.04% will not hand over leftover antibiotics to family members. Factors associated with adequate knowledge were female, medical jobs, and higher income (p<0.05). Conclusions: Our findings revealed that while most participants were aware of antibiotics use and demonstrated good knowledge, good practices, they had negative attitudes towards antibiotics use.https://www.jphres.org/index.php/jphres/article/view/2276Self-medicationNon-prescriptionSelf-treatmentMulti-Drug-ResistanceAntibiotics stewardship
spellingShingle Ali Hassan A. Alnasser
Jaffar A. Al-Tawfiq
Hana Ahmed A. Ahmed
Sarah Mohammed H. Alqithami
Zahrah Mohammed A. Alhaddad
Ahoud Said M. Rabiah
Maryam Ali A. Albrahim
Mohammed Sheker H. Al Kalif
Mazin Barry
Mohamad-Hani Temsah
Zahra Shaker H. Al-Kalaif
Rubayyi Faris B. Shahadah
Khulud Khalid S. Alharbi
Aqeela Ali H. Alnasser
Public knowledge, attitude and practice towards antibiotics use and antimicrobial resistance in Saudi Arabia: A web-based cross-sectional survey
Journal of Public Health Research
Self-medication
Non-prescription
Self-treatment
Multi-Drug-Resistance
Antibiotics stewardship
title Public knowledge, attitude and practice towards antibiotics use and antimicrobial resistance in Saudi Arabia: A web-based cross-sectional survey
title_full Public knowledge, attitude and practice towards antibiotics use and antimicrobial resistance in Saudi Arabia: A web-based cross-sectional survey
title_fullStr Public knowledge, attitude and practice towards antibiotics use and antimicrobial resistance in Saudi Arabia: A web-based cross-sectional survey
title_full_unstemmed Public knowledge, attitude and practice towards antibiotics use and antimicrobial resistance in Saudi Arabia: A web-based cross-sectional survey
title_short Public knowledge, attitude and practice towards antibiotics use and antimicrobial resistance in Saudi Arabia: A web-based cross-sectional survey
title_sort public knowledge attitude and practice towards antibiotics use and antimicrobial resistance in saudi arabia a web based cross sectional survey
topic Self-medication
Non-prescription
Self-treatment
Multi-Drug-Resistance
Antibiotics stewardship
url https://www.jphres.org/index.php/jphres/article/view/2276
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