Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and Sudan
In African countries, antimicrobial resistance (AMR) issue remains pertinent. Despite this, little efforts have been made to assess the future veterinary prescribers on their knowledge, attitudes and practices (KAP) related to antimicrobial usage. This multi-country survey attempts to explore the KA...
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Frontiers Media S.A.
2020-10-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2020.517964/full |
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| author | Folorunso O. Fasina Folorunso O. Fasina Lerica LeRoux-Pullen Lerica LeRoux-Pullen Peter Smith Legesse K. Debusho Aminu Shittu Saleh M. Jajere Saleh M. Jajere Oluwawemimo Adebowale Ismail Odetokun Michael Agbaje Modupe M. Fasina Olubunmi G. Fasanmi Deborah van Dyk Mohammed S. Abubakar Monday M. Onakpa Masaad G. Ali Hozaifa S. Yousuf Waliedin E. Elmgboul Mohammed M. Sirdar Mohammed M. Sirdar |
| author_facet | Folorunso O. Fasina Folorunso O. Fasina Lerica LeRoux-Pullen Lerica LeRoux-Pullen Peter Smith Legesse K. Debusho Aminu Shittu Saleh M. Jajere Saleh M. Jajere Oluwawemimo Adebowale Ismail Odetokun Michael Agbaje Modupe M. Fasina Olubunmi G. Fasanmi Deborah van Dyk Mohammed S. Abubakar Monday M. Onakpa Masaad G. Ali Hozaifa S. Yousuf Waliedin E. Elmgboul Mohammed M. Sirdar Mohammed M. Sirdar |
| author_sort | Folorunso O. Fasina |
| collection | DOAJ |
| description | In African countries, antimicrobial resistance (AMR) issue remains pertinent. Despite this, little efforts have been made to assess the future veterinary prescribers on their knowledge, attitudes and practices (KAP) related to antimicrobial usage. This multi-country survey attempts to explore the KAP of future veterinarians on stewardship of antimicrobial and identify knowledge gaps. Eight veterinary schools participated from Nigeria, Sudan and South Africa. Data regarding perceptions and knowledge were analyzed using Chi-square χ2 test, Spearman's (Rho) Rank order correlation and factor analysis using principal component factoring extraction method. Fifty-two percent of the study participants were final year veterinary students, respectively, and majority (77.2%) had no previous knowledge of biomedical sciences. Majority age were 22–27 years (24.7 ± 2.8) 79% and multiple career fields post-graduation were preferred. Overall, poor perceptions and knowledge of antimicrobial stewardship were observed with variations among countries and only 36.3% (n = 123) of the students were confident in their ability to choose the ideal antimicrobial agents for a specific patient/group of animals. The majority of the final year students were confident of their knowledge regarding AMR (68%), making of Gram staining (69.2%) and in choosing the most ideal route for administering a specific antimicrobial (74.7%). The final year students had significantly (p < 0.05) higher confidence level for knowledge compared with the pre-final year students. Tetracyclines, penicillins, and sulphonamides represent the three most abused veterinary antimicrobials with similar ranking across countries. South African (69.7 ± 20.5) and Sudanese (68.1 ± 15.4) had significantly (p < 0.0001) higher mean scores compared to the Nigerian students (44.3 ± 6.8) in the student's ability to correctly match some specific antimicrobials against their classes but Nigerian students performed better in ranking antimicrobials. This survey revealed poor to average knowledge of antimicrobial stewardship among veterinary students with significant knowledge gaps across the countries. It is recommended that the relevant regulatory and standardization authorities should make concerted efforts and interventions to regularly review curricula to ensure the delivery of targeted formative and normative training, and improved lectures on antimicrobial usage and stewardship in order to improve the awareness and behaviors of future prescribers. The identified knowledge gaps of veterinary medical students on antimicrobial stewardship must be bridge to safeguard the future. |
| first_indexed | 2024-12-12T19:42:10Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-12T19:42:10Z |
| publishDate | 2020-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-96a995ebe22249dabeaf234ba9c70f632022-12-22T00:14:11ZengFrontiers Media S.A.Frontiers in Public Health2296-25652020-10-01810.3389/fpubh.2020.517964517964Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and SudanFolorunso O. Fasina0Folorunso O. Fasina1Lerica LeRoux-Pullen2Lerica LeRoux-Pullen3Peter Smith4Legesse K. Debusho5Aminu Shittu6Saleh M. Jajere7Saleh M. Jajere8Oluwawemimo Adebowale9Ismail Odetokun10Michael Agbaje11Modupe M. Fasina12Olubunmi G. Fasanmi13Deborah van Dyk14Mohammed S. Abubakar15Monday M. Onakpa16Masaad G. Ali17Hozaifa S. Yousuf18Waliedin E. Elmgboul19Mohammed M. Sirdar20Mohammed M. Sirdar21Emergency Centre for Transboundary Animal Diseases, Food and Agriculture Organisation of the United Nations, Dar es Salaam, TanzaniaDepartment of Veterinary Tropical Disease, University of Pretoria, Pretoria, South AfricaDepartment of Paraclinical Sciences, University of Pretoria, Pretoria, South AfricaInstitute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, NetherlandsDepartment of Production Animal Studies, University of Pretoria, Pretoria, South AfricaDepartment of Statistics, College of Science, Engineering and Technology, University of South Africa, Johannesburg, South AfricaDepartment of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, Usmanu Danfodiyo University, Sokoto, NigeriaDepartment of Pathology and Microbiology, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Seri Kembangan, MalaysiaDepartment of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, Nigeria0Department of Veterinary Public Health and Reproduction, College of Veterinary Medicine, Federal University of Agriculture, Abeokuta, Nigeria1Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Ilorin, Ilorin, Nigeria2Department of Veterinary Microbiology and Parasitology, College of Veterinary Medicine, Federal University of Agriculture, Abeokuta, Nigeria3Department of Nursing Science, University of Pretoria, Pretoria, South Africa4Department of Animal Health, Federal College of Animal Health and Production Technology, Ibadan, NigeriaDepartment of Production Animal Studies, University of Pretoria, Pretoria, South Africa5Department of Veterinary Pathology, Faculty of Veterinary Medicine, Usmanu Danfodiyo University, Sokoto, Nigeria6Department of Veterinary Pharmacology, Faculty of Veterinary Medicine, University of Abuja, Abuja, Nigeria7Faculty of Veterinary Medicine, University of Khartoum, Khartoum, Sudan8Faculty of Veterinary Medicine, University of Albutana, Albutana, Sudan7Faculty of Veterinary Medicine, University of Khartoum, Khartoum, SudanDepartment of Production Animal Studies, University of Pretoria, Pretoria, South Africa9Onderstepoort Veterinary Research, Agricultural Research Council, Pretoria, South AfricaIn African countries, antimicrobial resistance (AMR) issue remains pertinent. Despite this, little efforts have been made to assess the future veterinary prescribers on their knowledge, attitudes and practices (KAP) related to antimicrobial usage. This multi-country survey attempts to explore the KAP of future veterinarians on stewardship of antimicrobial and identify knowledge gaps. Eight veterinary schools participated from Nigeria, Sudan and South Africa. Data regarding perceptions and knowledge were analyzed using Chi-square χ2 test, Spearman's (Rho) Rank order correlation and factor analysis using principal component factoring extraction method. Fifty-two percent of the study participants were final year veterinary students, respectively, and majority (77.2%) had no previous knowledge of biomedical sciences. Majority age were 22–27 years (24.7 ± 2.8) 79% and multiple career fields post-graduation were preferred. Overall, poor perceptions and knowledge of antimicrobial stewardship were observed with variations among countries and only 36.3% (n = 123) of the students were confident in their ability to choose the ideal antimicrobial agents for a specific patient/group of animals. The majority of the final year students were confident of their knowledge regarding AMR (68%), making of Gram staining (69.2%) and in choosing the most ideal route for administering a specific antimicrobial (74.7%). The final year students had significantly (p < 0.05) higher confidence level for knowledge compared with the pre-final year students. Tetracyclines, penicillins, and sulphonamides represent the three most abused veterinary antimicrobials with similar ranking across countries. South African (69.7 ± 20.5) and Sudanese (68.1 ± 15.4) had significantly (p < 0.0001) higher mean scores compared to the Nigerian students (44.3 ± 6.8) in the student's ability to correctly match some specific antimicrobials against their classes but Nigerian students performed better in ranking antimicrobials. This survey revealed poor to average knowledge of antimicrobial stewardship among veterinary students with significant knowledge gaps across the countries. It is recommended that the relevant regulatory and standardization authorities should make concerted efforts and interventions to regularly review curricula to ensure the delivery of targeted formative and normative training, and improved lectures on antimicrobial usage and stewardship in order to improve the awareness and behaviors of future prescribers. The identified knowledge gaps of veterinary medical students on antimicrobial stewardship must be bridge to safeguard the future.https://www.frontiersin.org/articles/10.3389/fpubh.2020.517964/fullantimicrobial stewardshipantimicrobial resistanceAfricaveterinary trainingAMRprescribers |
| spellingShingle | Folorunso O. Fasina Folorunso O. Fasina Lerica LeRoux-Pullen Lerica LeRoux-Pullen Peter Smith Legesse K. Debusho Aminu Shittu Saleh M. Jajere Saleh M. Jajere Oluwawemimo Adebowale Ismail Odetokun Michael Agbaje Modupe M. Fasina Olubunmi G. Fasanmi Deborah van Dyk Mohammed S. Abubakar Monday M. Onakpa Masaad G. Ali Hozaifa S. Yousuf Waliedin E. Elmgboul Mohammed M. Sirdar Mohammed M. Sirdar Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and Sudan Frontiers in Public Health antimicrobial stewardship antimicrobial resistance Africa veterinary training AMR prescribers |
| title | Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and Sudan |
| title_full | Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and Sudan |
| title_fullStr | Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and Sudan |
| title_full_unstemmed | Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and Sudan |
| title_short | Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and Sudan |
| title_sort | knowledge attitudes and perceptions associated with antimicrobial stewardship among veterinary students a multi country survey from nigeria south africa and sudan |
| topic | antimicrobial stewardship antimicrobial resistance Africa veterinary training AMR prescribers |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2020.517964/full |
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