A Formative Assessment of Antibiotic Dispensing/Prescribing Practices and Knowledge and Perceptions of Antimicrobial Resistance (AMR) among Healthcare Workers in Lahore Pakistan
(1) Background: Antimicrobial resistance causes significant disease burden in low- and middle-income countries. The objective of this paper is to describe antibiotic dispensing/prescribing practices and underlying factors associated with these practices among community-based healthcare workers. (2)...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/11/10/1418 |
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| author | Noor Sabah Rakhshani Linda Marie Kaljee Mohammad Imran Khan Tyler Prentiss Ali Turab Ali Mustafa Memoona Khalid Marcus Zervos |
| author_facet | Noor Sabah Rakhshani Linda Marie Kaljee Mohammad Imran Khan Tyler Prentiss Ali Turab Ali Mustafa Memoona Khalid Marcus Zervos |
| author_sort | Noor Sabah Rakhshani |
| collection | DOAJ |
| description | (1) Background: Antimicrobial resistance causes significant disease burden in low- and middle-income countries. The objective of this paper is to describe antibiotic dispensing/prescribing practices and underlying factors associated with these practices among community-based healthcare workers. (2) Methods: Cross-sectional survey data were collected from private and public health facilities in 14 union councils, Lahore Pakistan. Respondents included physicians, nurses, lady health workers/volunteers, midwives, pharmacy and medicine shop employees, and medical technicians. Descriptive and bivariate analysis are used to present the data; (3) Results: 177 respondents completed the survey. In terms of weekly dispensing of antibiotics, the most common were Amoxicillin/Augmentin (2.3 [SD 1.5]), Cefixine (2.4 [SD 1.6]), and Azithromycin (2.5 [SD 2.1]). For children, antibiotics were more likely to be prescribed/dispensed for sore throat (54.3%/95) and diarrhea (48.9%/86). For adults, antibiotics were more likely to be prescribed/dispensed for sore throat (67.0%/118), diarrhea (59.7%/105) and burning sensation when urinating (55.7%/176). In total, 55.4% of respondents stated that they have sold partial antibiotic courses to patients/customers. A total of 44.6% of respondents incorrectly answered that antibiotics could be used for viral infections; (4) Conclusions: Data from this study and similar research emphasize the urgent need to implement community-based stewardship programs for all healthcare workers. |
| first_indexed | 2024-03-09T20:49:49Z |
| format | Article |
| id | doaj.art-b5b1bf6e9c42487e9525d1e31ac77548 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-09T20:49:49Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-b5b1bf6e9c42487e9525d1e31ac775482023-11-23T22:36:06ZengMDPI AGAntibiotics2079-63822022-10-011110141810.3390/antibiotics11101418A Formative Assessment of Antibiotic Dispensing/Prescribing Practices and Knowledge and Perceptions of Antimicrobial Resistance (AMR) among Healthcare Workers in Lahore PakistanNoor Sabah Rakhshani0Linda Marie Kaljee1Mohammad Imran Khan2Tyler Prentiss3Ali Turab4Ali Mustafa5Memoona Khalid6Marcus Zervos7PHC Global (pvt.) Ltd., 241 Bahadur Shah Zafar Road, Bahadurabad 3, Karachi 74800, PakistanGlobal Health Initiative, Henry Ford Health, One Ford Place, Suite 1E, Detroit, MI 48202, USAPHC Global (pvt.) Ltd., 241 Bahadur Shah Zafar Road, Bahadurabad 3, Karachi 74800, PakistanGlobal Health Initiative, Henry Ford Health, One Ford Place, Suite 1E, Detroit, MI 48202, USAPHC Global (pvt.) Ltd., 241 Bahadur Shah Zafar Road, Bahadurabad 3, Karachi 74800, PakistanPHC Global (pvt.) Ltd., 241 Bahadur Shah Zafar Road, Bahadurabad 3, Karachi 74800, PakistanPHC Global (pvt.) Ltd., 241 Bahadur Shah Zafar Road, Bahadurabad 3, Karachi 74800, PakistanDivision of Infectious Diseases, Henry Ford Health, Clara Ford Pavillion, Detroit, MI 48202, USA(1) Background: Antimicrobial resistance causes significant disease burden in low- and middle-income countries. The objective of this paper is to describe antibiotic dispensing/prescribing practices and underlying factors associated with these practices among community-based healthcare workers. (2) Methods: Cross-sectional survey data were collected from private and public health facilities in 14 union councils, Lahore Pakistan. Respondents included physicians, nurses, lady health workers/volunteers, midwives, pharmacy and medicine shop employees, and medical technicians. Descriptive and bivariate analysis are used to present the data; (3) Results: 177 respondents completed the survey. In terms of weekly dispensing of antibiotics, the most common were Amoxicillin/Augmentin (2.3 [SD 1.5]), Cefixine (2.4 [SD 1.6]), and Azithromycin (2.5 [SD 2.1]). For children, antibiotics were more likely to be prescribed/dispensed for sore throat (54.3%/95) and diarrhea (48.9%/86). For adults, antibiotics were more likely to be prescribed/dispensed for sore throat (67.0%/118), diarrhea (59.7%/105) and burning sensation when urinating (55.7%/176). In total, 55.4% of respondents stated that they have sold partial antibiotic courses to patients/customers. A total of 44.6% of respondents incorrectly answered that antibiotics could be used for viral infections; (4) Conclusions: Data from this study and similar research emphasize the urgent need to implement community-based stewardship programs for all healthcare workers.https://www.mdpi.com/2079-6382/11/10/1418antimicrobial resistanceAMR stewardshipdispensing practicescommunity health carePakistanSouth Asia |
| spellingShingle | Noor Sabah Rakhshani Linda Marie Kaljee Mohammad Imran Khan Tyler Prentiss Ali Turab Ali Mustafa Memoona Khalid Marcus Zervos A Formative Assessment of Antibiotic Dispensing/Prescribing Practices and Knowledge and Perceptions of Antimicrobial Resistance (AMR) among Healthcare Workers in Lahore Pakistan Antibiotics antimicrobial resistance AMR stewardship dispensing practices community health care Pakistan South Asia |
| title | A Formative Assessment of Antibiotic Dispensing/Prescribing Practices and Knowledge and Perceptions of Antimicrobial Resistance (AMR) among Healthcare Workers in Lahore Pakistan |
| title_full | A Formative Assessment of Antibiotic Dispensing/Prescribing Practices and Knowledge and Perceptions of Antimicrobial Resistance (AMR) among Healthcare Workers in Lahore Pakistan |
| title_fullStr | A Formative Assessment of Antibiotic Dispensing/Prescribing Practices and Knowledge and Perceptions of Antimicrobial Resistance (AMR) among Healthcare Workers in Lahore Pakistan |
| title_full_unstemmed | A Formative Assessment of Antibiotic Dispensing/Prescribing Practices and Knowledge and Perceptions of Antimicrobial Resistance (AMR) among Healthcare Workers in Lahore Pakistan |
| title_short | A Formative Assessment of Antibiotic Dispensing/Prescribing Practices and Knowledge and Perceptions of Antimicrobial Resistance (AMR) among Healthcare Workers in Lahore Pakistan |
| title_sort | formative assessment of antibiotic dispensing prescribing practices and knowledge and perceptions of antimicrobial resistance amr among healthcare workers in lahore pakistan |
| topic | antimicrobial resistance AMR stewardship dispensing practices community health care Pakistan South Asia |
| url | https://www.mdpi.com/2079-6382/11/10/1418 |
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