Assessment of Knowledge, Attitude and Practices Towards Antimicrobial Usage and Resistance among Healthcare Professionals in Ambo and Gudar Towns, West Showa, Oromia, Ethiopia
DOI:
https://doi.org/10.20372/afnr.v2i1.950Keywords:
Antimicrobial use, Antimicrobial resistance, knowledge, Attitude Practice Ambo and GudarAbstract
Antimicrobials Resistance (AMR) is one of the top global public and economic threats. The goal of the current study was to assess the knowledge, attitudes, and practices towards antimicrobial usage and resistance among veterinary and human healthcare professionals in the Ambo and Gudar towns. A cross-sectional study was conducted on 120 randomly selected participants. A semi structured questionnaire consisting of 49 questions were employed. The data was analyzed using Statistical Software Package (STATA, version 17). Descriptive statistics and chi-square test were employed for describing the data and make inferential. The majority (56.67%) of healthcare professionals agreed that antimicrobials are effective against viral infections. About 38.33% of the participants agreed that the use of antimicrobials in animals intended for food-can result in resistant bacteria being transmitted to humans. Nearly half (48.33%) of respondents agreed that inappropriate antimicrobial use can lead to drug resistance. About (42.50%) healthcare professionals agreed that the link between the health of humans and animals and their environment is important in preventing antimicrobial resistance. Respondents’ attitude was significantly influenced by sociodemographic characteristics, including sex (x2= 6.70, P=0.01) and age (x2=13.74, P=0.03). About 41.67% of health care professionals were always responding to the use of national medical antimicrobial prescription guidelines. The study identified lack of knowledge, and malpractice albeit positive attitude towards AMU and resistance. This warrant continuing capacity building programs for the professionals on AM usage and resistance, and development field-friendly disease diagnosis and management tools are essentially in need to reduce AMR.
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Aarestrup, F.M., Wegener, H.C. and Collignon, P., (2008): Resistance in bacteria of the food chain: epidemiology and control strategies. Expert review of anti-infective therapy, 6(5), 733-750.
Akinyandenu, O. and Akinyandenu, A., (2014): Irrational use and nonprescription sale of antibiotics in nigeria, a need for change. J sci innov res, 3(2), 251-7.
Arsham H. (2007): Descriptive Sampling Data Analysis. http://ubmail.ubalt.edu/harsham/Business-stat/opre504.htm#rwhyrssm Statistical Thinking for Managerial Decision Making. Retrieved October 03, 2022.
Assar, A., Abdelraoof, M.I., Abdel-Maboud, M., Shaker, K.H., Menshawy, A., Swelam, A.H., Eid, M., Khalid, R., Mogahed, M., Abushouk, A.I. and Aleya, l., (2020): Knowledge, attitudes, and practices of egypt’s future physicians toward antimicrobial resistance (KAP-AMR study): a multicenter cross-sectional study. Environmental science and pollution research, 27(17), 21292-21298.
Ayele B, Belay T, Gebre T, Zerihun M, Amere (2022): Association of community antibiotic consumption with clinically active trachoma in rural Ethiopia. Int Health. ; 3(4):282–8. https://doi.org/10.1016/j. inhe..06.001 PMID: 22247750
Boeckel, Van T.P., Brower, C., Gilbert, M., Grenfell, B.T., Levin, S.A., Robinson, T.P., Teillant, A. and Laxminarayan, R., (2015): Global trends in antimicrobial use in food animals. Proceedings of the national academy of sciences, 112(18), 5649-5654.
Burger, W. and Burge, M.J., (2016): Digital image processing: an algorithmic introduction using java. Springer.Coyne, L.A., Latham, S.M., Dawson, S.; Donald, I.J., Pearson, R.B., Smith, R.F., Williams, N.J., Pinchbeck, G.L., (2018): antimicrobial use practices, attitudes and responsibilities in UK farm animal veterinary surgeons. Prev. Vet. Med., (161), 115–126.
Cerniglia, C. E., Pineiro, S. A., & Kotarski, S. F. (2016). An update discussion on the current assessment of the safety of veterinary antimicrobial drug residues in food with regard to their impact on the human intestinal microbiome. Drug testing and analysis, 8(5-6), 539–548. https://doi.org/10.1002/dta.2024
Coyne, L.A., Latham, S.M., Dawson, S.; Donald, I.J., Pearson, R.B., Smith, R.F., Williams, N.J., Pinchbeck, G.L., (2016): understanding the culture of antimicrobial prescribing in agriculture: a qualitative study of uk pig veterinary surgeons. J. Antimicrob. Chemother. (71), 3300–3312.
CSA, (2020/21: Agricultural sample survey) volume ii report on livestock and livestock characteristics (private peasant holdings). Central statistical agency (CSA): Addis Ababa, Ethiopia( 2021)
Daniel, Teshome., Gebeyehui, Demisew., Bekele, Belay., Mulate, Getachew., Gugsai , Tarekegn., Tintagu., (2021).
Darwish, Abdelmalek, S., Dayyih, W.A. and Hamadi, S., (2014): Awareness of antibiotic use and antimicrobial resistance in the iraqi community in jordan. The journal of infection in developing countries, 8(05), 616-623.
De Briyne, N., Atkinson, J., Pokludová, L., Borriello, S.P., Price, S., (2013): Factors influencing antibiotic prescribing habits and use of sensitivity testing among veterinarians in europe. Vet. Rec, (173), 475.
Doron, S and Davidson, L.E., (2011): November. Antimicrobial stewardship. In mayo clinic proceedings (vol. 86, (11), 1113-1123, Elsevier.
Duguma, Chala. (2021). Assessment of husbandry practice and egg production performance of indigenous chickens in urban and peri urban area of Guder town, Oromia Region, Ethiopia. Journal of Scientific Agriculture. 124-132. 10.25081/jsa.2020.v4.6363.
Economou, V. and Gousia, P., (2015): Agriculture and food animals as a source of antimicrobial-resistant bacteria. Infection and drug resistance, (8), 49.
FAO SOFA report (2019): New insights into food loss and waste, https://www.ifpri.org/blog/fao-sofa-report-2019-new-insights-food-loss-and-waste
Feyisa, B.B., Dabu, G.T. (2020) Determinant of under nutrition among under five children in Ambo town during covid 19 pandemic in 2020. A community-based cross-sectional study. BMC Nutr 9, 103 (2023). https://doi.org/10.1186/s40795-023-00762-5
Filipetto, F.A.; Modi, D.S.; Weiss, L.B.; Ciervo, C.A., (2008): Patient knowledge and perception of upper respiratory infections, antibiotic indications and resistance. Patient prefer. Adherence, (2), 35–39.
Gemeda, B.A., Assefa, A., Jaleta, M.B., Amenu, K., & Wieland, B. (2021). Antimicrobial resistance in Ethiopia: A systematic review and meta-analysis of prevalence in foods, food handlers, animals, and the environment. One Health, 13.
Geta, K. and Kibret, M., (2021): Knowledge, attitudes and practices of animal farm owners/workers on antibiotic use and resistance in Amhara region, north western Ethiopia. Scientific Reports, 11(1), 1-13.
Geta, K. and Kibret, M., (2022): Knowledge, Attitudes and Practices of Patients on Antibiotic Resistance and Use in Public Hospitals of Amhara Regional State, Northwestern Ethiopia: A Cross-Sectional Study. Infection and Drug Resistance, 15, 193.
Gualano, M.R., Gili, R., Scaioli, G., Bert, F. and Siliquini, R., (2015): General population's knowledge and attitudes about antibiotics: a systematic review and meta‐analysis. Pharmacoepidemiology and drug safety, 24(1), 2-10.
Hardy-Holbrook, R., Aristidi, S., Chandnani, V., Dewindt, D. and Dinh, K., (2013): Antibiotic resistance and prescribing in australia: current attitudes and practice of gps. Healthcare infection, 18(4), 147-151.
Higuita-Gutiérrez, L.F.; Roncancio Villamil, G.E.; Jiménez Quiceno, J.N (2020): Knowledge, attitude, and practice regarding antibiotic use and resistance among medical students in Colombia: A cross-sectional descriptive study. BMC Public Health, 20, 1861.
Hulscher Me, Grol Rp and Van Der Meer Jw., (2010): antibiotic prescribing in hospitals: a social and behavioral sciences approach. Lancet infect dis, (10), 167–75.
Kothalawala, K., Makita, K., Kothalawala, H., Jiffry, A., Kubota, S. and Kono. H., (2018). Knowledge, attitudes, and practices related to brucellosis and factors affecting knowledge sharing on animal diseases: a cross-sectional survey in the dry zone of sri lanka’. Trop. Ani. Health and prod. 1-7.
Kramer, T., Jansen, L.E., Lipman, L.J., Smit, L.A., Heederik, D.J., Dorado-García, A., Dorado-García, A., (2017): Farmers’ knowledge and expectations of antimicrobial use and resistance are strongly related to usage in dutch livestock sectors. Prev. Vet. Med., (147), 142–148.
Landers, T. F., Cohen, B., Wittum, T. E., & Larson, E. L. (2012). A review of antibiotic use in food animals: perspective, policy, and potential. Public health reports (Washington, D.C. : 1974), 127(1), 4–22. https://doi.org/10.1177/003335491212700103
Miller BJ, Carson KA, Keller S. Educating Patients on Unnecessary Antibiotics: Personalizing Potential Harm Aids Patient Understanding. J Am Board Fam Med. 2020 Nov-Dec;33(6):969-977. doi: 10.3122/jabfm.2020.06.200210. PMID: 33219075; PMCID: PMC7791407.
Okeke, Sosa, A.D.J., Byarugaba, D.K., Amábile-Cuevas, C.F., Hsueh, P.R., Kariuki, S. and I.N. Eds., (2010): Antimicrobia resistance in developing countries (3-7), New york: springer.
Pereko, Lubbe, M.S. and Essack, S.Y., (2015): Public knowledge, attitudes and behavior toward antibiotic usage in windhoek, namibia. Southern African journal of infectious diseases, 30(4), 27-29.
Peterson, L.R.; Dalhoff, A., (2014): Toward targeted prescribing: will the cure for antimicrobial resistance be specific, directed therapy through improved diagnostic testing? J. Antimicrob. Chemother., (53), 902–905.
Pham-Duc, P., Cook, M.A., Cong-Hong, H., Nguyen-Thuy, H., Padungtod, P., Nguyen-Thi, H. and Dang-Xuan, S., (2019): Knowledge, attitudes and practices of livestock and aquaculture producers regarding antimicrobial use and resistance in vietnam. Plos one, 14(9), p.e0223115.
Scaioli G, Gualano Mr, Gili R et al., (2015): Antibiotic use: a cross-sectional survey assessing the knowledge, attitudes and practices among students of a school of medicine in italy. Plos one, 10(4):4. Doi:10.1371/journal.pone.0122476.
Schwendner, A.A., Lam, T.J., Bodmer, M., Cousin, M.E., Schüpbach-Regula, G. and Van Den Borne, B.H., (2020): Knowledge, attitude and practices of swiss dairy farmers toward intramammary antimicrobial use and antimicrobial resistance: a latent class analysis. Preventive veterinary medicine, (179), 105023.
Sindato, C., Mboera, L.E., Katale, B.Z., Frumence, G., Kimera, S., Clark, T.G., Legido-Quigley, H., Mshana, S.E., Rweyemamu, M.M. and Matee, M., (2020): Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania. Antimicrobial Resistance & Infection Control, 9(1), 1-17.
Sobeck, J., Smith-Darden, J., Gartner, D., Kaljee, L., Pieper, B., Kilgore, P. and Zervos, M., (2022): Antibiotic knowledge, beliefs, and behaviors: testing competing hypotheses using an urban community sample. Health communication, 37(7), 862-871.
Steward Mudenda, Michelo Banda, Fred Fredrick Bangara., (2019): Journal of harmonized research in pharmacy June 2018
Tegagn, G.T., Yadesa, T.M. and Ahmed, Y., (2017): Knowledge, attitudes and practices of healthcare professionals toward antimicrobial stewardship and their predictors in fitche hospital. J bioanal biomed, 9(2), 91-97.thursfield m. Survey in veterinary epidemiology. 2nd ed. Uk: blackwell science, limited, cambridge, (2005), 297-302.
Tesfaye, Z., (2017): Patient knowledge and practice on antimicrobial use and resistance in felege hiwot hospital, bahir dar, Ethiopia. Journal of basic and clinical pharmacy,8.
Ungemach, F. R., Müller-Bahrdt, D., & Abraham, G. (2006). Guidelines for prudent use of antimicrobials and their implications on antibiotic usage in veterinary medicine. International journal of medical microbiology : IJMM, 296 Suppl 41, 33–38. https://doi.org/10.1016/j.ijmm.2006.01.059
Whitley, E. and Ball, J. (2002): Statistics review 4: Sample size calculations. Critical Care, 6:335-341.
WHO (2016): Antimicrobial resistance. Retrieved from http://www.WHO.int/mediacenter/factsheets/fs194/en.
WHO, (2014): Antimicrobial resistance global report on surveillance: summary (no. WHO/hse/ped/aip/2014.2).
WHO, (2015): Global action plan on antimicrobial resistance. Retrieved from http://www.WHO.int/antimicrobial-resistance/global-action-plan/en.
WHO, (2022): Antimicrobial resistance: global action plan on antimicrobial resistance, Geneva (accessedJune20.
Yu, M., Zhao,G., Stålsby Lundborg, C., Zhu, Y., Zhao, Q. and Xu, B., (2014): Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study. Bmc infectious diseases, 14(1), 1-8.
Zygmuntowicz A, Burmańczuk A, Markiewicz W. (2020) Selected Biological Medicinal Products and Their Veterinary Use. Animals (Basel). 2020 Dec 9;10(12):2343. doi: 10.3390/ani10122343. PMID: 33316993; PMCID: PMC7763151
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Wallaga University,
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Accepted 2024-03-26
Published 2024-04-30