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Assessment of Knowledge, Attitudes, and Practices of Antibiotic Usage among Third Year Medical Students in De La Salle Health Sciences Institute: An Observational Cross Sectional Study.


Troy Michael P. Dizon,
Maria Nicolette M. Mariano

Related Institution

Department of Internal Medicine - De La Salle Health Sciences Institute - De La Salle University Medical Center


INTRODUCTION: The improper and irrational use of antibiotics has led to development of antibiotic resistance.Aside from the development of antibiotic stewardship protocols for hospitals, it is imperative to ensure that medical students, from an early point in their medical education to have a grasp of the proper use of antibiotics. Assessment of the knowledge, attitudes and practices(KAP) of the medical students may be utilized to plan appropriate educational interventions for antibiotic stewardship programs during the undergraduate medical years. METHODS: A cross-sectional questionnaire based study was conducted among 3rd year medical students of the De La Salle Health Sciences Institute (DLSHSI)with subsequent data analysis using SPSS Version 20. RESULTS: There were 218 students who participated in the study. Results on knowledge showed that more than 97% of the students were aware that indiscriminate use of antibiotics can lead to ineffective treatment, increased adverse effect, exacerbation or prolongation of illness, antimicrobial resistance and additional burden of medical cost. However, 30.3% (n=66) were not aware that bacteria are not the main cause of common colds and flu. Also, 2.3% (n=5) did not consider antimicrobial resistance as one of the hospital's serious public health issues. Results on attitudes showed that 5% (n=11)would take antibiotics for colds to prevent complications and 8.75% (n=20) believed that antibiotics hasten recovery.While 39% (n=85) believed that whenever an antibiotic is taken, itcan contribute to the development antibiotic resistance, around 12.9% (n=28) believed that skipping one or two doses of antibiotics does not. Around 21.6% (n=47) believed that antibiotics are safe drugs and can be commonly used. Results on the actual medication practice showed that although 67.9% (n=148) would always and 21.1% (n=46) would usually consult a doctor before starting an antibiotic, there was a tendency that around 38% (n=83) would take antibiotics for common colds, 23.9% (n=53) would give antibiotics to others, 39.4% (n=86) would take antibiotics according to a friend's suggestion and 27% (n=59) would discontinue antibiotics when symptoms are relieved. CONCLUSION: This study illustrated the KAP on antibiotics of the third year medical students of DLSHSI. While numerous efforts are being done to control AMR in the hospital setting, it is important to also engage medical students as future medical practitioners in the rational use of antibiotics. The results of the study can serve as guide for the College of Medicine in planning the appropriate approach in line with outcome-based education regarding principles of antimicrobial stewardship. Keywords: antimicrobial stewardship, antimicrobial resistance, education, medical students

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